KMID : 0360220190600080792
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Journal of the Korean Ophthalmological Society 2019 Volume.60 No. 8 p.792 ~ p.796
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Radial Keratoneuritis in Aeromonas Keratitis
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Kim Ye-Seul
Shin Hee-Bong Lee Si-Hyung
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Abstract
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Purpose: We report a case of Aeromonas keratitis presenting as radial keratoneuritis.
Case summary: A 33-year-old woman with a history of cleaning her contact lenses with tap water presented with decreased visual acuity for 1 day in the left eye. The patient showed diffuse corneal edema, stromal infiltration, and radial keratoneuritis, which were thought to be pathognomonic for Acanthamoeba keratitis. Based on the patient¡¯s clinical findings and past history, a diagnosis of Acanthamoeba keratitis was made and she was prescribed topical fortified cefazolin (50 mg/mL, 5%), tobramycin (3 mg/mL), and 0.02% chlorhexidine per hour. Culture results from the contact lens and contact lens solution confirmed infection by Aeromonas hydrophilia. Polymerase chain reaction results for Acanthamoeba were negative. After 8 days of treatment, the uncorrected visual acuity was 0.7/0.3 with improvement in her corneal findings.
Conclusions: Radial keratoneuritis is not always pathognomic for Acanthamoeba keratitis and can be present in Aeromonas keratitis. Therefore, ophthalmologists should be cautious when interpreting this clinical sign.
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KEYWORD
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Aeromonas, Cornea, Radial keratoneuritis
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