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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for acanthamoeba keratitis

Dear Doctor,
I am heidi hassona, 27 years old, i have got eye infection since last of November 2011, and i flew to germany to get treatment, my eye was described to have acanthamoeba ketities or herpes, so doctors there gave me medication for both which are:
A)Polyhexamethylenbiguanid (lavasept) AT 0,02%

B)Propamidinisoethionat (Brolene) AT 0,1%

C)Aminoglykosid (z.B Polyspectran)
D)Ganciclovir 1,5 mg
i have been taking this medicine as one every hour and i stop at night for 7 hours, since the mid of december 2011 and until now, but there is no improvment, i am a bit afraid, the disease is really serious and i would appreciate if you adviced me where can i get the right treatment for my case in the United States.
Thu, 22 May 2014
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Ophthalmologist 's  Response
It is viral infection and they have given antiviral antibiotic medicine. It is a infection which takes time for cure. Constant and regular follow up is required. its prognosis is not very good. efforts may be made to preserve as much vision as possible. Other alternative anti viral medication are available. Culture is not possible so treatment is to be on trial and error method.
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