Fungal Ulcers

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Description

Typically, you see main ulcer, with riders, and satellite ulcers around the main one. (This is seen occasionally. It may not be seen at all)

Treatment

• Povidone Iodine, 2%, four times daily in the affected eye
• Natamycin, 5% eye suspension given hourly for 7 days
• Econazole, 1% suspension for topical use
• Miconazole, 10mg/ml given subconjunctival or intravitreal given as 10microgram per ml
• Amphotericin B 0.05-0.2% can be made from IV injection and instil every 5 minutes during the first hour and 30 - 60minutes until clinical picture changes. (protect from light- use umber coloured bottle)