Abstract:
: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.
journal_name
Int J Ophthalmoljournal_title
International journal of ophthalmologyauthors
Park YM,Lee JS,Yoo JM,Park JM,Seo SW,Chung IY,Kim SJdoi
10.18240/ijo.2018.08.26subject
Has Abstractpub_date
2018-08-18 00:00:00pages
1416-1420issue
8eissn
2222-3959issn
2227-4898pii
ijo-11-08-1416journal_volume
11pub_type
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