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These include ocular pain, itching, redness, watering, light sensitivity, and loss of vision.

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As seen by this slide, Acanthamoeba keratitis begins as a small ring that becomes progressively more and more opaque as the disease infiltrates the cornea.
Picture number 5 shows a healthy cornea post-keratoplasty.

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It is most prevalent in impoverished countries with a poor or contaminated water supply.

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Improper contact lens wear and cleaning

Swimming or bathing in contact lenses (especially hot tubs!)

Failure to wash hands thoroughly before removal or insertion of lenses

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Acanthamoeba is a double-walled cyst-like structure that infiltrates the epithelial layer of the cornea.

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Acanthamoeba keratitis may be treated for six to twelve months using antimicrobials such as chlorohexidine (0.02%) and polyhexamethylene biguanide (PHMB, 0.02%) several times daily.

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Diagnosis may be made by fluorescein viewing and further cultures.

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In extreme cases leading to corneal scarring and vision loss, corneal transplantation (keratoplasty) may be a necessary form of treatment.

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Full Thickness Corneal Transplantation:  Penetrating Keratoplasty (PKP)

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An explanation of full thickness corneal transplantation (PKP)

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Proper handling of contact lens

Purified water systems