Skip to main content
. 2015 Apr 9;2015(4):CD004241. doi: 10.1002/14651858.CD004241.pub4

Basak 2004.

Methods Parallel group randomised controlled trial
Cases enrolled and randomly allocated, number of people/eyes not reported.
Date conducted: not reported
Participants Setting: community‐based tertiary care hospital in India
Participants: 45 (31 men, 14 women), average age 33 years
Inclusion criteria: deep keratomycosis with endothelial plaque; non‐mobile cheesy hypopyon of various height; all cases were smear positive for fungus on potassium hydroxide or Gram stain, or both; smear (Gram stain) was negative for bacteria in all cases.
Exclusion criteria: keratomycosis without hypopyon; mixed ulcer on microscopic examination of the smear; ulcer with impending or frank perforation; after 48 hours if any bacterial culture report became positive.
Interventions
  • Intracameral amphotericin B 5 μg to 15 μg with conventional medication (N = 23)

  • Conventional medication (N = 22)


Conventional medication was: oral fluconazole 150 mg to 200 mg twice a day for 3 weeks; topical natamycin 5% every hour; topical amphotericin B 0.15% every hour; broad‐spectrum topical antibiotic every 2 hours; topical antiglaucoma medication; topical cycloplegics. Intracameral injection of amphotericin B was given in a dose between 5 μg and 15 μg depending upon the size of the ulcer and amount of hypopyon. Injection was repeated after 7 days as indicated. Complications were treated medically or surgically, or both.
Outcomes
  • Healing of deep fungal keratitis

  • Complications (perforation, anterior staphyloma, phthisis bulbi, panophthalmitis)


Follow‐up: day 1, 3, 7 and then weekly until ulcer healed.
Notes Funding: not reported
Conflict of interest: "The Authors do not have any proprietary interest in the method or subject matter mentioned in this article."
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Not reported
Allocation concealment (selection bias) Unclear risk Not reported
Blinding of participants and personnel (performance bias) 
 All outcomes High risk Not reported but interventions quite different
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Not reported
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk Not reported
Selective reporting (reporting bias) Unclear risk No access to protocol