Topical Voriconazole as Supplemental Treatment for Acanthamoeba Keratitis.

Voriconazole was shown to inhibit ergosterol synthesis in various acanthamoeba species. The purpose of this study was to evaluate the clinical outcome of treatment with supplemental topical voriconazole in patients with acanthamoeba keratitis (AK).
All patients who had been treated for AK with voriconazole 1% drops in conjunction with topical first-line antiacanthamoeba therapy composed of polyhexamethylene biguanide (PHMB) 0.02% and propamidine isethionate 0.1% (Brolene) between November 2014 and August 2017 at the Department of Ophthalmology, University Medical Center Mainz, were included. The main outcomes were treatment failure and recurrence rate. Secondary outcomes were visual acuity, need for keratoplasty, and presence of adverse reactions.
Twenty-eight eyes of 28 patients with AK, whose treatment had included topical voriconazole, were identified (12 men, 16 women, mean age: 41.7 ± 16.3 years), and 26 of them could be tracked for at least 3 months after cessation of therapy. Resolution of infection under therapy was seen in all eyes, and only one of 26 (3.85%) had a relapse after the therapy had been stopped. Best-corrected visual acuity improved during therapy. Keratoplasty because of central corneal scarring was scheduled in 5 of 26 patients (19.2%) after the pharmacological therapy had been stopped. Five of 26 patients (19.2%) reported on stinging or burning sensation after application of voriconazole 1% drops.
Topical voriconazole 1% combined with first-line therapy composed of polyhexamethylene biguanide 0.02% and propamidine isethionate 0.1% appears to be an effective option with minor side effects for the treatment of AK.
AuthorsAytan Musayeva, Jana C Riedl, Alexander K Schuster, Joanna Wasielica-Poslednik, Norbert Pfeiffer, Adrian Gericke
JournalCornea (Cornea) Vol. 39 Issue 8 Pg. 986-990 (Aug 2020) ISSN: 1536-4798 [Electronic] United States
PMID32243421 (Publication Type: Journal Article)
Chemical References
  • Antifungal Agents
  • Antiprotozoal Agents
  • Benzamidines
  • Ophthalmic Solutions
  • propamidine isethionate
  • Voriconazole
  • Acanthamoeba (isolation & purification)
  • Acanthamoeba Keratitis (diagnosis, drug therapy, parasitology)
  • Adult
  • Aged
  • Aged, 80 and over
  • Animals
  • Antifungal Agents (administration & dosage)
  • Antiprotozoal Agents (administration & dosage)
  • Benzamidines (administration & dosage)
  • Cornea (parasitology, pathology)
  • Dose-Response Relationship, Drug
  • Drug Therapy, Combination
  • Eye Infections, Parasitic (diagnosis, drug therapy, parasitology)
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Ophthalmic Solutions
  • Retrospective Studies
  • Visual Acuity
  • Voriconazole (administration & dosage)
  • Young Adult

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