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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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Detalles Bibliográficos
Autores principales: Demirci, Goktug, Ozdamar, Akif
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3881390/
https://www.ncbi.nlm.nih.gov/pubmed/24455365
http://dx.doi.org/10.1155/2013/608253
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author Demirci, Goktug
Ozdamar, Akif
author_facet Demirci, Goktug
Ozdamar, Akif
author_sort Demirci, Goktug
collection PubMed
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.
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spelling pubmed-38813902014-01-20 A Case of Medication-Resistant Acanthamoeba Keratitis Treated by Corneal Crosslinking in Turkey Demirci, Goktug Ozdamar, Akif Case Rep Ophthalmol Med Case Report 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. Hindawi Publishing Corporation 2013 2013-12-22 /pmc/articles/PMC3881390/ /pubmed/24455365 http://dx.doi.org/10.1155/2013/608253 Text en Copyright © 2013 G. Demirci and A. Ozdamar. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Demirci, Goktug
Ozdamar, Akif
A Case of Medication-Resistant Acanthamoeba Keratitis Treated by Corneal Crosslinking in Turkey
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
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3881390/
https://www.ncbi.nlm.nih.gov/pubmed/24455365
http://dx.doi.org/10.1155/2013/608253
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