University of Iowa Health Care

Ophthalmology and Visual Sciences

EyeRounds.org

Sclerokeratoplasty, ECCE, and Intraocular lens for Acanthamoeba Keratitis

Contributed by Matt Ward, MD and Kenneth M. Goins, MD

31-year-old contact lens wearer with recurrent, recalcitrant acanthamoeba keratitis OD s/p PKP x3 within 6 months of disease onset. Now with recurrence, scleral nodules, and secondary cataract.

Medical therapy has included: topical chlorhexidine, brolene, voriconazole, and desomedine, as well as IV pentamidine and caspofungin.

last updated: 1/27/2014
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