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. 2015 Apr 9;2015(4):CD004241. doi: 10.1002/14651858.CD004241.pub4

1. Anti‐fungal agents studied in the included trials.

Study Intervention Dose Treatment duration Intervention Dose Treatment duration      
Agarwal 2001 Topical itraconazole 1% every hour For 6 weeks after keratitis resolved Oral itraconazole
Topical itraconazole
100 mg twice daily
1% every hour
3 weeks
For 6 weeks after keratitis resolved
     
Arora 2011 Topical natamycin 5% every hour Two weeks
"Further dosage titrated according to the patient's response"
Topical voriconazole 1% every hour Two weeks
"Further dosage titrated according to the patient's response"
     
Basak 2004 Intracameral amphotericin B combined with conventional medication as given to control group 5 to 15 μg Depending upon the size of the ulcer and amount of hypopyon the injection was repeated after 7 days as indicated
Complications were treated medically, surgically, or both
Conventional medication:
(1) oral fluconazole
(2) topical natamycin
(3) topical amphotericin B
(4) broad‐spectrum topical antibiotic
(5) topical antiglaucoma medication
(6) topical cycloplegics
(1) 150 to 200 mg
(2) 5% every hour
(3) 0.15% every hour
(4) every 2 hours
(1) twice a day for 3 weeks      
Mahdy 2010 Topical amphotericin B
Subconjunctival injection of fluconazole
0.05% every 2 hours
0.5 mL of 2 mg/mL daily
N/A
20 injections, first 10 every day, second 10 every 2 days
Topical amphotericin B 0.05% every 2 hours N/A      
Mohan 1987 Topical silver sulphadiazine 2 doses studied: 0.5% and 1%, applied 5 times a day N/A Topical miconazole 1% applied 5 times a day N/A      
MUTT 2010 Topical natamycin 5% 1 drop was applied to the affected eye every hour, while awake, for 1 week, then every 2 hours while awake until 3 weeks from enrolment 3 weeks Topical voriconazole 1% 1 drop was applied to the affected eye every hour, while awake, for 1 week, then every 2 hours while awake until 3 weeks from enrolment 3 weeks      
Parchand 2012 Oral and topical voriconazole 1% Oral voriconazole was given in tablet form 400 mg twice a day on day 1 followed by 200 mg twice a day and continued until the resolution of the infiltrates. Topical voriconazole was given every hour, while awake, for 1 week, then every 2 hours while awake until healing of the epithelial defect and then gradual tapering off. Until healed Oral voriconazole and topical natamycin 5% Oral voriconazole was given in tablet form 400 mg twice a day on day 1 followed by 200 mg twice a day and continued until the resolution of the infiltrates. Topical natamycin was given every hour, while awake, for 1 week, then every 2 hours while awake until healing of the epithelial defect and then gradual tapering off. Until healed      
Prajna 2003 Topical natamycin 5% every hour between 7am and 9pm 4 weeks Topical econazole 2% every hour between 7am and 9pm 4 weeks      
Prajna 2010* Topical natamycin 5% every hour while awake Every hour for 1 week followed by every 2 hours for 2 weeks, further continuation at discretion of physician Topical voriconazole 1% every hour while awake Every hour for 1 week followed by every 2 hours for 2 weeks, further continuation at discretion of physician      
Rahman 1997 Topical natamycin 5% Day 1: Half‐hourly for 3 hours, hourly during waking hours for rest of day. Days 2 to 5: 2‐hourly, then 3‐hourly for a further 2 weeks. If no improvement at 5 days swapped to another treatment Topical chlorhexidine gluconate Three doses studied: 0.05%, 0.1% and 0.2% Day 1: Half‐hourly for 3 hours, hourly during waking hours for rest of day. Days 2 to 5: 2‐hourly, then 3‐hourly for a further 2 weeks. If no improvement at 5 days swapped to another treatment      
Rahman 1998 Topical natamycin 2.5% Half‐hourly for first 3 hours, then 1‐hourly for 2 days, 2‐hourly for 5 days, and 3‐hourly for 3 weeks. If no improvement at 5 days treatment changed Topical chlorhexidine gluconate 0.2% Half‐hourly for first 3 hours, then 1‐hourly for 2 days, 2‐hourly for 5 days, and 3‐hourly for 3 weeks. If no improvement at 5 days treatment changed      
Sharma 2013 Topical voriconazole as an adjunct to natamycin 1% Hourly for the initial 48 hours, then were tapered to every 2 hours while awake for 72 hours and thereafter the dosage was every 4 hours.
Further tapering of the drug depended on the response of the infection to treatment and as per the clinician’s judgment.
Instrastromal voriconazole as an adjunct to natamycin 0.5 mg/mL voriconazole was injected obliquely into the cornea. 5 divided doses were given around the ulcer to form a deposit of the drug around the circumference of the lesion.
At least 3 injections were given 72 hours apart.
Both groups received topical 5% natamycin eye drops every 4 hours, 0.3% ciprofloxacin hydrochloride eye drops 4 times daily, and 2% homatropine eye drops 3 times daily.      

* Participants were also randomised to "scraping of the corneal epithelium"