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Case Report Volume 8 Issue 1
Acanthamoeba Keratitis - A Diagnostic Dilemma: A Case Report
Praveen Panwar, Kalpana Sharma
Received: January 01, 1971 | Published: February 16, 2018
Citation: Panwar P, Sharma K (2018) Acanthamoeba Keratitis - A Diagnostic Dilemma: A Case Report. Adv Ophthalmol Vis Syst 8(2): 00268. DOI: 10.15406/aovs.2018.08.00268
Abstract
Acanthamoeba keratitis presents as diagnostic dilemma as it mimics herpes simpexviral keratitis. It is also a diagnostic challenge due to lack of awareness, difficulty in diagnosis which requires strong clinical suspicion and lack of effective treatment further complicates its management. We report a case of 47 years old female with pain, redness and watering having deep stromal ring infiltrates. The strong suspicion based on clinical findings and failure to respond to antiviral therapy prompted us to investigate her further and the diagnosis of acanthamoeba keratitis was made although there was no history of contact lens wear. Inspite of full diagnostic work up for bacterial, fungal and viral corneal pathogen, the diagnosis of Acanthamoeba can be easily missed; therefore one must keep the possibility of this rare entity.
Keywords: Acanthamoeba, Viral keratitis, Stromal ring infiltrates, Dilemma, Corneal pathogen, Protozoa, Amoeba, Contact lens, E. coli, Neomycin
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