Ophthalmology1 UKMLA question
Acanthamoeba keratitis — UKMLA Revision Notes
Acanthamoeba keratitis is an important clinical condition in Ophthalmology that is tested in the UKMLA Applied Knowledge Test (AKT). Medical students and doctors preparing for the UKMLA or PLAB 1 must understand the pathophysiology, clinical presentation, investigations, and evidence-based management of Acanthamoeba keratitis as outlined in current NICE guidelines.
Key Facts
- Acanthamoeba keratitis is a key condition on the GMC UKMLA Content Map
- Commonly tested in the Ophthalmology section of the UKMLA Applied Knowledge Test
- Understand the pathophysiology, clinical features, investigations, and management
- NICE guidelines provide the evidence base for management decisions
- Consider differential diagnoses and red flag symptoms in clinical scenarios
Investigations
- Visual acuity (Snellen chart)
- Slit-lamp examination
- Fundoscopy
- IOP (tonometry)
- Visual field testing
- OCT
Management
- Urgent ophthalmology review for sight-threatening conditions
- Topical/systemic treatment as indicated
- Patch/shield if trauma
- Ophthalmology outpatient follow-up
- Patient education on warning symptoms
- Low vision rehabilitation if needed