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Acanthamoeba trophozoite and cyst adherence to four types of soft contact lens and removal by cleaning agents

Abstract

Trophozoite and cyst adherence of two Acanthamoeba keratitis strains (PHL/530 and PHL/978) to four types of unworn soft contact lens and their removal by cleaning agents were studied. Greater adherence of the tropho-zoites compared with the cysts was recorded for both strains. Trophozoites of PHL/530 adhered in greater numbers to type I lenses (61.4% poly[2-hydroxyethyl methacrylate-38.6% water), with no differences between type II (30% lidofilcon A-70% water), III (55% bufilcon A-45% water) and IV lenses (42% etafilcon A-58% water). Adherence of PHL/978 trophozoites to type II lenses was decreased compared with their adherence to the other lenses. Cysts of both strains showed greater adherence to type I and III lenses. Interstrain differences in trophozoite adherence occurred, with PHL/530 showing greater adherence to type I and II lenses. Recommended cleaning procedures using three commercial solutions were effective in removing Acanthamoeba from the lenses. This study indicates the possible role of adherence to contact lenses in the acquisition of Acanthamoeba keratitis, but shows that correct use of commercial cleaning agents may be important in the prevention of infection.

References

  1. Page FC . A new key to freshwater and soil gymnamoebae. Freshwater Biological Association, The Ferry House, Ambleside, Cumbria, England, 1988.

  2. Martinez AJ, Janitschke K . Acanthamoeba, an opportunistic microorganism: a review. Infection 1985;13:251–6.

    CAS  Article  Google Scholar 

  3. Moore MB, McCulley JP, Newton C, Cobo LM, Foulks GN, O'Day DM, et al.. Acanthamoeba keratitis: a growing problem in soft and hard contact lens wearers. Ophthalmology 1987;94:1654–61.

    CAS  Article  Google Scholar 

  4. Stehr-Green JK, Bailey TM, Visvesvara GS . The epidemiology of Acanthamoeba keratitis in the United States. Am J Ophthalmol 1989;107:331–6.

    CAS  Article  Google Scholar 

  5. Kilvington S, Larkin DFP, White DG, Beeching JR . Laboratory investigation of Acanthamoeba keratitis. J Clin Microbiol 1990;28:2722–5.

    CAS  PubMed  PubMed Central  Google Scholar 

  6. Larkin DFP, Kilvington S, Easty DL . Contamination of contact lens storage cases by Acanthamoeba and bacteria. Br J Ophthalmol 1990;74:133–5.

    CAS  Article  Google Scholar 

  7. Johns KJ, Heard WS, Robinson RD, Williams TE, O'Day DM . Examination of the contact lens with light microscopy: an aid in diagnosis of Acanthamoeba keratitis. Rev Infect Dis 1991;13(Suppl 5):–S425.

    Article  Google Scholar 

  8. Brandt FH, Ware DA, Visvesvara GS . Viability of Acan-thaemoeba cysts in ophthalmic solutions. Appl Environ Microbiol 1989;55:1144–6.

    CAS  PubMed  PubMed Central  Google Scholar 

  9. Davies DJG, Anthony Y, Meakin BJ, Kilvington S, White DG . Anti-Acanthamoeba activity of chlorhexidine and hydrogen peroxide. Trans Br Contact Lens Assoc 1988;5:80–2.

    Google Scholar 

  10. Kilvington S . Moist-heat disinfection of pathogenic Acanthamoeba cysts. Lett Appl Microbiol 1989;9:187–9.

    Article  Google Scholar 

  11. Kilvington S . Activity of water biocide chemicals and contact lens disinfectants on pathogenic free-living amoebae. Int Biodeterioration 1990;26:127–38.

    CAS  Article  Google Scholar 

  12. Kilvington S, Scanlon P . Efficacy of an ultraviolet light contact lens disinfection unit against Acanthamoeba keratitis isolates. J Br Contact Lens Assoc 1991;14:9–11.

    Article  Google Scholar 

  13. Ludwig IH, Meisler DM, Rutherford I, Bican FW, Langston RHS, Visvesvara GS . Susceptibility of Acanthamoeba to soft contact lens disinfection systems. Invest Ophthalmol Vis Sci 1986;27:626–8.

    CAS  PubMed  PubMed Central  Google Scholar 

  14. Penley CA, Willis SW, Sickler SG . Comparative antimicrobial efficacy of soft and rigid gas permeable contact lens solutions against Acanthamoeba. Contact Lens Assoc Ophthalmol J 1989;15:257–60.

    CAS  Google Scholar 

  15. Kilvington S, Larkin DFP . Acanthamoeba adherence to contact lenses and removal by cleaning agents. Eye 1990;4:589–93.

    Article  Google Scholar 

  16. Aufy S, Kilvington S, Mann PG, Warhurst DC . Improved selective isolation of Naegleria fowled from the environment. Trans R Soc Trop Med Hyg 1986;80:350–l.

    CAS  Article  Google Scholar 

  17. De Jonckheere J . Use of an axenic medium for differentiation between pathogenic and nonpathogenic Naegleria fowleri isolates. Appl Environ Microbiol 1977;33:751–7.

    CAS  PubMed  PubMed Central  Google Scholar 

  18. Neff RJ, Ray SA, Benton WF, Wilborn M . Induction of synchronous encystment in Acanthamoeba sp. Methods Cell Physiol 1964;1:55–83.

    CAS  Article  Google Scholar 

  19. John T, Desai D, Sahm D . Adherence of Acanthamoeba castellanii cysts and trophozoites to unworn soft contact lenses. Am J Ophthalmol 1989;108:658–64.

    CAS  Article  Google Scholar 

  20. Preston TM, King CA . Amoeboid locomotion of Acanthamoeba castellanii with special reference to cell-substratum interactions. J Gen Microbiol 1984;130:2317–23.

    CAS  PubMed  Google Scholar 

  21. Stevens AR, O'Dell WD . In vitro growth and virulence of Acanthamoeba. J Parasitol 1974;60:884–5.

    CAS  Article  Google Scholar 

  22. Miller MJ, Wilson LA, Ahearn DG . Effects of protein, mucin, and human tears on adherence of Pseudomonas aeruginosa to hydrophilic contact lenses. J Clin Microbiol 1988;26:513–7.

    CAS  PubMed  PubMed Central  Google Scholar 

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Kilvington, S. Acanthamoeba trophozoite and cyst adherence to four types of soft contact lens and removal by cleaning agents. Eye 7, 535–538 (1993). https://doi.org/10.1038/eye.1993.116

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  • DOI: https://doi.org/10.1038/eye.1993.116

Keywords

  • Acanthamoeba
  • Adherence
  • Cleaning
  • Contact Lenses

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