Efficacy of Voriconazole Corneal Intrastromal Injection for the Treatment of Fungal Keratitis
Purpose. To evaluate efficacy and safety of novel tricyclic corneal stroma injection (TCSI) voriconazole for the treatment of fungal keratitis. Methods. This retrospective cohort study included data of 57 patients (57 eyes) with fungal keratitis. The TCSI group consisted of 27 patients (27 eyes) who...
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| Format: | Article |
| Language: | English |
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Wiley
2021-01-01
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| Series: | Journal of Ophthalmology |
| Online Access: | http://dx.doi.org/10.1155/2021/5597003 |
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| author | Chenshuang Li Kunpeng Pang Liqun Du Xinyi Wu |
| author_facet | Chenshuang Li Kunpeng Pang Liqun Du Xinyi Wu |
| author_sort | Chenshuang Li |
| collection | DOAJ |
| description | Purpose. To evaluate efficacy and safety of novel tricyclic corneal stroma injection (TCSI) voriconazole for the treatment of fungal keratitis. Methods. This retrospective cohort study included data of 57 patients (57 eyes) with fungal keratitis. The TCSI group consisted of 27 patients (27 eyes) who were injected voriconazole once via TCSI procedure within one week after enrollment, in addition to conventional antifungal treatment. The control group consisted of 30 patients (30 eyes) who were treated using conventional antifungal treatment modalities. The outcome measures consist of the 3-week and 3-month best-corrected visual acuity (BCVA) values and size of infiltrate or scar, time to re-epithelialization, corneal perforation rate and/or therapeutic penetrating keratoplasty (TPK) requirement, the preoperative and post-TCSI corneal endothelial cell density (ECD), and the intraocular pressure (IOP) of the treated eye and the respective contralateral eye. Results. There were no significant differences in the baseline demographic and clinical characteristics between the two groups. 3 weeks and 3 months after enrollment, the TCSI group exhibited an increase in visual acuity (P<0.05), and there was no significant difference in the size of infiltrate or scar between two groups (P>0.05). Time to re-epithelialization was shorter in the TCSI group than in the control group (P<0.05). There was no statistically significant difference between corneal ECD on the day before and 7 days after TCSI and the IOP of treated and contralateral healthy eyes on the day before and 1 day, 3 days, 7 days, and 1 month after TCSI (P>0.05). The difference in the risk of perforation and/or TPK requirement was not statistically significant between two groups (P>0.05). Conclusion. Localized injection of voriconazole using TCSI may be a minimally invasive, safe, and effective adjuvant treatment modality for fungal keratitis. |
| format | Article |
| id | doaj-art-ed7ba141427f4c5e96bcc416a0ff06c5 |
| institution | Kabale University |
| issn | 2090-004X 2090-0058 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Ophthalmology |
| spelling | doaj-art-ed7ba141427f4c5e96bcc416a0ff06c52025-02-03T01:27:05ZengWileyJournal of Ophthalmology2090-004X2090-00582021-01-01202110.1155/2021/55970035597003Efficacy of Voriconazole Corneal Intrastromal Injection for the Treatment of Fungal KeratitisChenshuang Li0Kunpeng Pang1Liqun Du2Xinyi Wu3Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, ChinaQilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, ChinaQilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, ChinaQilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, ChinaPurpose. To evaluate efficacy and safety of novel tricyclic corneal stroma injection (TCSI) voriconazole for the treatment of fungal keratitis. Methods. This retrospective cohort study included data of 57 patients (57 eyes) with fungal keratitis. The TCSI group consisted of 27 patients (27 eyes) who were injected voriconazole once via TCSI procedure within one week after enrollment, in addition to conventional antifungal treatment. The control group consisted of 30 patients (30 eyes) who were treated using conventional antifungal treatment modalities. The outcome measures consist of the 3-week and 3-month best-corrected visual acuity (BCVA) values and size of infiltrate or scar, time to re-epithelialization, corneal perforation rate and/or therapeutic penetrating keratoplasty (TPK) requirement, the preoperative and post-TCSI corneal endothelial cell density (ECD), and the intraocular pressure (IOP) of the treated eye and the respective contralateral eye. Results. There were no significant differences in the baseline demographic and clinical characteristics between the two groups. 3 weeks and 3 months after enrollment, the TCSI group exhibited an increase in visual acuity (P<0.05), and there was no significant difference in the size of infiltrate or scar between two groups (P>0.05). Time to re-epithelialization was shorter in the TCSI group than in the control group (P<0.05). There was no statistically significant difference between corneal ECD on the day before and 7 days after TCSI and the IOP of treated and contralateral healthy eyes on the day before and 1 day, 3 days, 7 days, and 1 month after TCSI (P>0.05). The difference in the risk of perforation and/or TPK requirement was not statistically significant between two groups (P>0.05). Conclusion. Localized injection of voriconazole using TCSI may be a minimally invasive, safe, and effective adjuvant treatment modality for fungal keratitis.http://dx.doi.org/10.1155/2021/5597003 |
| spellingShingle | Chenshuang Li Kunpeng Pang Liqun Du Xinyi Wu Efficacy of Voriconazole Corneal Intrastromal Injection for the Treatment of Fungal Keratitis Journal of Ophthalmology |
| title | Efficacy of Voriconazole Corneal Intrastromal Injection for the Treatment of Fungal Keratitis |
| title_full | Efficacy of Voriconazole Corneal Intrastromal Injection for the Treatment of Fungal Keratitis |
| title_fullStr | Efficacy of Voriconazole Corneal Intrastromal Injection for the Treatment of Fungal Keratitis |
| title_full_unstemmed | Efficacy of Voriconazole Corneal Intrastromal Injection for the Treatment of Fungal Keratitis |
| title_short | Efficacy of Voriconazole Corneal Intrastromal Injection for the Treatment of Fungal Keratitis |
| title_sort | efficacy of voriconazole corneal intrastromal injection for the treatment of fungal keratitis |
| url | http://dx.doi.org/10.1155/2021/5597003 |
| work_keys_str_mv | AT chenshuangli efficacyofvoriconazolecornealintrastromalinjectionforthetreatmentoffungalkeratitis AT kunpengpang efficacyofvoriconazolecornealintrastromalinjectionforthetreatmentoffungalkeratitis AT liqundu efficacyofvoriconazolecornealintrastromalinjectionforthetreatmentoffungalkeratitis AT xinyiwu efficacyofvoriconazolecornealintrastromalinjectionforthetreatmentoffungalkeratitis |