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UrgentCornea

Acanthamoeba Keratitis

A rare but serious cornea infection risk linked with contact lenses and water exposure.

What is it?

Acanthamoeba keratitis is a rare but serious corneal infection caused by a microscopic organism found in water and soil. It is strongly linked to contact lens use, particularly swimming or showering while wearing lenses.

Common symptoms

  • Severe eye pain disproportionate to clinical signs
  • Redness
  • Blurred vision
  • Sensitivity to light
  • Watery discharge

Risk factors

  • Contact lens wear, especially with tap water exposure
  • Swimming with lenses in
  • Poor lens hygiene

Prevention tips

  • Avoid exposing contact lenses to tap water
  • Remove contact lenses before swimming, showering, or using hot tubs
  • Maintain strict contact lens hygiene and replace lenses as recommended
  • Use only sterile contact lens solutions and avoid homemade solutions
  • Seek urgent ophthalmic care for a painful red eye while wearing contact lenses

Treatment overview

Intensive topical antiseptic drops (polyhexamethylene biguanide and propamidine) over many months are required. Early diagnosis is crucial for a better outcome.

Seek urgent care if you notice

  • Severe eye pain, especially in contact lens wearers
  • Reduced vision
  • Persistent redness or marked light sensitivity
  • Symptoms not improving despite treatment

Related eye care tips

Have questions about your eyes?

This information is general education and does not replace a professional eye examination. If you are worried about your eyes, book an appointment.

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