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Comparing the effectiveness of topical voriconazole versus injection of voriconazole and atamycin for recalcitrant fungal keratitis

Comparative evaluation of topical versus intrastromal injection of voriconazole as an adjunct to natamycin in recalcitrant fungal keratitis: a randomised controlled trial

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ISRCTN
Registry ID
ISRCTN57259399
Enrollment
40
Registered
2012-01-10
Start date
2008-12-01
Completion date
Unknown
Last updated
2015-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Fungal corneal ulcer, fungal keratitis Ear, Nose and Throat Keratitis

Interventions

Forty eyes of forty patients randomized into two groups of 20 patients each. Group 1: Topical 5% natamycin eye drops 4 hourly, 0.3% ciprofloxacin hydrochloride eye drops four times a day, 2% homatrop

Sponsors

Dr Rajendra Prasad Centre for Ophthalmic Sciences (India)
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1. Patients with a smear or culture proven fungal ulcers 2. Ulcers greater than 2mm in size, involving more than one-third of the stromal thickness and not showing any signs of clinical improvement after two weeks of natamycin 3. Patients who were willing to be treated as an inpatient, willing to follow up regularly, and return for medications regularly every 48-72 hours

Exclusion criteria

Exclusion criteria: 1. Patients with mixed infection on smear or culture, evidence of herpetic keratitis on history or examination, impending perforation, bilateral ulcers, those with vision less than 6/60 in the other eye, pre-existing scar not distinguishable from the new ulcer 2. Those less than 18 years of age

Design outcomes

Primary

MeasureTime frame
Best Spectacle Corrected Visual Acuity (BSCVA) 3 months after intervention.

Secondary

MeasureTime frame
Time to healing

Countries

India

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 4, 2026