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Q. What is the treatment for eye infection due to pythium?

Answered by
Dr. Manish Mahabir
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Oct 13, 2018

Hello doctor,

My husband has an eye infection for the past two months. The doctors diagnosed that it is a fungal infection pythium keratitis. This infection might be from crops. They said that there is no anti fungal for this type of fungus and asked to apply Itral eye drop hourly, Zaha four times a day, Homide two times a day. A corneal ulcer is created and a white like thing is in the cornea. Vision is blurred due to this. Could only identify the objects. He is under treatment for the past 30+ days. Do we have treatment for this?

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Hi,

Welcome to icliniq.com.

In case the organism is pythium as you have said, it has been found that it does not respond to available antifungals. Previously patients have been managed by corneal transplant to remove the infected organ so that it does not affect inner parts of the eye. Your decision will depend on how well the infection is responding to the treatment being tried. If it is increasing despite all the medications, a corneal transplant may be the only way forward. Better to keep serial photographs of the eye for comparison and easy decision making.


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