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Ocular Toxicity of Topical Antifungal Agents

1981/06/01 by C. S. Foster, C. Stephen Foster, J. H. Lass +3 · 7 citations
Medicine · #Corneal Surgery and Treatments #Antifungal resistance and susceptibility #Ocular Surface and Contact Lens

paper · doi:10.1001/archopht.1981.03930011081019

Abstract

We studied, in a rabbit, the ocular toxicity of topical 1% solutions or suspensions of amphotericin B, flucytosine, miconazole nitrate, and ketoconazole. Flucytosine, miconazole, and ketoconazole did not retard the closure of 8.5-mm corneal epithelial defects; amphotericin B greatly retarded the closure of such defects. Amphotericin B produced dramatic pathologic changes in this model; these changes worsened with each day of therapy. Ketoconazole produced modest biomicroscopically and histologically detectable pathologic changes in the regenerating corneal epithelium; flucytosine and miconazole did not produce such changes.

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