Efficacy of Amphotericin B Against Fusarium and Aspergillus in Corneal Storage Medium

Katherine Duncan1, Jeff Parker, Caroline Hoover

  • 1Department of Ophthalmology and Visual Sciences (K.D., B.H.J.), University of Maryland School of Medicine, Baltimore, MD; University of Maryland Pathology Associates, PA (J.P.), Baltimore, MD; and SightLife (C.H., T.D.L.), Seattle, WA.

Eye & Contact Lens
|October 31, 2018
PubMed
Abstract

Insights

Adding amphotericin B to Optisol-GS corneal storage medium significantly reduced fungal growth. This antifungal additive shows promise in preventing postkeratoplasty infections caused by Fusarium solani and Aspergillus fumigatus.

Area of Science:

  • Ophthalmology
  • Mycology
  • Microbiology

Background:

  • Postkeratoplasty fungal infections are an increasing concern.
  • Current corneal storage media like Optisol-GS lack antifungal agents.
  • Previous studies showed amphotericin B effective against Candida albicans.

Purpose of the Study:

  • To evaluate the efficacy of amphotericin B in Optisol-GS against Fusarium solani and Aspergillus fumigatus.
  • To determine if amphotericin B can inhibit common fungal contaminants in corneal storage.

Main Methods:

  • Optisol-GS was supplemented with amphotericin B (0.255 μg/mL).
  • Vials were inoculated with Fusarium solani or Aspergillus fumigatus.
  • Fungal growth was assessed by colony counts after incubation.

Main Results:

  • Amphotericin B reduced Fusarium solani growth by 44% (day 2) to 80% (day 14).
  • Amphotericin B reduced Aspergillus fumigatus growth by 40% (day 2), with minimal growth by day 14.
  • Both supplemented and control vials showed limited Aspergillus fumigatus growth by day 14.

Conclusions:

  • Amphotericin B additives in Optisol-GS effectively reduce the growth of Fusarium solani.
  • Amphotericin B demonstrates inhibitory effects against Aspergillus fumigatus in corneal storage medium.

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