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Optimized Protocol for Testing Multipurpose Contact Lens Solution Efficacy Against Acanthamoeba

Fedorko, Daniel P., Ph.D.; Brocious, Jeffrey M., M.S.; Adams, Katherine D., M.S.; Hitchins, Victoria M., Ph.D.; Hampton, Denise L., Ph.D.; Eydelman, Malvina B., M.D.

doi: 10.1097/ICL.0000000000000477

Objectives: To evaluate the interlaboratory and intralaboratory reproducibility of a proposed protocol for multipurpose contact lens solution (MPS) disinfection efficacy against Acanthamoeba.

Methods: Acanthamoeba castellanii and Acanthamoeba polyphaga and four MPS with different biocidal agents were used to evaluate the protocol in two different laboratories. In addition to the negative control, a positive control and neutralization control were used. One experiment was performed in triplicate, and all other experiments were performed in duplicate in each laboratory. Acanthamoeba trophozoites were grown axenically, and cysts were generated using the starvation method. Trophozoites and cysts at a concentration of 2.0 × 103 to 2.0 × 104 organisms per milliliter were exposed to the test MPS for 0, 4 or 6 (manufacturer's recommended soak time [MRST]), 8, and 24 hr. Survivors were determined by a limiting dilution method that used a most probable number evaluation.

Results: The positive and negative controls displayed consistent results and trends both within each laboratory and between each laboratory for trophozoites and cysts of both A. castellanii and A. polyphaga. The neutralization control consistently demonstrated the ability of the neutralizing agents to neutralize the MPS and the positive control and demonstrated no inhibition of Acanthamoeba by the negative control. Testing in triplicate and duplicate demonstrated the reproducibility of the protocol both within each laboratory and between the laboratories. Our results demonstrated that the MPS at the MRST and at 8 hr (likely overnight soak time) are generally more effective against trophozoites than they are against cysts. Only the MPS with hydrogen peroxide as the biocidal agent was able to provide a greater than three-log kill of cysts at the MRST and longer. Among the MPS we tested, trophozoites of A. castellanii and A. polyphaga showed similar responses. Some variability was observed when testing cysts of both species. In both laboratories, one nonhydrogen peroxide containing MPS had some effect (>1 log kill) on A. polyphaga cysts. This solution had no effect (<1 log kill) on A. castellanii cysts, A. castellanii trophozoites, and A. polyphaga trophozoites.

Conclusions: The protocol that we have revised and evaluated is a well-controlled and reproducible procedure that can effectively evaluate the efficacy of MPS against Acanthamoeba trophozoites. Some variability was observed when testing the cyst stage.

Food and Drug Administration (D.P.F., J.M.B., D.L.H., and M.B.E.), Center for Devices and Radiological Health, Office of Device Evaluation, Silver Spring, MD; Food and Drug Administration (K.D.A.), Winchester Engineering Analytical Center, Winchester, MA; and Food and Drug Administration (V.M.H.), Center for Devices and Radiological Health, Office of Science and Engineering Laboratories, Silver Spring, MD.

Address correspondence to Malvina B. Eydelman, M.D., Food and Drug Administration, Center for Devices and Radiological Health, Office of Device Evaluation, 10903 New Hampshire Avenue, Silver Spring, MD 20993; e-mail:

The authors have no funding or conflicts of interest to disclose.

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Accepted December 17, 2017

© 2018 Contact Lens Association of Ophthalmologists, Inc.