Unilateral Painful Red Eye with Corneal Cysts Assessed with Corneal Confocal Microscopy: A Case Mimicking Acanthamoeba Keratitis
A 28-year-old woman with a history of trauma to her right eye 2 months prior reported experiencing a stinging sensation and tearing in the morning since the injury occurred and the need to occasionally use an eye patch. Three days before presentation she had been prescribed a therapeutic contact len...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
KARE Publishing
2020-12-01
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| Series: | Beyoglu Eye Journal |
| Subjects: | |
| Online Access: | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=beyoglu&un=BEJ-47965 |
| _version_ | 1797912375794335744 |
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| author | Aysun Sanal Doğan Canan Gürdal Emrah Utku Kabataş Naciye Kabataş Osman Çelikay |
| author_facet | Aysun Sanal Doğan Canan Gürdal Emrah Utku Kabataş Naciye Kabataş Osman Çelikay |
| author_sort | Aysun Sanal Doğan |
| collection | DOAJ |
| description | A 28-year-old woman with a history of trauma to her right eye 2 months prior reported experiencing a stinging sensation and tearing in the morning since the injury occurred and the need to occasionally use an eye patch. Three days before presentation she had been prescribed a therapeutic contact lens (CL) with the diagnosis of a corneal epithelial defect. She described significant pain despite the CL. There was a corneal lesion with haze at the base surrounded by corneal edema. Corneal confocal images revealed hyperreflective cystic lesions that suggested Acanthamoeba keratitis (AK). However, the lesion healed within 10 days and the results of cultures taken before the initiation of treatment proved to be negative. The history of trauma and CL wear, the presence of severe pain, corneal findings, and the confocal microscopy detection of cysts led to a suspicion of AK in a differential diagnosis, but the final diagnosis was recurrent epithelial erosion based on the negative culture results, quick response to treatment, and the possibility of similar confocal findings in a healing epithelium. Since AK may cause loss of vision, suspicion should require that samples be obtained for microbiological study and close follow-up of the clinical course until a final diagnosis can be achieved. |
| first_indexed | 2024-04-10T11:55:05Z |
| format | Article |
| id | doaj.art-9ec256e078ae4c19813cfa696faadff1 |
| institution | Directory Open Access Journal |
| issn | 2587-0394 |
| language | English |
| last_indexed | 2024-04-10T11:55:05Z |
| publishDate | 2020-12-01 |
| publisher | KARE Publishing |
| record_format | Article |
| series | Beyoglu Eye Journal |
| spelling | doaj.art-9ec256e078ae4c19813cfa696faadff12023-02-15T16:16:50ZengKARE PublishingBeyoglu Eye Journal2587-03942020-12-015323423710.14744/bej.2020.47965BEJ-47965Unilateral Painful Red Eye with Corneal Cysts Assessed with Corneal Confocal Microscopy: A Case Mimicking Acanthamoeba KeratitisAysun Sanal Doğan0Canan Gürdal1Emrah Utku Kabataş2Naciye Kabataş3Osman Çelikay4Department of Eye Diseases, Health Sciences University, Diskapi Training and Research Hospital, Ankara, TurkeyDünyagöz Hospitals, Ankara, TurkeyDepartment of Eye Diseases, Health Sciences University, Diskapi Training and Research Hospital, Ankara, TurkeyDepartment of Eye Diseases, Health Sciences University, Diskapi Training and Research Hospital, Ankara, TurkeyDepartment of Eye Diseases, Health Sciences University, Diskapi Training and Research Hospital, Ankara, TurkeyA 28-year-old woman with a history of trauma to her right eye 2 months prior reported experiencing a stinging sensation and tearing in the morning since the injury occurred and the need to occasionally use an eye patch. Three days before presentation she had been prescribed a therapeutic contact lens (CL) with the diagnosis of a corneal epithelial defect. She described significant pain despite the CL. There was a corneal lesion with haze at the base surrounded by corneal edema. Corneal confocal images revealed hyperreflective cystic lesions that suggested Acanthamoeba keratitis (AK). However, the lesion healed within 10 days and the results of cultures taken before the initiation of treatment proved to be negative. The history of trauma and CL wear, the presence of severe pain, corneal findings, and the confocal microscopy detection of cysts led to a suspicion of AK in a differential diagnosis, but the final diagnosis was recurrent epithelial erosion based on the negative culture results, quick response to treatment, and the possibility of similar confocal findings in a healing epithelium. Since AK may cause loss of vision, suspicion should require that samples be obtained for microbiological study and close follow-up of the clinical course until a final diagnosis can be achieved.https://jag.journalagent.com/z4/download_fulltext.asp?pdir=beyoglu&un=BEJ-47965acanthamoeba keratitiscorneal confocal microscopycorneal epitheliumrecurrent epithelial erosion. |
| spellingShingle | Aysun Sanal Doğan Canan Gürdal Emrah Utku Kabataş Naciye Kabataş Osman Çelikay Unilateral Painful Red Eye with Corneal Cysts Assessed with Corneal Confocal Microscopy: A Case Mimicking Acanthamoeba Keratitis Beyoglu Eye Journal acanthamoeba keratitis corneal confocal microscopy corneal epithelium recurrent epithelial erosion. |
| title | Unilateral Painful Red Eye with Corneal Cysts Assessed with Corneal Confocal Microscopy: A Case Mimicking Acanthamoeba Keratitis |
| title_full | Unilateral Painful Red Eye with Corneal Cysts Assessed with Corneal Confocal Microscopy: A Case Mimicking Acanthamoeba Keratitis |
| title_fullStr | Unilateral Painful Red Eye with Corneal Cysts Assessed with Corneal Confocal Microscopy: A Case Mimicking Acanthamoeba Keratitis |
| title_full_unstemmed | Unilateral Painful Red Eye with Corneal Cysts Assessed with Corneal Confocal Microscopy: A Case Mimicking Acanthamoeba Keratitis |
| title_short | Unilateral Painful Red Eye with Corneal Cysts Assessed with Corneal Confocal Microscopy: A Case Mimicking Acanthamoeba Keratitis |
| title_sort | unilateral painful red eye with corneal cysts assessed with corneal confocal microscopy a case mimicking acanthamoeba keratitis |
| topic | acanthamoeba keratitis corneal confocal microscopy corneal epithelium recurrent epithelial erosion. |
| url | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=beyoglu&un=BEJ-47965 |
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