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FUNGAL CORNEAL ULCER
INDRAJIT BISWAS { consultant optometrist & lifestyle expert }
CAUSATIVE AGENTS
1. FILAMENTOUS FUNGUS:-
Aspergillus & fusarium are common.
-- seen in agricultural workers.
II. YEAST:-
Candida albicans
ETIOLOGY
 Same cause as bacterial keratitis
 Use of topical steroids
 Immunocompromised subjects
MODE OF INFECTION:-
Ocular trauma by agricultural &
vegetable matters.
SYMPTOMS
a. Acute pain, redness, lacrimation.
b. Photophobia
c. Decreased visual acuity
d. White spot on the cornea.
SIGNS
 DRY LOOKING
 YELLOWISH- WHITE LESION WITH
INDISTINCT MARGIN
 IRIDOCYCLITIS
 MASSIVE DENSE HYPOPYON ARE
COMMON
TREATMENT
 Scraping & debridement of the ulcer.
 Atropine eye ointment X 3 times
 Antifungal eye drop:-
Natamycin 5 % X hourly
voriconazole e/d X 1-2 hourly
** Response delayed long-time use**
***systemic if ulcer is deep use
ketoconazole or fluconazole***

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FUNGAL CORNEAL ULCER.pptx

  • 1. FUNGAL CORNEAL ULCER INDRAJIT BISWAS { consultant optometrist & lifestyle expert }
  • 2. CAUSATIVE AGENTS 1. FILAMENTOUS FUNGUS:- Aspergillus & fusarium are common. -- seen in agricultural workers. II. YEAST:- Candida albicans
  • 3. ETIOLOGY  Same cause as bacterial keratitis  Use of topical steroids  Immunocompromised subjects MODE OF INFECTION:- Ocular trauma by agricultural & vegetable matters.
  • 4. SYMPTOMS a. Acute pain, redness, lacrimation. b. Photophobia c. Decreased visual acuity d. White spot on the cornea.
  • 5. SIGNS  DRY LOOKING  YELLOWISH- WHITE LESION WITH INDISTINCT MARGIN  IRIDOCYCLITIS  MASSIVE DENSE HYPOPYON ARE COMMON
  • 6. TREATMENT  Scraping & debridement of the ulcer.  Atropine eye ointment X 3 times  Antifungal eye drop:- Natamycin 5 % X hourly voriconazole e/d X 1-2 hourly ** Response delayed long-time use** ***systemic if ulcer is deep use ketoconazole or fluconazole***