EDITOR, - Recent reports of acanthamoeba keratitis in people who wear soft contact lenses in India¹² highlight the likely consequences of increased wear of such lenses in Asia without associated rigorous attention to their cleaning and disinfection. This may lead to more patients developing acanthamoeba keratitis, as has been recorded in Europe and the United States since 1975.

The similarity in presentation between acanthamoeba keratitis and keratitis with a herpetic or possible fungal aetiology is well known, but the …