Unilateral acanthamoeba keratitis following the use of cosmetic contact lens

Colored lenses were first designed for patients with eye pathologies, such as aniridia or corneal opacity. However, in recent years they have become readily available over-the-counter as cosmetic accessories. Widespread use of these lenses has been noted among young adults. Acanthamoeba keratitis is a rare cause of corneal infection, which is associated with poor visual prognosis. Over the past ten years, improvements in the management of this infection have been documented, yet the best treatment is still primary prevention. Hence, contact lens wearers must be provided with proper instructions regarding contact lens hygiene. We present a case of unilateral Acanthamoeba keratitis in a cosmetic contact lens wearer who presented with a month history of right eye pain, photophobia, redness and blurred vision. The contact lenses were obtained over the counter, and a history of poor contact lens hygiene was found. The patient was started on empirical treatment initially. The treatment was modified once the diagnosis was confirmed via Giemsa Stain of corneal scrapings, which showed Acanthamoeba cysts. The patient improved markedly and was discharged from the hospital. The disease classically has a slowly progressive, chronic course, with frequent remission periods. Our patient was lost to follow-up due to poor compliance and failure to adhere to guidelines

Early diagnosis of eales disease

We report a case of a 29-year-old Bahraini male, healthy and a smoker who presented with photophobia in both eyes, more in his left eye for seven days after upper respiratory tract infection, no associated systemic symptoms. This is the first reported case of this pathology from our institution

Multi-resistant Enterococci and Morganella morganii: a rare cause of complicated keratitis

An eighty-five-year-old female presented with preexisting conditions of benign essential hypertension, dyslipidemia, chronic renal failure and diabetes mellitus type 2. She had gastroenteritis, pain and redness in right [blind] eye with corneal decompensation, scarring and right-eye corneal ulcer with hypopyon. Corneal scrapings sent for culture report revealed growth of Morganella Morganii and Enterococci Corneal ulcer was successfully treated with topical and oral antibiotics

Adenovirus isolated from an outbreak of acute hemorrhagic conjunctivitis

There are no published data documenting possible previous acute hemorrhagic conjunctivitis [AHC] outbreaks in Bahrain. We report an outbreak of adenoviral-related AHC in two Bahraini siblings. AHC is a rare form of conjunctivitis that is highly infectious. Diagnosis of AHC is mainly based on clinical presentation. Signs and symptoms usually occur after 24 to 48 hours of incubation. The infection is of short duration, self-limited and associated with good visual prognosis requiring only supportive care. Patient education regarding personal hygiene and close contact with infected individuals plays an important role in its management to prevent the spread of this highly contagious form of conjunctivitis