This protocol applies to suppurative keratitis (corneal ulcer) in which fungal hyphae are identified on corneal smear — a microbiological finding that directly shapes the management approach.
Identification of fungal hyphae on corneal smear establishes a fungal aetiology and guides subsequent decision-making, particularly when the ulcer fails to resolve or when the structural integrity of the cornea is at risk.
When the ulcer does not respond adequately to medical therapy, or when perforation is threatened or has occurred, surgical intervention becomes part of the management pathway. The full protocol details the specific indications and the range of surgical options that may apply — there is more to the algorithm than can be outlined here.