| Title: |
Management of Filamentous Fungal Keratitis: A Pragmatic Approach. |
| Authors: |
Hoffman, Jeremy J; Arunga, Simon; Mohamed Ahmed, Abeer HA; Hu, Victor H; Burton, Matthew J |
| Publisher Information: |
MDPI |
| Publication Year: |
2022 |
| Collection: |
London School of Hygiene & Tropical Medicine: LSHTM Research Online |
| Description: |
Filamentous fungal infections of the cornea known as filamentous fungal keratitis (FK) are challenging to treat. Topical natamycin 5% is usually first-line treatment following the results of several landmark clinical trials. However, even when treated intensively, infections may progress to corneal perforation. Current topical antifungals are not always effective and are often unavailable. Alternatives topical therapies to natamycin include voriconazole, chlorhexidine, amphotericin B and econazole. Surgical therapy, typically in the form of therapeutic penetrating keratoplasty, may be required for severe cases or following corneal perforation. Alternative treatment strategies such as intrastromal or intracameral injections of antifungals may be used. However, there is often no clear treatment strategy and the evidence to guide therapy is often lacking. This review describes the different treatment options and their evidence and provides a pragmatic approach to the management of fungal keratitis, particularly for clinicians working in tropical, low-resource settings where fungal keratitis is most prevalent. |
| Document Type: |
article in journal/newspaper |
| File Description: |
text |
| Language: |
English |
| ISSN: |
2309-608X |
| Relation: |
https://researchonline.lshtm.ac.uk/id/eprint/4670091/1/Hoffman-etal-2022-Management-of-filamentous-fungal-keratitis.pdf; Hoffman, Jeremy J ORCID logo; Arunga, Simon; Mohamed Ahmed, Abeer HA ORCID logo; Hu, Victor H ORCID logo; and Burton, Matthew J ORCID logo (2022) Management of Filamentous Fungal Keratitis: A Pragmatic Approach. Journal of fungi, 8 (10). p. 1067. ISSN 2309-608X DOI:10.3390/jof8101067 |
| DOI: |
10.3390/jof8101067 |
| Availability: |
https://researchonline.lshtm.ac.uk/id/eprint/4670091/; https://doi.org/10.3390/jof8101067 |
| Rights: |
cc_by_4 |
| Accession Number: |
edsbas.EF08386B |
| Database: |
BASE |