To determine if concurrent use of 5% natamycin and 2% econazole offers greater benefits than monotherapy with 5% natamycin for the management of fungal keratitis.
Subjects presenting to the cornea service were treated with 5% natamycin and 2% econazole used concurrently. We compared the results with a historical control of patients treated with 5% natamycin in the same calendar year. The same clinical and examination protocol including inclusion and exclusion criteria was used for both groups.
We compared results of 47 subjects on concurrent use of 5% natamycin and 2% econazole with all 53 subjects who had received 5% natamycin in a previous study (historical controls). Baseline characteristics were similar between the 2 groups. There were no significant differences (P = 0.9) between the 2 arms for success (defined as a healed or healing ulcer).
Concurrent use of 5% natamycin and 2% econazole does not appear to offer additional benefits over monotherapy with 5% natamycin for the management of fungal keratitis.
From the Aravind Medical Research Foundation, Aravind Eye Care System, Madurai, India.
Received for publication November 21, 2003; accepted May 9, 2004.
The study was supported by the Aravind Medical Research Foundation, Madurai.
The authors have no financial interest in the matters discussed.
Reprints: N. V. Prajna, Cornea Service, Aravind Eye Care System, 1, Anna Nagar, Madurai-625020, India (e-mail: firstname.lastname@example.org).