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CONCLUSIONS
The clinical features of microbial keratitis may vary considerably and no one clinical feature can be considered as absolutely pathognomonic of a particular type of aetiological agent.
Ophthalmologists are urged to send corneal scrapes for microbiology examination where facilities for ocular microbiology are available. However, where such facilities are not available, a rapid presumptive clinical diagnosis of filamentous fungal keratitis may be possible using a tool such as the scoring scheme presented here. When fungal infection is suspected a combination of antibiotic and antifungal therapy is recommended.
ACKNOWLEDGEMENTS
The authors would like to acknowledge the work of the ophthalmologists and microbiologists in India and Ghana who were involved in the collection of the original data.8 This research was funded by the Community Fund, UK.
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