Evidence map›Paper›PMID 36294633›Full record

ReviewJournal of fungi (Basel, Switzerland)2022

Management of Filamentous Fungal Keratitis: A Pragmatic Approach.

Jeremy J Hoffman, Simon Arunga, Abeer H A Mohamed Ahmed, Victor H Hu, Matthew J Burton

Open access · goldAbstract readReview
In one paragraph

Review in Journal of fungi (Basel, Switzerland), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
8.8field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 45 citations in OpenAlex.

  1. Article
  2. Article
  3. Medical interventions for fungal keratitis.The Cochrane database of systematic reviews · 2025
    Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Ocular scedosporiosis: A case series.American journal of ophthalmology case reports · 2024
    Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. CD3ε of a pan T cell marker involved in mouseInternational journal of ophthalmology · 2024
    Article
  15. Article
  16. [Uveitis complicated by Scedosporium apiospermum sensu stricto: relevance of early diagnosis and its multidisciplinary management].Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2023
    Article
  17. Article
  18. Article
  19. Article
  20. Immunity to pathogenic fungi in the eye.Seminars in immunology · 2023
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 2 countries.

Jeremy J HoffmanInternational Centre for Eye Health, London School of Hygiene and Tropical Medicine, London WC1E 7HT, UK.ORCID 0000-0001-9454-2131
Simon ArungaInternational Centre for Eye Health, London School of Hygiene and Tropical Medicine, London WC1E 7HT, UK.
Abeer H A Mohamed AhmedInternational Centre for Eye Health, London School of Hygiene and Tropical Medicine, London WC1E 7HT, UK.
Victor H HuInternational Centre for Eye Health, London School of Hygiene and Tropical Medicine, London WC1E 7HT, UK.ORCID 0000-0001-9883-668X
Matthew J BurtonInternational Centre for Eye Health, London School of Hygiene and Tropical Medicine, London WC1E 7HT, UK.
London School of Hygiene & Tropical Medicine · GBMbarara University of Science and Technology · UGMoorfields Eye Hospital NHS Foundation Trust · GB

Funding

Wellcome TrustWellcome Trust 207472/Z/17/Z
6 · The paper itself

Abstract

Filamentous fungal infections of the cornea known as filamentous fungal keratitis (FK) are challenging to treat. Topical natamycin 5% is usually first-line treatment following the results of several landmark clinical trials. However, even when treated intensively, infections may progress to corneal perforation. Current topical antifungals are not always effective and are often unavailable. Alternatives topical therapies to natamycin include voriconazole, chlorhexidine, amphotericin B and econazole. Surgical therapy, typically in the form of therapeutic penetrating keratoplasty, may be required for severe cases or following corneal perforation. Alternative treatment strategies such as intrastromal or intracameral injections of antifungals may be used. However, there is often no clear treatment strategy and the evidence to guide therapy is often lacking. This review describes the different treatment options and their evidence and provides a pragmatic approach to the management of fungal keratitis, particularly for clinicians working in tropical, low-resource settings where fungal keratitis is most prevalent.

Indexed as

antifungalschlorhexidinefungal keratitismanagementmicrobial keratitismicrobiologynatamycin

Identifiers

PMID36294633
PMCPMC9605596
OpenAlexW4304588747

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.