Parchand 2012.
Methods | Parallel group randomised controlled trial 1 eye per patient, unclear how eye selected Date conducted: not reported |
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Participants | Setting: Chandigarh, India Participants: 45, age and sex not reported Inclusion criteria: ulcer with epithelial defect more than 5 mm in the greatest dimension, infiltrates involving more than two thirds depth of corneal thickness, proven fungal corneal ulcer either on 10% potassium hydroxide west mount/Calcoflour white stain or growth of fungi on Sabouraud's dextrose agar, older than 18 years, willingness to be an inpatient and take part in follow‐up Exclusion criteria: perforated cornea or impending perforation, sclera involvement, total corneal involvement, endophthalmitis, acanthamoeba keratitis, evidence of bacterial infection or herpetic keratitis, bilateral ulcers, previous ocular surgery, pregnancy or breast‐feeding, known allergy to medication, no light perception, failed to attend for follow‐up at 3 months. |
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Interventions |
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 and natamycin were 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. |
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Outcomes |
Follow‐up: 3 months |
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Notes | Funding sources: not reported Conflict of interest: not reported |
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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 | Unclear risk | Not reported |
Blinding of outcome assessment (detection bias) All outcomes | Unclear risk | Not reported |
Incomplete outcome data (attrition bias) All outcomes | High risk | People who did not attend at 3 months were excluded from the study |
Selective reporting (reporting bias) | Unclear risk | No access to protocol |