The combined management with anti-acanthamoeba agents, cauterization and debridement may be best choice for acanthamoeba keratitis.

• 结论棘阿米巴性角膜炎的早期诊断至关重要，联合应用抗棘阿米巴药物、局部清创术和烧灼术为目前治疗的最佳选择。