Treatment of fungal corneal ulcers with amphotericin B ointment.
case_report · Level V
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Abstract
To report two patients with severe fungal corneal ulcers who were treated successfully with topical amphotericin B ointment. Two eyes of two patients developed corneal ulcers and hypopyon after corneal foreign body removal. Aspergillus fumigatus and Fusarium solani were isolated in Patients 1 and 2, respectively. By antifungal susceptibility testing, amphotericin B was shown to have the lowest minimal inhibitory concentration. Topical administration of amphotericin B ointment resulted in dramatic improvement in fungal corneal ulcers. Antifungal susceptibility tests may aid with selection of antifungal agents. Amphotericin B ointment is one of the promising therapies for keratomycosis caused by antimycotic-resistant fungi.
Medical subject headings
- Amphotericin B
- Antifungal Agents
- Cornea
- Corneal Ulcer
- Eye Infections, Fungal
- Mycoses