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Efficacy of antifungal agents in the cornea. I. A comparative study

Insights

This study developed a rabbit model for Candida albicans keratitis. Amphotericin B demonstrated superior efficacy compared to other antifungal agents in treating experimental fungal eye infections.

Area of Science:

  • Ophthalmology
  • Mycology
  • Infectious Diseases

Background:

  • Candida albicans keratitis is a serious ocular infection.
  • Standardized animal models are crucial for evaluating antifungal efficacy.
  • Pigmented rabbit models offer advantages for studying ocular infections.

Purpose of the Study:

  • To establish a standardized rabbit model for Candida albicans keratitis.
  • To compare the in vivo efficacy of five antifungal agents against C. albicans keratitis.
  • To identify the most effective treatment for experimental fungal eye infections.

Main Methods:

  • Developed a standardized model of Candida albicans keratitis in pigmented rabbits.
  • Utilized quantitative mycologic techniques for disease evaluation.
  • Compared the efficacy of Amphotericin B, Natamycin, Flucytosine, Miconazole, and Ketoconazole.

Main Results:

  • Amphotericin B (0.5%–0.075%) was the most effective antifungal agent.
  • Natamycin 5% showed significant efficacy, followed by Flucytosine 1% and Miconazole 1%.
  • Ketoconazole 1% was found to be ineffective in this model.

Conclusions:

  • The developed rabbit model is suitable for evaluating antifungal agents.
  • Amphotericin B is a highly effective treatment for experimental Candida albicans keratitis.
  • This research provides valuable data for clinical treatment strategies against fungal eye infections.

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