A. Garner, PATHOGENESIS OF ACANTHAMOEBIC KERATITIS - HYPOTHESIS BASED ON A HISTOLOGICAL ANALYSIS OF 30 CASES, British journal of ophthalmology, 77(6), 1993, pp. 366-370
The results of a histopathological study of 30 cases of Acanthamoeba k
eratitis are construed as indicating a four stage pathogenetic sequenc
e: (1) initial infection, involving breaching of the surface epitheliu
m; (2) keratocyte depletion by the invading trophozoites; (3) inflamma
tory response mediated by neutrophil polymorphonuclear leucocytes; (4)
stromal necrosis attributable to leucocytic activity.