Question
A farmer presented to the ophthalmological emergency with blurred vision, redness, tearing, photophobia, pain, and foreign body sensation following a stick injury of the eye. Examination reveals a corneal ulcer with fuzzy margins and redness. A picture of the eye is shown below. How will you manage this patient?
| A. |
Topical antibiotics and drainage of hypopyon |
| B. |
Topical natamycin and drainage of hypopyon |
| C. |
Topical natamycin only, no need to drain the hypopyon |
| D. |
Topical Steroids |
Show Answer
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Correct Answer � C Explanation |
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Ans: C. Topical natamycin only, no need to drain the hypopyon
- Clinical features & examination findings suggest fungal corneal ulcer diagnosis.
- Treated by topical natamycin without draining hypopyon.
Fungal Corneal Ulcer – Treatment:
- Local natamycin, amphotericin B drops & miconazole ointment – Effective against Aspergillus & Fusarium.
- Nystatin – Effective against Candida.
- Oral antifungal agents – For severe ulcers & endophthalmitis suspicion.