https://scholars.lib.ntu.edu.tw/handle/123456789/567377
標題: | Clinical Features and outcome of Acanthamoeba keratitis | 作者: | I-JONG WANG Hong J.-P. FUNG-RONG HU |
關鍵字: | Acanthamoeba keratitis; contact lens; Keratoplasty | 公開日期: | 1997 | 卷: | 96 | 期: | 11 | 起(迄)頁: | 895-900 | 來源出版物: | Journal of the Formosan Medical Association | 摘要: | We retrospectively reviewed 11 patients with culture-proven Acanthamoeba keratitis who presented at the National Taiwan University Hospital between 1989 and 1996. We assessed predisposing factors, initial diagnosis, clinical presentation, treatment, and outcome. A history of contact lens-wear, poor contact lens hygiene, intractable eye pain, and ring infiltrates in the cornea were the most prominent characteristics and clinical manifestations. Acanthamoeba keratitis was often misdiagnosed, with herpetic keratitis (7/11) being the most common initial diagnosis from referring hospitals. These patients were usually treated on the basis of the inaccurate diagnosis for more than 1 month (range 1- 8 mo) before referral. All patients ultimately received penetrating keratoplasty because of poor response to delayed medical treatment. We suggest that inadequate contact lens hygiene may be important in Acanthamoeba keratitis. This condition is often misdiagnosed and, as early diagnosis is a major factor for successful medical treatment in such patients, awareness in clinical practice is critical. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-0031405452&partnerID=40&md5=40e6bdda735d5911b5e6b3622456f403 https://scholars.lib.ntu.edu.tw/handle/123456789/567377 |
ISSN: | 0929-6646 | SDG/關鍵字: | acanthamoeba; article; clinical feature; contact lens; disease course; disease predisposition; keratitis; Acanthamoeba Keratitis; Adult; Aged; Contact Lenses; Diagnosis, Differential; Female; Humans; Male; Middle Aged; Retrospective Studies |
顯示於: | 醫學系 |
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