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Chapter-10 Treatment of Fungal Keratitis

BOOK TITLE: Arvind’s Atlas of Fungal Corneal Ulcers: Clinical Features and Laboratory Identification Methods

Author
1. Prajna N Venkatesh
2. Prajna Lalitha
3. Vijayakumar
4. Srinivasan M
ISBN
9788184483659
DOI
10.5005/jp/books/10057_10
Edition
1/e
Publishing Year
2008
Pages
7
Author Affiliations
1. Aravind Eye Hospital, Madurai, India, Aravind Eye Hospital, Madurai, Tamil Nadu, India, Aravind Eye Hospital, No.1, Anna Nagar, Madurai – 625 020, Aravind Eye Hospital and Postgraduate Institute, Madurai, Tamil Nadu, India, Aravind Eye Care System, Madurai, Tamil Nadu, India
2. Aravind Eye Hospital, Madurai, Tamil Nadu, India, Aravind Eye Hospital and Postgraduate Institute, Madurai, Tamil Nadu, India, Aravind Eye Hospital and Postgraduate, Institute of Ophthalmology, Madurai, Tamil Nadu, India
3. Aravind Eye Hospital, Madurai, Tamil Nadu, India
Chapter keywords

Abstract

The antifungal agents available today are mostly fungistatic, requiring a prolonged course of therapy. Although models of Aspergillus and Candida have been established, there are no reliable animal models of Fusarium keratitis. Fungi considered to be ocular pathogens are rarely encountered among the systemic mycoses. Thus, the therapeutic principles valid for systemic fungal infections may not apply to the cornea. In vitro antifungal sensitivities often are performed to assess resistance patterns of the fungal isolate. However, in vitro susceptibility testing may not correspond with in vivo clinical response because of host factors, corneal penetration of the antifungal, and difficulty in standardization of antifungal sensitivities. In this chapter, treatment options and availability of antifungal agents like Polyenes (Natamycin, Amphotericin B) and azole compounds (Econazole, Clotrimazole, Imidazole, Fluconazole, voriconazole) are explained in detail in addition with diagrammatic explanation for the preparation of Amphotericin B eye drops.

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