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Recent advances in the treatment of Acanthamoeba keratitis

Kumar, Raman and Lloyd, David 2002. Recent advances in the treatment of Acanthamoeba keratitis. Clinical Infectious Diseases 35 (4) , pp. 434-441. 10.1086/341487

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Abstract

Infection of the eye caused by Acanthamoeba species constitutes a burgeoning and unsolved problem. Of individuals with Acanthamoeba keratitis, 85% wear contact lenses; abrasion of the cornea is implicated. Corneal infection often can be prevented by good lens care and hygiene. Severe Acanthamoeba keratitis often can be very difficult to treat; surgery can be less than successful and may lead to further problems. The encysted stage in the life cycle of Acanthamoeba species appears to cause the most problems; many biocides are ineffective in killing the highly resistant cysts. Combination therapy—that is, use of 2 or 3 biocides, sometimes with antibacterial antibiotics—appears to work best. Recurrence is common if treatment is stopped prematurely. Immunologic methods are being investigated as a form of prevention, and oral immunization of animals recently has been successful in the prevention of Acanthamoeba keratitis by inducing immunity before infection occurs. Immunization thus may eventually become the best approach for reduction of the incidence of amebic infection in humans.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Biosciences
Publisher: University of Chicago Press
ISSN: 1058-4838
Last Modified: 04 Jun 2017 06:36
URI: http://orca.cf.ac.uk/id/eprint/62685

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Cited 43 times in Web of Science. View in Web of Science.

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