00:00The alarm bells are few, in the sense that at the beginning this infection gives few
00:10signs, it gives specific signs, so in my opinion the suspicion of acantamoeba must be made
00:16of assurances that are microscopy with a focal and the sample for microbiological examinations,
00:21because treated in that phase the effectiveness of the treatment is very high, if you wait
00:26until the cysts, when the parasite deepens in the cornea, the treatment becomes much
00:31more problematic.
00:32The confirmation of the diagnosis, which is only instrumental, you cannot do clinical diagnosis,
00:37the clinic must suspect acantamoeba and send it for more in-depth examinations.
00:41Microscopy with a focal, live, which is an instrument that allows to highlight the cysts
00:46in the cornea and the sample for microbiological examinations, specific cultural examinations.
00:51In short, the therapy is based on two antiseptics, which are chlorexidine and PHMB, the PHMB
00:57has been approved by the European Agency EMA, now we are waiting for the approval of AIFA
01:02and we hope that it arrives on the market soon.
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