Rapid detection of Acanthamoeba cysts in frozen sections of corneal scrapings with Fungiflora Y

Aims:To evaluate the usefulness of serial frozen sections of corneal scrapings stained with Fungiflora Y (FFY) to diagnose Acanthamoeba keratitis (AK).Methods:Eight patients with suspected AK were studied. Serial frozen sections were made from part of the corneal epithelial scrapings and stained wit...

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Veröffentlicht in:British journal of ophthalmology 2009-12, Vol.93 (12), p.1563-1565
Hauptverfasser: Shiraishi, A, Kobayashi, T, Hara, Y, Yamaguchi, M, Uno, T, Ohashi, Y
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container_end_page 1565
container_issue 12
container_start_page 1563
container_title British journal of ophthalmology
container_volume 93
creator Shiraishi, A
Kobayashi, T
Hara, Y
Yamaguchi, M
Uno, T
Ohashi, Y
description Aims:To evaluate the usefulness of serial frozen sections of corneal scrapings stained with Fungiflora Y (FFY) to diagnose Acanthamoeba keratitis (AK).Methods:Eight patients with suspected AK were studied. Serial frozen sections were made from part of the corneal epithelial scrapings and stained with FFY. The remaining corneal epithelial scrapings were submitted for laboratory culture.Results:The FFY stained frozen sections were completed within an hour, and Acanthamoeba cysts were detected under a fluorescence microscope in all eight patients. The same sections were examined with a light microscope, and Acanthamoeba cysts were confirmed to be present from their morphological characteristics. Five of the eight patients had positive laboratory cultures for Acanthamoeba.Conclusion:FFY staining of frozen sections of corneal scrapings is a rapid and reliable technique which can be used to make an early diagnosis of AK.
doi_str_mv 10.1136/bjo.2009.158113
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Serial frozen sections were made from part of the corneal epithelial scrapings and stained with FFY. The remaining corneal epithelial scrapings were submitted for laboratory culture.Results:The FFY stained frozen sections were completed within an hour, and Acanthamoeba cysts were detected under a fluorescence microscope in all eight patients. The same sections were examined with a light microscope, and Acanthamoeba cysts were confirmed to be present from their morphological characteristics. Five of the eight patients had positive laboratory cultures for Acanthamoeba.Conclusion:FFY staining of frozen sections of corneal scrapings is a rapid and reliable technique which can be used to make an early diagnosis of AK.</description><identifier>ISSN: 0007-1161</identifier><identifier>EISSN: 1468-2079</identifier><identifier>DOI: 10.1136/bjo.2009.158113</identifier><identifier>PMID: 19939794</identifier><identifier>CODEN: BJOPAL</identifier><language>eng</language><publisher>BMA House, Tavistock Square, London, WC1H 9JR: BMJ Publishing Group Ltd</publisher><subject>Acanthamoeba - isolation &amp; purification ; Acanthamoeba Keratitis - diagnosis ; Acanthamoeba Keratitis - etiology ; Adolescent ; Adult ; Biological and medical sciences ; Cellular biology ; Cellulose ; Contact lenses ; Contact Lenses, Hydrophilic - adverse effects ; Cysts ; Early Diagnosis ; Epithelium, Corneal - microbiology ; Female ; Fluorescent Dyes ; Frozen Sections ; Fungi ; Humans ; Male ; Medical sciences ; Microscopy, Fluorescence ; Miscellaneous ; Morphology ; Ophthalmology ; Organic Chemicals ; Staining and Labeling - methods ; Young Adult</subject><ispartof>British journal of ophthalmology, 2009-12, Vol.93 (12), p.1563-1565</ispartof><rights>BMJ Publishing Group Ltd. 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Serial frozen sections were made from part of the corneal epithelial scrapings and stained with FFY. The remaining corneal epithelial scrapings were submitted for laboratory culture.Results:The FFY stained frozen sections were completed within an hour, and Acanthamoeba cysts were detected under a fluorescence microscope in all eight patients. The same sections were examined with a light microscope, and Acanthamoeba cysts were confirmed to be present from their morphological characteristics. Five of the eight patients had positive laboratory cultures for Acanthamoeba.Conclusion:FFY staining of frozen sections of corneal scrapings is a rapid and reliable technique which can be used to make an early diagnosis of AK.</abstract><cop>BMA House, Tavistock Square, London, WC1H 9JR</cop><pub>BMJ Publishing Group Ltd</pub><pmid>19939794</pmid><doi>10.1136/bjo.2009.158113</doi><tpages>3</tpages></addata></record>
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subjects Acanthamoeba - isolation & purification
Acanthamoeba Keratitis - diagnosis
Acanthamoeba Keratitis - etiology
Adolescent
Adult
Biological and medical sciences
Cellular biology
Cellulose
Contact lenses
Contact Lenses, Hydrophilic - adverse effects
Cysts
Early Diagnosis
Epithelium, Corneal - microbiology
Female
Fluorescent Dyes
Frozen Sections
Fungi
Humans
Male
Medical sciences
Microscopy, Fluorescence
Miscellaneous
Morphology
Ophthalmology
Organic Chemicals
Staining and Labeling - methods
Young Adult
title Rapid detection of Acanthamoeba cysts in frozen sections of corneal scrapings with Fungiflora Y
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