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为探讨真菌性角膜炎选择抗真菌药物或角膜移植术治疗的适应症。将８２例按病灶特点分为５组。Ⅰ组药物治疗（３２例），Ⅱ组先药物治疗，待机手术治疗（１１例）。Ⅲ组穿透性角膜移植术治疗（１９例）。Ⅳ、Ⅴ组玻璃体切割联合穿透性角膜移植术（分别１１、９例）。结果：Ⅰ组治愈率７８．１３％，是否伴前房积脓对治愈率的影响无显著性差异。Ⅱ组１１例有２例（２／１１，１８．１８％）药物治愈，９例（９／１１，８１．８２％）需手术治疗，８例治愈。Ⅲ、Ⅳ、Ⅴ组治愈率分别４７．３７％、４５．４５％、５５．５６％。结论无手术适应症的真菌性角膜炎强调药物治疗，只有在发生溃疡穿孔且眼内容物脱出或继发性青光眼时才考虑手术。真菌性角膜炎伴眼内炎采用角膜移植术联合玻璃体切割术及眼内注药术是较理想的方法。
Indications for the treatment of fungal keratitis for antifungal or keratoplasty treatment. 82 cases were divided into 5 groups according to the characteristics of the lesion. Group I drug treatment (32 cases), group II drug treatment, standby surgery (11 cases). Group Ⅲ penetrating keratoplasty (19 cases). Vitrectomy and penetrating keratoplasty were performed in groups Ⅳ and Ⅴ (11 and 9 cases, respectively). Results: The cure rate in group Ⅰ was 78.13%. There was no significant difference between the two groups in whether or not suppurative hypopyon had effect on the cure rate. In group Ⅱ, 2 cases (2 / 11,18.18%) were cured in 11 cases, 9 cases (9 / 11,81.82%) were treated surgically and 8 cases were cured. The cure rates of group Ⅲ, Ⅳ, Ⅴ were 47.37%, 45.45%, 55.56% respectively. Conclusions Fungal keratitis without surgical indications emphasizes drug therapy and considers surgery only when perforation of the ulcer and prolapse of the eye or secondary glaucoma occur. Fungal keratitis with endophthalmitis Corneal transplantation combined with vitrectomy and intraocular injection is an ideal method.