Journal of The Korean Ophthalmological Society (대한안과학회지)

The Korean Ophthalmological Society (대한안과학회)
권호 표지

Acanthamoeba Keratitis Related to Cosmetic Contact Lenses

미용 콘택트렌즈와 연관된 아칸트아메바 각막염

Park, Young-Min;Hahn, Tae-Won;Choi, Si-Hwan;Lee, Jong-Soo;Lee, Ji-Eun
박영민;한태원;최시환;이종수;이지은

  • Published : 20070700
⟨ Previous Next ⟩

Abstract

Purpose: To report a rare case of Acanthamoeba keratitis in both eyes related to cosmetic contact lenses. Methods: A 17-year-old girl with a history of wearing cosmetic contact lenses presented with keratitis. She purchased cosmetic contact lenses on the internet, and used contact lens care system irregularly with tap water. Results: After analysis of the corneal scraping, the contact lenses and the storage solution, the organism Acanthamoeba was identified. The patient was treated with polyhexamethylene biguanide (PHMB) and chlorhexidine for 3 months, and recovered with normal visual acuity. Conclusions: Poor hygiene and insufficient disinfection may be major risk factors for Acanthameoba keratitis in cosmetic contact lens wearers. The cosmetic contact lens user should receive professional advice before using these lenses, and this precaution must be communicated to the public.

목적 : 미용 콘택트렌즈 사용자에서 발생한 아칸트아메바 각막염 1예를 보고하고자 한다. 대상과 방법 : 미용 콘택트렌즈를 착용하는 17세 여자가 양안의 각막염 소견으로 내원하였다. 미용 콘택트렌즈는 인터넷을 통해 구입하였으며, 수돗물을 사용한 렌즈의 관리는 불규칙적이었다. 결과 : 각막 병변, 콘택트렌즈 및 렌즈용품에서 아칸트아메바가 배양되었다. 환자는 3개월간 polyhexamethylene biguanIde (PHMB)와 Chorhexidine으로 치료 받았고, 정상시력으로 회복되었다. 결론 : 미용 콘택트렌즈 사용자들의 부주의한 렌즈관리는 아칸트아메바 감염의 주요인으로 생각되며, 전문가로부터 렌즈 사용에 관한 충분한 숙지가 대중화되어야 할 것이다.

Keywords

References

  1. Steinemann TL, Fletcher M, Bonny AE, et al. Over‐thecounter decorative contact lenses: cosmetic or medical devices. A case series. Eye Contact Lens 2005;31:194-200 https://doi.org/10.1097/01.icl.0000175654.79591.03
  2. Cavanagh HD, Ladage PM, Yamamoto K, et al. Effects of daily and overnight wear of hyper‐oxygen transmissible rigid and silicone hydrogel lenses on bacterial binding to the corneal epithelium: 13‐month clinical trials. Eye Contact Lens 2003;29:S14-6 https://doi.org/10.1097/00140068-200301000-00004
  3. Holden BA, Mertz GW. Critical oxygen levels to avoid corneal edema for daily and extended wear contact lenses. Invest Ophthalmol Vis Sci 1984;25:1161-7
  4. Ladage PM, Jester JV, Petroll WM, et al. Role of oxygen in corneal epithelial homeostasis during extended contact lens wear. Eye Contact Lens 2003;29:S2-6 https://doi.org/10.1097/00140068-200301000-00002
  5. Ky W, Scherick K, Stenson S. Clinical survey of lens care in contact lens patients. CLAO J 1998;24:216-9
  6. Brennan NA. Is there a question of safety with continuous 1. wear? Clin Exp Optom 2002;85:127-40 https://doi.org/10.1111/j.1444-0938.2002.tb03025.x
  7. Buck SL, Rosenthal RA. Methods used to evaluate the effectiveness of contact lens care solution and other compounds against Acanthamoeba: a review of the literature. CLAO J 2000;26:72-84
  8. John T, Desai D, Sahm D. Adherence of Acanthamoeba castellani to new daily wear, extended wear, and disposable soft contact lenses. CLAO J 1991;17:109-13
  9. Jeong HJ, Yu HS. The role of domestic tap water in Acanthamoeba contamination in contact lens storage cases in Korea. Korean J Parasitol 2005;43:47-50 https://doi.org/10.3347/kjp.2005.43.2.47
  10. Kilvington S, Gray T, Dart J, et al. Acanthamoeba keratitis: the role of domestic tap water contamination in the United Kingdom. Invest Ophthalmol Vis Sci 2004;45:165-9 https://doi.org/10.1167/iovs.03-0559