The Diagnosis and Management of Keratomycoses: II. Medical and Surgical Management

Richard K. Forster, Gerbert Rebell

Research output: Contribution to journalArticle

40 Scopus citations

Abstract

Medical management of 61 cases of mycotic keratitis, including the use of natamycin (pimaricine) in 53 cases, resulted in successful healing in 46 cases. A final visual acuity of 20/40 or better was achieved in 25 cases by medical therapy alone. Thirteen cases were considered medical treatment failures, and 11 necessitated therapeutic surgery. A final visual acuity of 20/70 or better was achieved in six of these cases, including five of nine therapeutic penetrating keratoplasties. In four cases, ulceration had progessed despite natamycin treatment, but fungal cultures were negative at the time of therapeutic surgery.

Original languageEnglish (US)
Pages (from-to)1134-1136
Number of pages3
JournalArchives of ophthalmology
Volume93
Issue number11
DOIs
StatePublished - Nov 1975

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Keywords

  • Dematiaceae fungi
  • Fungal keratitis
  • Fusarium solani
  • Moniliaceae fungi
  • conjunctival flap
  • histopathology
  • keratomycoses
  • medical treatment failures
  • natamycin (pimaricine) therapy
  • therapeutic keratoplasty
  • therapeutic surgery
  • yeasts

ASJC Scopus subject areas

  • Ophthalmology

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