The comparison of solitary topical micafungin or fluconazole application in the treatment of Candida fungal keratitis.

Abstract

AIM:

To compare and evaluate the efficacy of topical 0.1% micafungin (MCFG) and topical 0.2% fluconazole (FCZ) in the treatment of Candida fungal keratitis.

METHODS:

Twenty-nine eyes of 29 patients who were diagnosed as having Candida fungal keratitis, proven by corneal culture isolates, were investigated in this prospective study. Patients were divided into a MCFG treatment group (12 eyes) and an FCZ treatment group (17 eyes). Age, gender, initial status of ulcer (ulcer size and degree of injection), initial and final best-corrected visual acuity (BCVA), healing periods, final status of cornea and recurrences in each group were studied and compared.

RESULTS:

There were no significant differences in relation to age, gender, ulcer size and degree of injection before treatment between the two groups. There were also no significant differences in the healing periods until complete epithelialisation (MCFG treatment group (41.3 ± 38.0 days); FCZ treatment group (34.4 ± 37.7 days)), change in BCVA, corneal clarity/opacification, perforation and recurrence status at the final examination between the two groups.

CONCLUSION:

The efficacy of 0.1% MCFG eye-drops appears to be comparable with that of 0.2% FCZ eye-drops in the treatment of Candida fungal keratitis.

• Authors: Yukihiro Matsumoto, Dogru Murat, Takashi Kojima, Jun Shimazaki, Kazuo Tsubota
• Journal: The British journal of ophthalmology (Br J Ophthalmol) Vol. 95 Issue 10 Pg. 1406-9 (Oct 2011) ISSN: 1468-2079 [Electronic] England
• PMID: 21097785 (Publication Type: Comparative Study, Evaluation Study, Journal Article)

Chemical References

• Antifungal Agents
• Echinocandins
• Lipopeptides
• Ophthalmic Solutions
• Fluconazole
• Micafungin

Topics

• Administration, Topical
• Aged
• Antifungal Agents (administration & dosage, adverse effects)
• Candida (isolation & purification)
• Candidiasis (drug therapy, microbiology, physiopathology)
• Cornea (microbiology)
• Corneal Ulcer (drug therapy, microbiology, physiopathology)
• Echinocandins (administration & dosage, adverse effects)
• Eye Infections, Fungal (drug therapy, microbiology, physiopathology)
• Female
• Fluconazole (administration & dosage, adverse effects)
• Humans
• Lipopeptides (administration & dosage, adverse effects)
• Male
• Micafungin
• Middle Aged
• Ophthalmic Solutions (administration & dosage, adverse effects)
• Prospective Studies
• Treatment Outcome
• Visual Acuity (physiology)