Clinical Study

Clinical Characteristics of Alternaria Keratitis

Table 2

Previously reported cases of Alternaria keratitis.

Reference, report yearAge/sexRisk factor Antifungal medicationSurgery Others

Azar et al., 1975 [2]53/MHSV keratitisTopical natamycinPKP
Ando and Takatori, 1987 [3]53/FPKPTopical thimerosal, pimaricin, flucytosine
Chang et al., 1994 [4]55/MTraumaTopical miconazole, fluconazolePKPCombined endophthalmitis
Arrese et al., 1996 [5] 46/MSystemic steroidsItraconazolePKP
Daniel et al., 1997 [6]45/MTraumaTopical ketoconazole
Koc et al., 1997 [7]82/MECCETopical fluconazole
Ferrer et al., 2002 [8]50/MTrauma
Systemic steroids
Topical amphotericin B, fluconazolePKP
Zahra et al., 2002 [9]55/MTrauma, DMTopical amphotericin B
Ferrer et al., 2003 [10]66/MTraumaTopical amphotericin B, fluconazoleCombined with endophthalmitis
Verma et al., 2005 [11]29/FLASIKPKPDiagnosis after PKP
Ozbek et al., 2006 [12]69/MTrauma Topical natamycin, amphoterin B → topical and oral voriconazole
Barnes et al., 2007 [13]59/MKProTopical amphotericin B
Bunya et al., 2007 [14]69/MTopical amphotericin B, natamycin → topical and oral voriconazole
Kocaturk et al., 2007 [15]46/FLASIKTopical amphotericin B + natamycin + oral itraconazolePKPPKP after resolution of infection
Tu, 2009 [16]39/MSCLTopical voriconazole → oral voriconazole + topical natamycin → intrastromal injection of voriconazole + topical caspofungin
Tu, 2009 [16]45/MTraumaTopical natamycin + oral itraconazole → topical fluconazole
Tu, 2009 [16]70/MCOAG
DM
Topical fluconazole
Usui et al., 2009 [17]55/MGlaucomaTopical fluconazole + miconazole → topical amphotericin B
Shen et al., 2010 [18]62/FTraumaTopical natamycin + oral ketoconazole → intracameral voriconazoleCombined endophthalmitis
Ursea et al., 2010 [19]72/FRGP lens
Old PKP
Topical natamycin and amphotericin BPKP
Yildiz et al., 2010 [20]41/FSCLTopical natamycin → topical and oral voriconazole
Yildiz et al., 2010 [20]26/FSCLTopical natamycin → topical voriconazole
Martone et al., 2011 [21]68/MTraumaTopical + oral voriconazole
Neoh et al., 2011 [22]67/MBullous keratopathyTopical and intrastromal voriconazole + caspofungin PKP
Konidaris et al., 2013 [23]66/FPKPTopical and oral voriconazole + topical amphotericin BPKP

M: male, F: female, HSV: herpes simplex virus, PKP: penetrating keratoplasty, ECCE: extracapsular cataract extraction, DM: diabetes mellitus, LASIK: laser-assisted in situ keratomileusis, Kpro: keratoprosthesis, SCL: soft contact lens, COAG: chronic open angle glaucoma, and RGP: rigid gas permeable lens.