Treatment of Recalcitrant Mycotic Keratouveitis with Targeted Voriconazole Injection Combined with Hypopyon Drainage

Fungal keratitis is a common yet obstinate condition to treat with a wide range of ocular morbidity. Factors such as compromised immunity of the patient, reduced drug penetration, refractory nature of the disease contribute to difficulty in treatment. A 65 year old chronic smoker was referred to us...

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Main Authors: Prateek Jain, Poulami Pal, Anshuman Pattnaik
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2021-01-01
Series:Delhi Journal of Ophthalmology
Subjects:
Online Access:https://journals.lww.com/10.7869/djo.643
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author Prateek Jain
Poulami Pal
Anshuman Pattnaik
author_facet Prateek Jain
Poulami Pal
Anshuman Pattnaik
author_sort Prateek Jain
collection DOAJ
description Fungal keratitis is a common yet obstinate condition to treat with a wide range of ocular morbidity. Factors such as compromised immunity of the patient, reduced drug penetration, refractory nature of the disease contribute to difficulty in treatment. A 65 year old chronic smoker was referred to us with left eye deep fungal keratitis with hypopyon which was not responding to topical treatment. The patient was diagnosed as Recalcitrant Mycotic Keratouveitis and was posted for targeted management including hypopyon drainage with Intrastromal and Intracameral Voriconazole injection; following which the condition improved significantly.
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institution OA Journals
issn 0972-0200
2454-2784
language English
publishDate 2021-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Delhi Journal of Ophthalmology
spelling doaj-art-1d4338f89f0d4fc59d652104e5ad7b842025-08-20T02:11:14ZengWolters Kluwer Medknow PublicationsDelhi Journal of Ophthalmology0972-02002454-27842021-01-0131310510710.7869/djo.643Treatment of Recalcitrant Mycotic Keratouveitis with Targeted Voriconazole Injection Combined with Hypopyon DrainagePrateek JainPoulami PalAnshuman PattnaikFungal keratitis is a common yet obstinate condition to treat with a wide range of ocular morbidity. Factors such as compromised immunity of the patient, reduced drug penetration, refractory nature of the disease contribute to difficulty in treatment. A 65 year old chronic smoker was referred to us with left eye deep fungal keratitis with hypopyon which was not responding to topical treatment. The patient was diagnosed as Recalcitrant Mycotic Keratouveitis and was posted for targeted management including hypopyon drainage with Intrastromal and Intracameral Voriconazole injection; following which the condition improved significantly.https://journals.lww.com/10.7869/djo.643recalcitrant fungal keratitismycotic keratouveitisintrastromal voriconazolehypopyon drainage
spellingShingle Prateek Jain
Poulami Pal
Anshuman Pattnaik
Treatment of Recalcitrant Mycotic Keratouveitis with Targeted Voriconazole Injection Combined with Hypopyon Drainage
Delhi Journal of Ophthalmology
recalcitrant fungal keratitis
mycotic keratouveitis
intrastromal voriconazole
hypopyon drainage
title Treatment of Recalcitrant Mycotic Keratouveitis with Targeted Voriconazole Injection Combined with Hypopyon Drainage
title_full Treatment of Recalcitrant Mycotic Keratouveitis with Targeted Voriconazole Injection Combined with Hypopyon Drainage
title_fullStr Treatment of Recalcitrant Mycotic Keratouveitis with Targeted Voriconazole Injection Combined with Hypopyon Drainage
title_full_unstemmed Treatment of Recalcitrant Mycotic Keratouveitis with Targeted Voriconazole Injection Combined with Hypopyon Drainage
title_short Treatment of Recalcitrant Mycotic Keratouveitis with Targeted Voriconazole Injection Combined with Hypopyon Drainage
title_sort treatment of recalcitrant mycotic keratouveitis with targeted voriconazole injection combined with hypopyon drainage
topic recalcitrant fungal keratitis
mycotic keratouveitis
intrastromal voriconazole
hypopyon drainage
url https://journals.lww.com/10.7869/djo.643
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AT poulamipal treatmentofrecalcitrantmycotickeratouveitiswithtargetedvoriconazoleinjectioncombinedwithhypopyondrainage
AT anshumanpattnaik treatmentofrecalcitrantmycotickeratouveitiswithtargetedvoriconazoleinjectioncombinedwithhypopyondrainage