This refers to an infective process of the cornea caused by any of the multiple pathologic fungi capable of invading the ocular surface. It is typically slow and relentless. Signs: ⮚ Corneal lesions with white/gray infiltrate and feathery borders. ⮚ Satellite lesions with a hypopyon. ⮚ Conjunctival injection as well as purulent secretions. Symptoms: o …
This refers to an infective process of the cornea caused by any of the multiple pathologic fungi capable of invading the ocular surface. It is typically slow and relentless.
Signs:
⮚ Corneal lesions with white/gray infiltrate and feathery borders. ⮚ Satellite lesions with a hypopyon.
⮚ Conjunctival injection as well as purulent secretions.
Symptoms:
o Blurred vision
o Redness
o Tearing
o Photophobia
o Pain
o Foreign body sensation
o Secretions
In some cases the lesion are rather indolent which help to delay the diagnosis and hence delay the treatment. Suspicion should be high in cases of trauma with vegetable matter.
Treatment
Fungal ulcers are inherently difficult to treat. Antifungal drops but only a polyene, natamycin 5%, Furthermore, the complexity of the disease and possible visually devastating outcomes require a rather aggressive approach to its treatment.
Voriconazole, a triazole antifungal agent derived from fluconazole, can be used either topically at 1% dilution, orally at 400 mg twice a day
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