Basak 2004.
Methods | Parallel group randomised controlled trial Cases enrolled and randomly allocated, number of people/eyes not reported. Date conducted: not reported |
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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. |
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Interventions |
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. |
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Outcomes |
Follow‐up: day 1, 3, 7 and then weekly until ulcer healed. |
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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." |
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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 |