EVALUATION OF THE EFFICACY OF MULTI PURPOSE CONTACT LENS CARE SOLUTIONS AGAINST ACANTHAMOEBA SPECIES
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Abstract
Acanthamoeba species are free-living protozoa commonly found in water sources and are recognized causes of Acanthamoeba keratitis, particularly among contact lens wearers. Reticulated bore-hole water is widely used in many communities, yet data on its contamination with Acanthamoeba and the effectiveness of multipurpose contact lens solutions against these organisms remain limited. This study investigated the prevalence and species distribution of Acanthamoeba in reticulated bore-hole water and evaluated the efficacy of selected multipurpose contact lens solutions in reducing Acanthamoeba counts. A total of 36 reticulated bore-hole water samples were collected and cultured for Acanthamoeba species using standard parasitological techniques. For Acanthamoeba detection, 500ml of water was passed through a 0.45µm cellulose nitrate membrane filter. Prepared non-nutrient agar plates were seeded with heat-killed Escherichia coli. Cultures were incubated at 32ºC for Amoebic growth and examined microscopically. Isolates were identified based on morphological characteristics of trophozoite and cyst stages. The effects of three multipurpose contact lens solutions—FreesolTM, RefreshTM, and FreshlookTM—on Acanthamoeba counts were assessed. Data were analyzed using one-way analysis of variance (ANOVA) followed by Duncan’s multiple range test, with statistical significance set at p < 0.05. Acanthamoeba species were detected in 32 (88.9%) of the water samples, yielding a total of 209 isolates and a mean intensity of 6.53 detections per positive sample. Ten species were identified, with Acanthamoeba royreba showing the highest prevalence (17.7%), followed by A. polyphaga (11.96%), A. lenticulata and A. mauritaniensis (11.0% each). All contact lens solutions significantly reduced Acanthamoeba counts compared with pre-treatment levels (p < 0.05). Freesol achieved the greatest reduction (98 ± 9.5), followed by Refresh (101 ± 12.5), while Freshlook showed the least reduction (170 ± 22.0). None of the solutions completely eliminated Acanthamoeba. This study showed that reticulated bore-hole water harbored a high prevalence of potentially pathogenic Acanthamoeba species. Although multipurpose contact lens solutions significantly reduce Acanthamoeba burden, complete elimination was not achieved, highlighting the organism’s resistance and the continued risk of exposure. Strict adherence to proper contact lens hygiene and avoidance of bore-hole water use are essential to reduce the risk of Acanthamoeba infection.
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