Open AccessSteroid sensitive Acanthamoeba keratitis
Author(s) -
Horsburgh Bradley,
Hirst Lawrence W.,
Carey Terence,
Whitby R. Michael,
Nimmo Graeme,
Stallard Ken
Publication year - 1991
Publication title -
australian and new zealand journal of ophthalmology
Language(s) - English
Resource type - Journals
eISSN - 1440-1606
pISSN - 0814-9763
DOI - 10.1111/j.1442-9071.1991.tb00684.x
Subject(s) - acanthamoeba keratitis , acanthamoeba , keratitis , medicine , dermatology , ophthalmology , microbiology and biotechnology , biology
A 44‐year‐old woman with proven Acanthamoeba keratitis was successfully treated medically with resultant 6/9 vision. During the treatment, repeated attempts to titrate the patient off topical corticosteroids resulted in recurrent flare‐up of inflammatory keratitis from which Acanthamoeba could not be recultured. It is suggested that steroid administration during the course of Acanthamoeba keratitis may need to be withdrawn extremely slowly to avoid the recurrence of what appears to be an immunological corneal reaction.