---
title: Fungal keratitis treatment
description: "Fungal keratitis is a serious corneal infection often linked to plant material injury, contact lenses, or hot, humid climates. Treatment is challenging and usually prolonged. ## Medical therapy Diagnosis relies on careful examination and laboratory tests. Specific antifungal medicines are…"
url: "https://bluefinvision.com/knowledge-base/topics/treatments-procedures/fungal-keratitis-treatment/"
updated: "2025-12-16"
category: "Treatments & Procedures"
---

# Fungal keratitis treatment

Fungal keratitis is a serious corneal infection often linked to plant material injury, contact lenses, or hot, humid climates. Treatment is challenging and usually prolonged.

## Medical therapy

Diagnosis relies on careful examination and laboratory tests. Specific antifungal medicines are needed because standard antibiotics are ineffective.

- Topical antifungal drops such as natamycin or voriconazole
- Systemic tablets or injections in deeper or more severe infections
- Frequent dosing and long courses, often for weeks
- Careful monitoring for toxicity and response

## Surgical options

Some cases do not respond fully to medicines alone. Surgery may be needed to control infection and restore structure.

- Debridement of infected tissue to improve drug penetration
- Therapeutic corneal transplantation for deep or non-healing ulcers
- Management of raised pressure or perforation if they occur
- Long-term follow-up to watch for recurrence and scarring