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Etiopathology, Epidemiology, Diagnosis, and Treatment of Fungal Keratitis.

Amol Chhatrapati BisenSachin Nashik SanapSristi AgrawalArpon BiswasAnjali MishraSarvesh Kumar VermaVaishali SinghRabi Sankar Bhatta
Published in: ACS infectious diseases (2024)
Fungal keratitis (FK) is a severe ocular condition resulting from corneal infection that is prevalent in tropical countries, particularly in developing regions of Asia and Africa. Factors like corneal lens misuse, inappropriate steroid use, and diagnostic challenges have provoked the epidemic. FK causes significant vision impairment, scarring, and ocular deformities. Accurate pathological diagnosis is crucial for effective therapeutic intervention. Topical antifungal therapy with surface healing medications proves effective in preventing fungal-borne ulcers. Managing FK requires a comprehensive understanding of fungal pathogenesis, guiding formulation strategies and preventive measures to curb global ocular blindness. This review provides in-depth insights into FK, covering etiology, epidemiology, pathogenesis, therapeutic interventions, antifungal resistance, limitations, prevention, and future perspectives on ocular surface disease management.
Keyphrases
  • wound healing
  • optical coherence tomography
  • candida albicans
  • randomized controlled trial
  • risk factors
  • optic nerve
  • physical activity
  • climate change
  • drug delivery
  • high resolution
  • mesenchymal stem cells