In the September
issue of Eye & Contact Lens, Anger, Et al. published an article
titled: Acanthamoeba: A Review of Its Potential to Cause Keratitis,
Current Lens Care Solution Disinfection Standards and Methodologies, and
Strategies to Reduce Patient Risk.
This article
discusses the incidence of a serious contact lens infection called Acnthamoeba
Keratitis (AK). AK is caused by an organism called a trophozite, which
can be found in tap water. The incidence of AK is very low, .00005% fo
the 33 million soft contact lens wearers in the US. Although rare, this
infection is often difficult to diagnose, and difficult to treat.
Patients can at times require corneal transplants.
The key risk
factor is a corneal abrasion that is then exposed to the Acanthomeba. The
authors stressed that the key to prevention of AK is the education of patients
on the proper handling, and cleaning of contact lenses, along with the
avoidance of swimming with contact lenses in. Guidelines for municipal
water-testing were also discussed.
TAKE HOME
MESSAGE: Use only
commercially available contact lens cleaning solutions. Do not rinse
contact lenses with tap water. Do not swim with contact lenses in.
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