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Treatment of severe fungal keratitis with subconjunctival amphotericin B
María Alejandra Carrasco1, Graciela Genesoni
1Department of Ophthalmology, Hospital I. Perrupato, Mendoza, Argentina. macarras73@gmail.com
Purpose:
To report the beneficial properties of subconjunctival amphotericin B as an adjunctive therapy in patients with severe fungal keratitis.
Methods:
Case reports and review of medical literature. Four patients with advanced fungal keratitis were treated with repeated injections of subconjunctival amphotericin B in addition to topical and systemic antifungal treatment.
Results:
Two to 8 injections were given to each patient. All patients showed rapid clinical improvement after the injections. No serious adverse effects were observed. However, all patients experienced pain during the injections.
Conclusions:
Subconjunctival injections of amphotericin B are useful as an adjunctive treatment of advanced fungal keratitis. This treatment assures compliance and may be an alternative to avoid a surgical intervention in an acute stage of advanced fungal keratitis. More cases are needed to validate our findings.
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