Fungal Ulcer
Predisposing Factors
- Trauma with green plant
- Use of Steroids
Causative Agent
- (Filamentary fungi)
- Candida (Yeast forming fungi)
Clinical Picture
- Little or no ciliary Injection
- Raised, dry, grey white lesion with feathery marginsZ
- Satellite lesionsZ
- Hypopyon
Treatment
-
Usual Treatment
-
Topical Antifungal Treatment
- Natamycine 5%
- Miconazole 1%
- Amphotericin B 0.3%
-
Systemic Antifungal Treatment
- Ketoconazole 400mg/day
- Fluconazole 400mg/day
- (In cases of deep Keratitis or failure of topical Treatment)
-
Surgical Treatment (PKP)