Abstract
Acanthamoeba keratitis is a "chameleon". It presents classically with greyish epithelial changes, perineuritis, superficial multifocal stromal infiltrates and ring infiltrate. In the presence of clinical signs, polymerase chain reaction, in vitro culture or histopathological examination have to be used to confirm the diagnosis. In vivo confocal microscopy is applied as an early non-invasive ad-hoc diagnostic method.
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