The Outcome of Concurrent Intracameral Fluconazole Injection with Amniotic Membrane Transplantation for Fungal Keratitis in Dr. M. Djamil General Hospital: A Case Series

Background: Fungal keratitis is often difficult to eradicate and requires long treatment. Antifungal agents have lower efficacy because of low tissue penetration the indolent nature infection. Fluconazole has effective ocular ability, reaching aqueous concentration as same plasm concentration. Multilayer amniotic membrane transplantation (MLAMT) been shown be a promising surgical procedure reconstruct surface by supporting epithelialization cornea having protective antimicrobial properties. This study aims report outcome concurrent intracameral fluconazole injection with for fungal in Dr. M. Djamil General Hospital.
 Case presentation: Four inpatients ophthalmology ward Hospital moderate severe keratitis. All patients were first treated medications. Because did not show clinical improvement after getting maximum therapy, they underwent MLAMT. MLAMT was performed multilayered membranes fill cover defect. The bandage contact lens placed protect keep place patients’ comfort. Patients then observed signs inflammatory reaction epithelialization. showed reduced inflammation improved epithelization surgery.
 Conclusion: Concurrent can considered an alternative treatment refractory it decreases rate improves epithelization.