Fungal keratitis
نویسنده
چکیده
CLINICAL QUESTION What is the most appropriate management of fungal keratitis? RESULTS Traditionally, topical Natamycin is the most commonly used medication for filamentous fungi while Amphotericin B is most commonly used for yeast. Voriconazole is rapidly becoming the drug of choice for all fungal keratitis because of its wide spectrum of coverage and increased penetration into the cornea. IMPLEMENTATION Repeated debridement of the ulcer is recommended for the penetration of topical medications. While small, peripheral ulcers may be treated in the community, larger or central ulcers, especially if associated with signs suggestive of anterior chamber penetration should be referred to a tertiary center. Prolonged therapy for approximately four weeks is usually necessary.
منابع مشابه
Detection of fungi by conventional methods and semi-nested PCR in patients with presumed fungal keratitis
Background and Purpose: Fungal keratitis is a suppurative, ulcerative, and sight-threatening infection of the cornea that sometimes leads to blindness. The aims of this study were: recuperating facilities for laboratory diagnosis, determining the causative microorganisms, and comparing conventional laboratory diagnostic tools and semi-nested PCR. Materials and Methods: Sampling was conducted in...
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PURPOSE The purpose of this study is to describe the diagnosis, course, and outcome of a case of Acanthamoeba and Stenotrophomonas keratitis with a fungal keratitis in the contralateral eye. METHODS A case of Acanthamoeba and Stenotrophomonas keratitis was diagnosed with confocal microscopy and cultures with confocal diagnosis of fungal keratitis in the fellow eye. RESULTS During the initia...
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Keratitis is an inflammation of the cornea (the clear, front part of the eye) and is often caused by bacteria, viruses, amoeba, fungi. There are two types of keratitis infectious ulcerative keratitis (IUK), caused by infectious pathogens and noninfectious ulcerative keratitis (NIUK), which has a clinical presentation similar to that of IUK but no known infectious cause and is a diverse disease ...
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