Comparison of anterior segment optical coherence tomography findings in acanthamoeba keratitis and herpetic epithelial keratitis

被引:10
|
作者
Park, Young Min [1 ,2 ]
Lee, Jong Soo [3 ,4 ]
Yoo, Ji-Myong [1 ,5 ]
Park, Jong Moon [1 ,2 ]
Seo, Seong-Wook [1 ,5 ]
Chung, In-Young [1 ,5 ]
Kim, Seong Jae [1 ,5 ]
机构
[1] Gyeongsang Natl Univ, Sch Med, Dept Ophthalmol, Jinju 52727, South Korea
[2] Gyeongsang Natl Univ, Changwon Hosp, Changwon Si, Gyeongsangnam D, South Korea
[3] Pusan Natl Univ, Sch Med, Dept Ophthalmol, Pusan 49241, South Korea
[4] Pusan Natl Univ Hosp, Med Res Inst, Pusan 49241, South Korea
[5] Gyeongsang Natl Univ, Inst Hlth Sci, Jinju 52727, South Korea
基金
新加坡国家研究基金会;
关键词
acanthamoeba; optical coherence tomography; herpes; herpetic keratitis; IN-VIVO; EYE; MANAGEMENT; OCT;
D O I
10.18240/ijo.2018.08.26
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
This study is to investigate the characteristic features of Acanthamoeba keratitis (AK) that differentiating it from herpetic epithelial keratitis (HEK) using anterior segment optical coherence tomography (AS-OCT). Medical records of three eyes of each AK and herpetic keratitis who had AS-OCT examination were reviewed in this study. Slit-lamp biomicroscopy and AS-OCT was performed on the initial visit and on every follow-up visits in all patients. In all three AK cases, reflective bands in the corneal stroma that correspond to the area of radial keratoneuritis were observed. The depth of the reflective bands varied in each case. After AK treatment, slit-lamp biomicroscopy confirmed that radial keratoneuritis had resolved and AS-OCT confirmed that reflective bands in the corneal stroma had also disappeared in all patients. Unlike the AS-OCT results found in AK, highly reflective HEK lesions were observed only in the subepithelial area, not in the stroma. AS-OCT seems to be helpful analyzing the specific depth of the lesion which enables to distinguish AK from HEK.
引用
收藏
页码:1416 / 1420
页数:5
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