A Case of Medication-Resistant Acanthamoeba Keratitis Treated by Corneal Crosslinking in Turkey
Purpose. To report a case of medication-resistant acanthamoeba keratitis (AK) treated successfully by corneal crosslinking (CXL). Methods. A 26-year-old male with medication-resistant AK underwent a standard CXL procedure with local anesthesia, followed by central corneal epithelial debridement, app...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Case Reports in Ophthalmological Medicine |
| Online Access: | http://dx.doi.org/10.1155/2013/608253 |
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| _version_ | 1832563962405715968 |
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| author | Goktug Demirci Akif Ozdamar |
| author_facet | Goktug Demirci Akif Ozdamar |
| author_sort | Goktug Demirci |
| collection | DOAJ |
| description | Purpose. To report a case of medication-resistant acanthamoeba keratitis (AK) treated successfully by corneal crosslinking (CXL). Methods. A 26-year-old male with medication-resistant AK underwent a standard CXL procedure with local anesthesia, followed by central corneal epithelial debridement, application of riboflavin 0.1%, and UV-A irradiation. Results. The patient experienced a dramatic symptomatic improvement within 24 hours. At two months, keratitis was healed with a semitransparent paracentral scar that did not affect visual acuity. Conclusions. Our experience, considered in the context of recent studies, suggests that CXL may be an option for selected patients with medication-resistant AK and corneal melting. CXL allows patients to avoid emergency keratoplasty and experience rapid symptomatic relief. |
| format | Article |
| id | doaj-art-17783323a42d43b181daa96fddc9f2b2 |
| institution | Kabale University |
| issn | 2090-6722 2090-6730 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Ophthalmological Medicine |
| spelling | doaj-art-17783323a42d43b181daa96fddc9f2b22025-02-03T01:12:01ZengWileyCase Reports in Ophthalmological Medicine2090-67222090-67302013-01-01201310.1155/2013/608253608253A Case of Medication-Resistant Acanthamoeba Keratitis Treated by Corneal Crosslinking in TurkeyGoktug Demirci0Akif Ozdamar1Department of Ophthalmology, Medipol University Hospital, 34800 Istanbul, TurkeyDepartment of Ophthalmology, Cerrahpasa Medical Faculty of Istanbul University, 34800 Istanbul, TurkeyPurpose. To report a case of medication-resistant acanthamoeba keratitis (AK) treated successfully by corneal crosslinking (CXL). Methods. A 26-year-old male with medication-resistant AK underwent a standard CXL procedure with local anesthesia, followed by central corneal epithelial debridement, application of riboflavin 0.1%, and UV-A irradiation. Results. The patient experienced a dramatic symptomatic improvement within 24 hours. At two months, keratitis was healed with a semitransparent paracentral scar that did not affect visual acuity. Conclusions. Our experience, considered in the context of recent studies, suggests that CXL may be an option for selected patients with medication-resistant AK and corneal melting. CXL allows patients to avoid emergency keratoplasty and experience rapid symptomatic relief.http://dx.doi.org/10.1155/2013/608253 |
| spellingShingle | Goktug Demirci Akif Ozdamar A Case of Medication-Resistant Acanthamoeba Keratitis Treated by Corneal Crosslinking in Turkey Case Reports in Ophthalmological Medicine |
| title | A Case of Medication-Resistant Acanthamoeba Keratitis Treated by Corneal Crosslinking in Turkey |
| title_full | A Case of Medication-Resistant Acanthamoeba Keratitis Treated by Corneal Crosslinking in Turkey |
| title_fullStr | A Case of Medication-Resistant Acanthamoeba Keratitis Treated by Corneal Crosslinking in Turkey |
| title_full_unstemmed | A Case of Medication-Resistant Acanthamoeba Keratitis Treated by Corneal Crosslinking in Turkey |
| title_short | A Case of Medication-Resistant Acanthamoeba Keratitis Treated by Corneal Crosslinking in Turkey |
| title_sort | case of medication resistant acanthamoeba keratitis treated by corneal crosslinking in turkey |
| url | http://dx.doi.org/10.1155/2013/608253 |
| work_keys_str_mv | AT goktugdemirci acaseofmedicationresistantacanthamoebakeratitistreatedbycornealcrosslinkinginturkey AT akifozdamar acaseofmedicationresistantacanthamoebakeratitistreatedbycornealcrosslinkinginturkey AT goktugdemirci caseofmedicationresistantacanthamoebakeratitistreatedbycornealcrosslinkinginturkey AT akifozdamar caseofmedicationresistantacanthamoebakeratitistreatedbycornealcrosslinkinginturkey |