Journal of the Korean Ophthalmological Society 2007;48(3):431-437.
Published online March 31, 2007.
Evaluation of Cysticidal Effects of Contact Lens Disinfectant on Acanthamoeba Isolates.
Ji Eun Lee, Jae Sung Park, Jong Soo Lee, Hak Sun Yoo
1Department of Ophthalmology, Pusan National UniversityCollege of Medicine, Pusan, Korea. jongsool@pusan.ac.kr
2Department of Parasitology, Pusan National UniversityCollege of Medicine, Pusan, Korea.
콘택트렌즈 소독액의 아메바 포낭에 대한 살충능력 평가
이지은1,박재성1,이종수1,유학선2
Department of Ophthalmology, Pusan National UniversityCollege of Medicine1, Pusan, Korea Department of Parasitology, Pusan National UniversityCollege of Medicine2, Pusan, Korea
Correspondence:  Ji Eun Lee, M.D.1
Abstract
PURPOSE
To evaluate the cysticidal effect of 5 kinds of commercially available contact lens disinfectants against 2 clinical isolates of Acanthamoeba. METHODS: Five kinds of commercially available contact lens disinfectants were soaked with cysts of Acanthamoeba ludgdunesis and castellanii at the concentration of 10(3), 10(4), and 10(5) cells/ml for 1 and 4 or 6 hours. Cysts which were not excysted in 7 days after treatment were recognized to be killed. Morphologic changes were evaluated by electron microscopic observation. RESULTS: Contact lens disinfectants which contain myristamidopropyl dimethylamine (MAPD) showed the best cysticidal effect. These disinfectants demonstrated a cysticidal effect on both Acanthamoeba species of all concentrations in 6-hour treatment. Contact lens disinfectants which contain polyhexamethylene biguanide (PHMB) did not demonstrate cysticidal effect, except for Acanthamoeba castellanii at the concentration of 10(3) cells/ml, in either 4- or 6-hour treatment. Separation of plasma membrane from endocyst and damage of organelles were prominent in cases showing a cysticidal effect. CONCLUSIONS: Contact lens disinfectant which contains MAPD may be helpful in preventing the Acanthamoeba keratitis. A higher concentration of PHMB is required to be effective in preventing Acanthamoeba keratitis.
Key Words: Acanthamoeba;Amoebicidal effect;Contact lens disinfectants;Cyst


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