FC Ophth(SA) Final Practice Questions - Fellowship Of The College Of Ophthalmologists Of South Africa Final Examination Exam

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An agricultural worker sustains a corneal abrasion from an oil palm frond. Ten days later, he presents with a greyish-white corneal infiltrate featuring feathery, hyphate margins, surrounding satellite lesions, and an endothelial plaque. Diagnostic corneal scraping confirms fungal hyphae. Which agent represents the initial drug of choice?

Topical natamycin 5% suspension Topical voriconazole 1% alone Topical amphotericin B 0.15% drops Systemic oral fluconazole 400 mg daily

Correct Answer:

Topical natamycin 5% suspension

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