Treatment Soft lens to avoid eye infections

 

Use of soft lens now increasingly become a trend in society. This Vision aids is easy for someone to be able to see without having to wear glasses. The first time using soft lens, users typically have to be reminded to maintain hygiene soft lens. Lack of hygiene can lead to keeping the user suffers from acanthamoeba keratitis. This is a complication of the use soft lens that rarely happens. However, these cases can be very serious because it may cause interference with the vision, even worse for someone to lose vision and eventually blindness.

Acanthamoeba Castellani is a lot of microorganisms found in contaminated water, soil, waste pipe system of household, cooling towers, and heating / ventilation / air conditioning. Acanthamoeba Castellani will cause the eye disease called acanthamoeba keratitis.

Acanthamoeba keratitis usually related with the use of soft lens, including silicone hydro gels lenses and the use of rigid contact lenses throughout the night to repair orthokeratologi. Acanthamoeba keratitis can also occur in people who do not wear contact lenses to those whose eyes are contaminated by water or land. Acanthamoeba keratitis can occur in various races, gender, and age. Usually occurs in young and healthy people.

Acanthamoeba keratitis often occurs because patients do not save or disinfect contact lenses properly, which causes infection in the eye. Apart from the user subjects factor, there are activities that can be risk factors for this disease are wearing contact lenses while swimming or bathing in the shower / shower without removing contact lenses.

 

Diagnosis of acanthamoeba keratitis enforcement is rarely done correctly in the early stages. This disease usually can be diagnosed only after all efforts and treatment failure. Acanthamoeba keratitis patients often have the wrong treatment because the disease is often mistaken for herpes simplex keratitis. Other diseases that also have similarities with acanthamoeba keratitis is due to fungal keratitis and keratitis due to micro bacteria.

Someone with acanthamoeba keratitis risk factors need to consult his doctor suspected if signs or symptoms of this disease is red eyes, sore eyes after removing soft lens and survive within a certain time period, the tears continuously, sensitivity to light / photophobia, blurred vision, and the feeling of something in the eye. In the acanthamoeba keratitis can be seen more like a ring that covers the iris. The diagnosis is proved by investigation. Investigations that can be done are to do a biopsy culture shapes the cornea with finding the amoeba (trofozoid / cysts), co focal microscopy, and cytology examination. Storage box and contact lens cleaning fluid is used also need to be examined to determine whether contaminated or did not

In the early stages of disease progression, treatment usually begins with topical delivery propamidine isethionate (1% solution) is an intensive, polyhexamethylene biguanide (0,01-0,02% solution), and neomycin eye drops. Topical corticosteroids can also be given to reduce inflammation in the cornea and to reduce symptoms. In the advanced stage of acanthamoeba keratitis, keratoplasty is given in the form of management to reduce the progression of the infection. When the organism has reached the eye of sclera drug therapy and surgery was not successful anymore.

The main precaution to be done with acanthamoeba keratitis soft lens maintain hygiene of soft lens well.