Treatment of fungal keratitis

summary

Keratitis etiology is divided into a variety of, one of which is fungal infection, this is a stubborn blindness rate of keratitis, the harm to patients is very big, if the treatment is improper or can not control the development of the disease in time, then the most serious is can lead to blindness. Let's share the relevant knowledge about the treatment of fungal keratitis.

Treatment of fungal keratitis

First: fungal cornea is caused by fungal infection of suppurative keratitis, early onset of general remission, mild irritation, but if to late ulcers, can be caused by perforation of endophthalmitis. Because the fungal hyphae have the ability to grow deep, it is easy to recur. Sometimes the ulcer is initially healed, but then it is easy to recur.

Second: for the treatment of fungal keratitis, local use of antifungal drugs. If the patient's condition is serious, other ways of administration can be added, such as subconjunctival injection or systemic intravenous drip of antifungal drugs. We should pay attention to observe the efficacy of drugs. The general signs of drug onset include pain relief, narrowing of the range of invasion and moistening, round and blunt edge of ulcer, etc. if there is no improvement, we need to change the treatment method, and increase the dosage.

Third: fungal keratitis often complicated with iridocyclitis, for this case, should use atropine eye drops or eye ointment mydriasis, do not use glucocorticoids. For some patients whose condition can not be controlled after treatment, surgical treatment can be considered, mainly debridement, conjunctival flap covering and corneal transplantation. It depends on the situation.

matters needing attention

Eye medication is to pay special attention to, so in the treatment process of fungal keratitis, we should pay attention to the ocular surface toxicity of drugs, including conjunctival congestion, edema and other phenomena. It is recommended that the therapeutic effect should be sufficient. Generally, the drug treatment should last at least 6 weeks after the onset of effect. In addition, we should pay attention to eye hygiene, avoid excessive use of eyes, and take more rest, so as to make eye disease recover better.