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. 2008 Jan;64(1):40-2.
doi: 10.1016/S0377-1237(08)80144-X. Epub 2011 Jul 21.

Medical and Surgical Management of Keratomycosis

S S Mann  1 , J Singh  2 , D Kalra  3 , Jks Parihar  4 , N Gupta  5 , P Kumar  1
Affiliations

Medical and Surgical Management of Keratomycosis

S S Mann et al. Med J Armed Forces India. 2008 Jan.

Abstract

Background: Fungal keratitis is a diagnostic and therapeutic challenge to the ophthalmologist. If not treated energetically it results in marked ocular morbidity and permanent visual loss.

Methods: Twenty five patients of fungal keratitis were studied for their response to management and final visual outcome.

Result: Males outnumbered females. Medical treatment was successful in 72% cases, while 28% required surgical intervention. Keratoplasty was done in five patients out of which graft was clear in four after one year of follow up. Three of these underwent optical keratoplasty since therapeutic grafts became opaque.

Conclusion: Early recognition of the disease and institution of prompt therapy is the key to successful management in fungal keratitis. Occasionally surgical management is required to preserve anatomical integrity of the globe and to salvage useful vision.

Keywords: Fungal keratitis; Keratomycosis; Keratoplasty.

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