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Review
. 2024 Jan 13;12(1):161.
doi: 10.3390/microorganisms12010161.

Recent Advances in Diagnosis and Treatment Approaches in Fungal Keratitis: A Narrative Review

Laura Andreea Ghenciu  1   2 , Alexandra Corina Faur  3 , Sorin Lucian Bolintineanu  3 , Madalina Casiana Salavat  2 , Anca Laura Maghiari  3
Affiliations
Review

Recent Advances in Diagnosis and Treatment Approaches in Fungal Keratitis: A Narrative Review

Laura Andreea Ghenciu et al. Microorganisms. .

Abstract

Fungal keratitis represents a potentially sight-threatening infection associated with poor prognosis, as well as financial burden. Novel diagnostic methods include polymerase-chain-reaction (PCR)-based approaches, metagenomic deep sequences, in vivo confocal microscopy, and antifungal susceptibility testing. The ideal therapeutic approaches and outcomes have been widely discussed in recent times, with early therapy being of the utmost importance for the preservation of visual acuity, minimizing corneal damage and reducing the scar size. However, combination therapy can be more efficacious compared to monotherapy. Understanding the pathogenesis, early diagnosis, and prevention strategies can be of great importance. In this narrative, we discuss the recent progress that may aid our understanding of the diagnosis, treatment, and prevention of mycotic keratitis.

Keywords: antifungal therapy; culture growth; diagnostic approach; fungal keratitis; mycotic keratitis.

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Conflict of interest statement

The authors declare no conflicts of interest.

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