Acanthamoeba Keratitis Associated with Scleral Contact Lens Use in a Keratoconus Patient

Acanthamoeba Keratitis Associated with Scleral Contact Lens Use in a Keratoconus Patient

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To the best of our knowledge, this is the second reported case of Acanthamoeba keratitis (AK) as a result of scleral lens doughlish use and the first case of AK associated with Maxim scleral lens use (Accu-Lens, Inc., Lakewood, CO, USA).A 22-year-old male scleral lens user presented at the department of ophthalmology at Gazi University Hospital complaining of painful corneal opacities and erosion in the cornea of right eye.

A real-time polymerase chain reaction assay (Primerdesign, Southampton, UK) was performed, and Acanthamoeba spp.DNA was amplified on the corneal specimen.A topical antimicrobial treatment was prescribed, and the symptoms had improved significantly at the 2-week follow-up.

Contact dosatron d40mz2 lens wearers always run the risk of developing AK, even with gas-permeable scleral contact lenses.Therefore, AK must be considered as an important differential diagnosis in patients who use scleral contact lenses.