ما هو علاج الخط الأول لالتهاب القرنية بالأكانثأميبا؟

References

1. Initial therapy for Acanthamoeba keratitis should begin with diagnostic epithelial debridement for culture and staining followed by immediate topical therapy (Table 1).
2. Topical dual therapy should start with chlorhexidine 0.02% and propamidine 0.1% every hour around the clock for 2-3 days.
3. Following this, the treatment can be reduced to waking hours only for approximately 3 days.
4. Therapy is then tapered to 4 times a day.
5. Realizing that response to therapy, especially in established infections, can take 2 weeks to be appreciated, therapy may be reduced to every 4 hours while awake once control is established.
6. For disease limited to the epithelium, therapy may be discontinued after 2-4 weeks.