Diagnosis and medical treatment of fungal keratitis
A significant trend is a move away from yeast infections and toward filamentous fungal keratitis over the past decade


Leigh Spielberg
Published: Thursday, February 16, 2017

IVCM can be a very valuable modality, particularly for deeper infections not amenable to the other diagnostic approachesDr Burton also reviewed the evidence that guided his approach to treatment. The most valuable studies compared topical treatments such as natamycin, voriconazole and chlorhexidine, as well as oral and intrastromal voriconazole. Dr Burton reminded delegates to be particularly careful with oral voriconazole, which can lead to fatal hepatotoxicity. “Despite the potential for success of medical treatments, don’t be afraid to consider surgery with there’s no treatment response or when the limbus becomes involved,” he concluded.
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