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Cited by 17Ocular Infections and TreatmentsAntifungal resistance and susceptibilityCorneal surgery and disorders

The DOI matches its Crossref record; 5 of the 5 references it cites were found in a registry or an index.

A Retrospective Study of Fungal Corneal Ulcers in the South Sharqiyah Region in Oman

Open access
Idiculla, Thara, Zachariah, George, Keshav, BR, Basu, Somansu·2009·Sultan Qaboos University medical journal

Abstract

OBJECTIVES: To study the incidence, identify the risk factors and determine the predominant microorganisms and treatment regimen of fungal corneal ulcers. METHODS: This was a retrospective analysis of corneal ulcers treated in the Ophthalmology Department of Sur Hospital, Oman, undertaken from January 2004 to December 2007. Medical and microbiology records of thirty two culture proven cases of fungal keratitis were reviewed for risk factors, laboratory findings and response to treatment. RESULTS: Out of the total 242 corneal ulcers, 13.22 % were fungal. Among the 102 culture positive cases, 31.38 % were fungal isolates. Fusarium spp (50%) and Aspergillus spp (34.4%) predominated in the hyaline fungal spectrum. The important risk factors were topical steroid usage in 31.25 % of cases and ocular injury in 25 %. The majority of cases (90.62%) responded to 2% ketoconazole alone or in combination with 0.15% amphotericin B. CONCLUSION: Fungal ulcer remains one of the leading causes of visual disability. Indiscriminate use of topical steroids and ocular trauma are the most important risk factors. Filamentous fungi are common aetiological agents in this region. Topical ketoconazole and amphotericin B were very effective for most of the cases.

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Research works printed but not linked: 9

  1. Khairallah SH, ByrneKA, Tabbara KF. Fungal keratitis in Saudi Arabia. Doc Ophthalmol 1992; 79:269-76.
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  3. Al-Shakarachi F. Initial Therapy for suppurative micro- bial keratitis. BJO 2007; 91:1583-87.
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  7. Tanure MA, Cohen EJ, Sudesh S,Rapuano CJ,Laibson PR, et al. Spectrum of fungal keratitis at Wills Eye Hos- pital, Pennsylvania. Cornea 2000; 19:307-12.
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  9. Bialasiewicz A, Shenoy R, Thakral A, Al-Muniri A, Shenoy U, Al-Mughairi Z. Microbial keratitis: A 4 year study of risk factors and traditional/complimentary medicines in Oman. Ophthalmologe 2006; 103:682-87.

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Metadata

Authors
Idiculla, T., Zachariah, G., Keshav, B., & Basu, S.
Affiliations
Ministry of Health (OM)
Venue
Sultan Qaboos University medical journal
Published
2009-03-16
Volume
9
Issue
1
Pages
59-62
ISSN
  • 2075-051X (ISSN-L)
  • 2075-0528
OpenAlex
W4319334513
Cited by
17
References
5
Citations by year
2025: 1 · 2023: 1 · 2022: 1 · 2021: 1 · 2020: 1 · 2019: 3 · 2018: 3 · 2016: 2 · 2015: 1
FWCI
0.68
Type
journal article
Language
en
Open access
Licence
cc-by
Locations
  • Sultan Qaboos University medical journal (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • PubMed
Topics
  • Health Sciences › Medicine › Ophthalmology › Ocular Infections and Treatments
  • Health Sciences › Medicine › Infectious Diseases › Antifungal resistance and susceptibility
  • Health Sciences › Medicine › Ophthalmology › Corneal surgery and disorders
Keywords
fungal keratitis, corneal ulcer, Fusarium, Aspergillus, risk factors, topical corticosteroids, ocular trauma, ketoconazole, amphotericin B, antifungal therapy

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