Acanthamoeba keratitis with perforation after corneal crosslinking and bandage contact lens use
作者： Paolo Rama , Federico Di Matteo , Stanislav Matuska , Giorgio Paganoni , Alessandra Spinelli
DOI: 10.1016/J.JCRS.2008.09.035
关键词: Surgery 、 Cornea 、 Keratitis 、 Acanthamoeba keratitis 、 Contact lens 、 Ophthalmology 、 Keratoconus 、 Acanthamoeba 、 Corneal perforation 、 Perforation (oil well) 、 Medicine 、 Sensory Systems
摘要: A 32-year-old man with keratoconus developed corneal melting 5 days after riboflavin/ultraviolet-A collagen crosslinking (CXL). Corneal scraping was positive for Acanthamoeba. The patient unaware that he wearing a bandage contact lens and repeatedly rinsed his face eyelids tap water. Because of perforation, large therapeutic keratoplasty chaud performed. Although CXL is considered safe procedure, this case emphasizes the potential risks. We discuss effects deepithelialization, placement, instillation topical nonsteroidal antiinflammatory drugs anesthetic agents, possible role apoptosis when performing treatment keratoconus.
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