Douglas J. Rhee, MD

(c) Histoplasmosis (Histoplasma capsulatum )Notes: 1. Choroiditis: Typically not treated by medications. However, patients must be monitored for choroidal neovascularization whichmay require laser, photodynamic, or intravitreal anti-angiogensis therapy.(d) Sporotrichosis 3 (Sporothrix schenckii )Notes: 1. Eyelid Skin: Preferred drug is itraconazole 200 mg PO BID. Alternatively, may use 10 drops of saturated potassium iodidePO TID; increase until total daily dose of 120 drops. Consider concurrent use of topical amphotericin B . Continue systemictreatment one month after skin clears.2. Granulomatous Blepharoconjunctivitis: Treat as extracutaneous disease; itraconazole 300 mg PO BID × 6 months then 200 mgPO BID long term.1 See special note on Fungal Keratitis at beginning of the specific antifungal regimens.2 From Int Ophthalmol Clin 1996; vol 36 (3):1–15.3 Recommend consultation with infectious disease specialist.4 From Int Ophthalmol Clin 1996;36(3):1–15.5 From Retina 1990;10: 27–32.6From Retina. 1987;7:75–79.Antifungal Agents 39