Journal of the Korean Ophthalmological Society 1998;39(4):667-672.
Published online April 1, 1998.
Nation-wide Survey for Acanthamoeba from Contact Lens Care Systems in Korea.
Tae Won Hahn, Dong Il Chung, Hyun Hee Kong, Young Ho Han
1Departmetn of Ophthalmology, College of Medicine, Catholic University, Seoul, Korea.
2Department of Parasitology, College of Medicine, Kyongbuk National University, Kyongbuk, Korea.
국내 콘택트렌즈 사용자의 렌즈 용기에서 Acanthamoeba 오염도 조사
한태원(Tae Won Hahn),정동일(Dong Il Chung),공현희(Hyun Hee Kong),한영호(Young Ho Hahn)
Abstract
In order to determine the contamination status of contact lens care system by Acanthamoeba, a nation-wide survey was carried out for the detection of amoeba from the storage cases and contact lenses solution of 739 asymptomatic lens wearers (238 male and 501 female). Subjects consisted of 280 residents in Youngnam, 270 in Honam, and 189 in Chungbu provinces. Acanthamoeba was demonstrated from 141 (19.1%) lens care systems. No significant difference of contamination status was observed between male (19.7%) and female (18.8). However, the contamination rate from Honam province (28.1%) were significnatly higher than those from Youngnam (16.1%) and Chungbu (10.6%) provinces. The isolation rate for Acanth-amoeba was higher in systems of daily wear soft lens (20.0%), extended wear soft lens (23.1), and hard lens (18.8%) than in system of disposable lens. The contamination rate was the higher in the sysems using chemical disinfection alone (19.8%) for disinfection. The contamination rate in systems of combined disinfection with chemicals and intermittent boiling ranged 7.0% to 8.3%, and it was different according to the boiling frequency a week. More attention should be paid to hygeneic maintenance of contact lens care system for the prevention of contact lens-related Acanthamoeba keratitis.
Key Words: Acanthamoeba;Nation-wide survey;Contact lens care system


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