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題 名 | Clinical Features and Outcome of Acanthamoeba Keratitis=棘阿米巴角膜炎之臨床表現 |
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作 者 | 王一中; 洪志鵬; 胡芳蓉; | 書刊名 | 臺灣醫學會雜誌 |
卷 期 | 96:11 1997.11[民86.11] |
頁 次 | 頁895-900 |
分類號 | 416.711 |
關鍵詞 | 棘阿米巴角膜炎; Acanthamoeba keratitis; Contact lens; Keratoplasty; |
語 文 | 英文(English) |
英文摘要 | 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 contactlens-wear, poor contactlens hygiene, intractable eye pain, and ring infiltrates in the cornea were the most prominent characteristics and clinical manifestations. Acanthamoeba keratits 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 keratits. 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. |
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