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    Erzurum Region Education and Research Hospital, Clinic of Ophthalmology, 25240 Erzurum, Turkey Received 29 April 2014; Accepted 1 August 2014; Published 11 August 2014Academic Editor: Alexander A. Case 1 was a 62-year-old man with a history of ocular trauma. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. To present the success of posaconazole in two cases with recalcitrant fugal keratitis that were resistant to conventional antifungal drugs. We presented two cases that were treated with posaconazole after the failure of fluconazole or voriconazole, amphotericin B, and natamycin therapy. He had been using topical fluorometholone and tobramycin. His best corrected visual acuity (BCVA) was hand motion. He had 5.0 × 4.5 mm area of deep corneal ulcer with stromal infiltration. He had been using topical moxifloxacin, tobramycin, and cyclopentolate. He had a 4.0 × 3.0 mm area of pericentral corneal ulcer with deep corneal stromal infiltration and 2 mm hypopyon. Both patients initially received systemic and topical fluconazole or voriconazole and amphotericin B and topical natamycin that were all ineffective. After posaconazole, progressive improvement was seen in clinical appearance. BCVA improved to 20/100 in case 1 and 20/40 in case 2. Posaconazole might be an effective treatment option for recalcitrant fusarium keratitis and/or endophthalmitis resistant to conventional antifungal drugs. Fungal keratitis is a sight-threatening infection of the cornea that can lead to severe visual loss and even loss of the eye. Availability of antifungal eye drops in hospital and private retail. duloxetine 60 mg capsule Zocon Eye Drops Fluconazole - 0.3% 5mL - United. Fungal Keratitis - Birmingham and Midland Eye Centre
     
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