PURPOSE: To report the features and clinical course of @entity19415 in a cosmetic contact lens wearer. CASE REPORT: A 29-year-old @entity1 sought medical attention for severe @entity3856 , @entity227 , @entity3917 , and a @entity1109 in the left eye for the past 3-4 days. He had been wearing a single sapphire cosmetic soft contact lens for 1-2 months. The left upper eyelid was @entity4 and the conjunctiva was hyperemic; the best corrected distance visual acuity was 20/400. A slit lamp examination revealed circular and perineural linear stromal opacities and diffuse keratic precipitates. A clinical diagnosis of @entity1034 was made and the @entity1 was started on antiviral therapy. After initial improvement, the @entity1 returned with worsening @entity158 and vision; the corneal lesions had exacerbated. Unresponsiveness to antiviral therapy prompted examination of corneal scrapings, which revealed Acanthamoeba developmental forms. Antimicrobial therapy was prescribed resulting in relief of symptoms despite corneal @entity227 . CONCLUSION: This case illustrates the importance of considering @entity19415 in contact lens wearers at presentation, particularly in those with symptomatic @entity1036 unresponsive to antiviral and antifungal therapy.

Clinical Course of XXXX in a Cosmetic Contact Lens Wearer.

@entity1 :: ('9606', 'Species') :: ['patient', 'man'] @entity227 :: ('MESH:D014786', 'Disease') :: ['opacities and poor vision', 'blurry vision'] @entity1034 :: ('MESH:D016849', 'Disease') :: ['herpes simplex keratitis'] @entity1036 :: ('MESH:D007634', 'Disease') :: ['keratitis'] @entity4 :: ('MESH:D004487', 'Disease') :: ['edematous'] @entity1109 :: ('MESH:D012678', 'Disease') :: ['foreign body sensation'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain'] @entity3856 :: ('MESH:D058447', 'Disease') :: ['ocular pain'] @entity3917 :: ('MESH:D020795', 'Disease') :: ['photophobia'] @entity19415 :: ('MESH:D015823', 'Disease') :: ['Acanthamoeba keratitis']
@entity19415 :: (MESH:D015823,Disease) :: ['Unilateral Acanthamoeba Keratitis']
