Anomalous effect of subconjunctival miconazole on Candida albicans keratitis in rabbits

Am J Ophthalmol. 1991 Nov 15;112(5):562-6. doi: 10.1016/s0002-9394(14)76859-x.

Abstract

After intrastromal injection of a standardized inoculum of Candida albicans blastoconidia in Dutch-belted rabbits, the efficacy of subconjunctival therapy with amphotericin B and miconazole was evaluated using a quantitative isolate recovery technique. The subconjunctival injection of miconazole resulted in the recovery of significantly more viable organisms compared to the number recovered in controls (2,000 micrograms daily, P less than .02; 3,000 micrograms daily, P less than .01, respectively). Amphotericin B, in contrast, in dosages of 500 or 1,500 micrograms daily, had a significant therapeutic effect (P less than .03). The anomalous response to subconjunctival therapy with miconazole seen in this model suggests an effect on host defense mechanisms.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Amphotericin B / therapeutic use
  • Animals
  • Candida albicans / isolation & purification
  • Candidiasis / drug therapy*
  • Conjunctiva
  • Dose-Response Relationship, Drug
  • Keratitis / drug therapy*
  • Keratitis / microbiology
  • Miconazole / administration & dosage*
  • Miconazole / adverse effects
  • Miconazole / therapeutic use
  • Rabbits

Substances

  • Miconazole
  • Amphotericin B