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Topic:Keratitis

Keratitis in horses refers to the inflammation of the cornea, the transparent front part of the eye. This condition can result from various causes, including trauma, infection, or immune-mediated processes. Clinical signs may include ocular pain, redness, tearing, and visual impairment. Diagnosing keratitis involves a thorough ophthalmic examination, often supplemented by diagnostic tests such as cytology and culture to identify infectious agents. Treatment strategies depend on the underlying cause and may involve antimicrobial therapy, anti-inflammatory medications, or surgical intervention. This page compiles peer-reviewed research studies and scholarly articles that explore the etiology, pathophysiology, diagnostic approaches, and management of keratitis in equine patients.
Equine ulcerative keratitis in the Netherlands (2012-2021): Bacterial and fungal isolates and antibiotic susceptibility.
Equine veterinary journal    January 14, 2024   Volume 57, Issue 1 38-46 doi: 10.1111/evj.14059
Verdenius CY, Slenter IJM, Hermans H, Broens EM, Djajadiningrat-Laanen SC.Ulcerative keratitis is a common ophthalmic disease in horses which can be complicated by microbial infection and requires immediate, accurate treatment to prevent loss of visual function or the eye. Objective: To report the results of microbial cultures, antibiotic susceptibility tests and corneal cytology in horses with ulcerative keratitis presented to a referral clinic, to assess agreement between cytology and culture results, to investigate whether previous topical treatment affected microbial culture results and whether the incidence of antimicrobial resistance changed during the study p...
Preliminary observations on tear film interferometry performed in horses.
Journal of equine veterinary science    January 11, 2024   105002 doi: 10.1016/j.jevs.2024.105002
Cattaneo A, Guandalini A, Peruccio C.This retrospective study evaluated tear film (TF) interferometry on horses examined in Northern Italy in 2019-2021. The objectives were to evaluate horses affected by keratitis, and to describe TF values in horses with no evidence of ocular disease. All horses received a complete ophthalmic examination and were examined with the Ocular Surface Analyser, Veterinary-setting, prior to eye manipulation, staining and sample collection. Eighteen horses with no evidence of ocular disease were included in the comparison group. Additionally, 46 horses displaying signs of keratitis (neovascularization, ...
Subconjunctival autologous muscle-derived mesenchymal stem cell therapy: A novel, minimally invasive approach for treating equine immune-mediated keratitis.
Veterinary ophthalmology    December 10, 2023   doi: 10.1111/vop.13175
Narinx F, Sauvage A, Ceusters J, Grulke S, Serteyn D, Monclin S.To establish the safety of subconjunctival injections of autologous muscle-derived mesenchymal stem cells (mdMSCs) in healthy horses and to evaluate their effect in four horses (six eyes) with severe chronic equine immune-mediated keratitis (IMMK) that was unresponsive to medical treatments. Methods: MdMSCs were cultured from minimally invasive muscle biopsies. In the safety group, four healthy horses received two subconjunctival injections of 2.5 and 5 million cells, respectively, at 1-month interval, to the same eye. Ocular side effects were monitored for 1 month following each injection. ...
Advanced platelet-rich fibrin promotes healing of induced corneal ulcer in donkeys (Equus asinus).
Scientific reports    December 9, 2023   Volume 13, Issue 1 21824 doi: 10.1038/s41598-023-48933-5
Hosny OH, Abd-Elkareem M, Ali MM, Ahmed AF.Ulcerative keratitis is a common disease in horses which may cause blindness. To prevent secondary bacterial and fungal infections and promote quick re-growth of the epithelial layer, different treatment approaches have been employed. This study aimed to examine the effects of advanced platelet-rich fibrin (A-PRF) gel on the healing process of experimentally induced corneal ulcers in donkeys. Nine healthy adult donkeys were used for the study. The donkeys were divided into two groups: the control group, where no medication was applied to the corneal ulcer, and the A-PRF gel group, where A-PRF ...
Macrodendritic ulcerative keratitis and conjunctival lymphoid hyperplasia in horses with equine herpesvirus-2 and equine herpesvirus-5 infections.
Veterinary ophthalmology    December 5, 2023   Volume 27, Issue 3 277-285 doi: 10.1111/vop.13171
Ledbetter EC, Cutler TJ, Irby NL.The aim of this study was to describe the clinical, confocal microscopic, histologic, and virologic features of horses with macrodendritic ulcerative keratitis and conjunctival lymphoid hyperplasia associated with equine herpesvirus-2 and equine herpesvirus-5 infection. Methods: Four foals with bilateral ocular disease. Methods: Complete ophthalmic examination was performed for each horse, and corneal samples were collected for cytology and microbiologic evaluation, including virus isolation and molecular diagnostics for the equine herpesviruses. In vivo confocal microscopy examination of the...
Alterations of the bacterial ocular surface microbiome are found in both eyes of horses with unilateral ulcerative keratitis.
PloS one    September 8, 2023   Volume 18, Issue 9 e0291028 doi: 10.1371/journal.pone.0291028
Julien ME, Shih JB, Correa Lopes B, Vallone LV, Suchodolski JS, Pilla R, Scott EM.Next generation sequencing (NGS) studies in healthy equine eyes have shown a more diverse ocular surface microbiota compared to culture-based techniques. This study aimed to compare the bacterial ocular surface microbiota in both eyes of horses with unilateral ulcerative keratitis (UK) with controls free of ocular disease. Conjunctival swabs were obtained from both ulcerated eyes and unaffected eyes of 15 client-owned horses with unilateral UK following informed consent, as well as from one eye of 15 healthy horses. Genomic DNA was extracted from the swabs and sequenced on an Illumina platform...
Use of Biologics and Stem Cells in Equine Ophthalmology.
The Veterinary clinics of North America. Equine practice    July 11, 2023   Volume 39, Issue 3 541-552 doi: 10.1016/j.cveq.2023.06.004
Gilger BC.Regenerative therapy and biologics have the promise to treat equine ocular surface diseases, including corneal ulceration or immune-mediated keratitis, or intraocular diseases such as uveitis. The use of blood-derived products such as serum or platelet-rich plasma, mesenchymal stem cells, or amniotic membrane grafts may be beneficial for the treatment of ulcerative and chronic keratitis in horses. Furthermore, the use of stem cells or gene therapy has promise for the treatment of Intraocular diseases such as equine recurrent uveitis by providing efficacious, practical, and long-term therapy fo...
Features of the clinical picture of keratitis in horses with different forms of the course of the disease.
Open veterinary journal    November 13, 2022   Volume 12, Issue 6 830-838 doi: 10.5455/OVJ.2022.v12.i6.7
Lazareva Y, Rayisyan M, Mironova E.Keratitis is a common cause of eye diseases in horses, often resulting in complete loss of vision. The purpose of this article is to study the features of the clinical picture of primary and secondary keratitis in horses, depending on the form of the course of the disease. The study was conducted in 2019 at 22 private horse breeding farms. The study involved 80 horses with keratitis, which were divided into two equal groups depending on the diagnosis of primary or secondary keratitis. The effectiveness of the therapies was compared 1, 3, and 6 months after the start of treatment. Following a 1...
Cyclosporine A Delivery Platform for Veterinary Ophthalmology-A New Concept for Advanced Ophthalmology.
Biomolecules    October 20, 2022   Volume 12, Issue 10 doi: 10.3390/biom12101525
Padjasek M, Qasem B, Cisło-Pakuluk A, Marycz K.Cyclosporine A (CsA) is a selective and reversible immunosuppressant agent that is widely used as a medication for a wide spectrum of diseases in humans such as graft versus host disease, non-infectious uveitis, rheumatoid arthritis, psoriasis, and atopic dermatitis. Furthermore, the CsA is used to treat keratoconjunctivitis sicca, chronic superficial keratitis, immune-mediated keratitis and equine recurrent uveitis in animals. The selective activity of Cyclosporine A (CsA) was demonstrated to be an immunomodulation characteristic of T-lymphocyte proliferation and inhibits cytokine gene expres...
A retrospective histologic study of 140 cases of clinically significant equine ocular disorders. Flores MM, Del Piero F, Habecker PL, Langohr IM.Ocular diseases are an important category in equine medicine; however, most articles regarding histologic ocular lesions in horses are exclusive to a specific condition and do not provide a complete review of clinically significant ocular disease frequency in a diagnostic laboratory. We reviewed sections of equine eyes from 140 cases (98 enucleations [biopsies] and 42 autopsies) with clinically relevant ocular alterations at 2 diagnostic centers in the United States. The most common primary conditions were non-traumatic keratitis (36), equine recurrent uveitis (ERU; 31), traumatic injuries (22...
Conjunctival aerobic bacterial flora in healthy Silesian foals and adult horses in Poland.
BMC veterinary research    August 31, 2018   Volume 14, Issue 1 261 doi: 10.1186/s12917-018-1598-6
Zak A, Siwinska N, Slowikowska M, Borowicz H, Ploneczka-Janeczko K, Chorbinski P, Niedzwiedz A.Commensal bacterial and fungal flora of the conjunctival sac has been described in horses and other animals. The identification of commensal flora of the conjunctival sac may aid in the diagnosis of ocular inflammatory diseases, such as conjunctivitis or more severe ulcerative keratitis, common in horses. Moreover, damage of ocular protective barriers may lead to an opportunistic infection. The study was carried out in Silesian horses kept at a single breeding center in South-western Poland, in order to limit any breed-dependant and climate-dependant variables affecting the results. Following ...
Corneal sensitivity and tear production in 108 horses with ocular disease.
Veterinary ophthalmology    June 9, 2017   Volume 21, Issue 1 76-81 doi: 10.1111/vop.12481
Knickelbein KE, Scherrer NM, Lassaline M.To compare corneal sensitivity and tear production in horses with keratitis to horses with other ocular disease. Methods: Retrospective medical record review was used to identify equine patients presented during a 1-year period for an ocular complaint who had Schirmer Tear Test (STT) or Corneal Touch Threshold (CTT) measured. Variables studied included patient age and sex; affected eye; category of presenting ocular complaint (keratitis vs. other ocular complaint); STT; and CTT. Patients with a complaint of ulcerative keratitis, immune-mediated keratitis, and stromal abscess were categorized i...
Phage Therapy Is Effective in a Mouse Model of Bacterial Equine Keratitis.
Applied and environmental microbiology    August 15, 2016   Volume 82, Issue 17 5332-5339 doi: 10.1128/AEM.01166-16
Furusawa T, Iwano H, Hiyashimizu Y, Matsubara K, Higuchi H, Nagahata H, Niwa H, Katayama Y, Kinoshita Y, Hagiwara K, Iwasaki T, Tanji Y, Yokota H....Bacterial keratitis of the horse is mainly caused by staphylococci, streptococci, and pseudomonads. Of these bacteria, Pseudomonas aeruginosa sometimes causes rapid corneal corruption and, in some cases, blindness. Antimicrobial resistance can make treatment very difficult. Therefore, new strategies to control bacterial infection are required. A bacteriophage (phage) is a virus that specifically infects and kills bacteria. Since phage often can lyse antibiotic-resistant bacteria because the killing mechanism is different, we examined the use of phage to treat horse bacterial keratitis. We isol...
Methicillin-resistant Staphylococcus aureus ulcerative keratitis in a Thoroughbred racehorse.
Journal of equine science    September 30, 2015   Volume 26, Issue 3 95-98 doi: 10.1294/jes.26.95
Kuroda T, Kinoshita Y, Niwa H, Mizobe F, Ueno T, Kuwano A, Hatazoe T, Hobo S.We report the first case of methicillin-resistant Staphylococcus aureus (MRSA) keratitis in a racehorse. A 5-year-old mare developed punctate keratitis after racing. The corneal ulcer continued to expand despite ophthalmic antimicrobial therapy. On day 6, a conjunctival graft surgery was performed. The mare was euthanized, following colitis and laminitis development on day 10. MRSA was isolated from the corneal swab taken at the time of euthanasia. Immunohistochemical analysis demonstrated gram-positive and anti-S. aureus monoclonal antibody-positive cocci infiltration of the corneal stroma; a...
Immunohistochemical and immunopathologic characterization of superficial stromal immune-mediated keratitis in horses.
American journal of veterinary research    June 29, 2012   Volume 73, Issue 7 1067-1073 doi: 10.2460/ajvr.73.7.1067
Pate DO, Clode AB, Olivry T, Cullen JM, Salmon JH, Gilger BC.To describe the immunopathologic characteristics of superficial stromal immune-mediated keratitis (IMMK) immunopathologically by characterizing cellular infiltrate in affected corneas of horses. Methods: 10 client-owned horses with IMMK. Methods: Immunohistochemical staining was performed on keratectomy samples with equine antibodies against the T-cell marker CD3 and B-cell marker CD79a (10 eyes) and the T-helper cytotoxic marker CD4 and T-cell cytotoxic marker CD8 (6 eyes). Percentage of positively stained cells was scored on a scale from 0 (no cells stained) to 4 (> 75% of cells stained)....
Equine special edition of veterinary ophthalmology.
Veterinary ophthalmology    December 17, 2008   Volume 11 Suppl 1 1 doi: 10.1111/j.1463-5224.2008.00648.x
Gilger BC.No abstract available
Doxycycline levels in preocular tear film of horses following oral administration.
Veterinary ophthalmology    December 3, 2008   Volume 11, Issue 6 381-385 doi: 10.1111/j.1463-5224.2008.00662.x
Baker A, Plummer CE, Szabo NJ, Barrie KP, Brooks DE.To determine the concentration of doxycycline in preocular tear film following oral administration in horses as a possible therapeutic modality for infectious and keratomalacic equine keratitis. Methods: Eight broodmares without ocular disease from a Thoroughbred breeding facility were included in this study. Each mare received 20 mg/kg of doxycycline by mouth once daily in the morning for five consecutive days. Tears were collected 1 h after doxycycline administration starting on day one of administration and continuing for 10 consecutive days. Doxycycline levels in the tears were measured us...
In vitro efficacy of a buffered chelating solution as an antimicrobial potentiator for antifungal drugs against fungal pathogens obtained from horses with mycotic keratitis.
American journal of veterinary research    April 4, 2006   Volume 67, Issue 4 562-568 doi: 10.2460/ajvr.67.4.562
Weinstein WL, Moore PA, Sanchez S, Dietrich UM, Wooley RE, Ritchie BW.To determine whether a novel third-generation chelating agent (8 mM disodium EDTA dehydrate and 20 mM 2-amino-2-hydroxymethyl-1, 3-propanediol) would act as an antimicrobial potentiator to enhance in vitro activity of antifungal medications against fungal isolates obtained from horses with mycotic keratitis. Methods: Fungal isolates (3 Aspergillus isolates, 5 Fusarium isolates, 1 Penicillium isolate, 1 Cladosporium isolate, and 1 Curvularia isolate) obtained from horses with mycotic keratitis and 2 quality-control strains obtained from the American Type Culture Collection (ATCC; Candida albica...
Comments regarding retrospective study on horses with fungal keratitis.
Journal of the American Veterinary Medical Association    September 10, 1998   Volume 213, Issue 5 603-604 
Brooks DE, Andrew SE, Nasisse MP.No abstract available
Ophthalmic cyclosporine in equine keratitis and keratouveitis: 11 cases.
Equine veterinary journal    September 1, 1995   Volume 27, Issue 5 327-333 doi: 10.1111/j.2042-3306.1995.tb04066.x
Gratzek AT, Kaswan RL, Martin CL, Champagne ES, White SL.Topical cyclosporine A was safely used in a series of 11 cases of equine keratitis and keratouveitis and appeared to be an effective anti-inflammatory agent in 9 cases. The clinical diagnoses included interstitial keratouveitis, endotheliitis, multifocal punctate keratopathy and a melting stromal ulcer. In most cases, the presence or absence of insidious bacterial infection was not conclusively determined. Topical cyclosporine A had no deleterious effects in this series of cases. The authors suggest that topical cyclosporine in both aqueous and lipid base vehicles should be investigated and ev...
Histological findings in corneal stromal abscesses of 11 horses: correlation with cultures and cytology.
Equine veterinary journal    November 1, 1994   Volume 26, Issue 6 448-453 doi: 10.1111/j.2042-3306.1994.tb04048.x
Hamilton HI, McLaughlin SA, Whitley EM, Gilger BC, Whitley RD.Histopathology was compared to culture results and cytology from horses with corneal stromal abscess at the Auburn University and the Ohio State University Veterinary Teaching Hospitals. Significant bacteria were not isolated in culture or seen on histopathology in any of the horses. Although most bacteria infecting equine corneas can be isolated with blood and MacConkey's agars, failure to detect bacterial growth may not rule out infection because anaerobic or intracellular bacteria would not be isolated. The inability to visualise bacterial organisms on histological sections did not rule out...
Mycotic keratitis in a horse caused by Aspergillus fumigatus. The first reported case in Finland.
Acta veterinaria Scandinavica    January 1, 1991   Volume 32, Issue 3 373-376 doi: 10.1186/BF03546967
Aho R, Tala M, Kivalo M.The first identified Finnish case of equine mycotic keratitis caused by Aspergillus fumigatus is described. The clinical picture, the sampling method, the macro- and micromorphology of the causative fungus and the therapy applied are reported in detail. Therapy with natamycin (Pimafucin 2.5% eyedrops. Gist-Brocades) was successful. Mykotisk keratit hos häst orsakad av beskrivs första gången i Finland. Klinisk bild, provtagning, makroskopisk och mikroskopisk morfologi av svampen samt terapi rapporteras i detalj. Terapin med natamycin (Pimafucin® 2.5 % ögondroppar, Gist-Brocades) var effek...
Immunologically mediated ocular disease in the horse.
The Veterinary clinics of North America. Large animal practice    November 1, 1984   Volume 6, Issue 3 501-512 doi: 10.1016/s0196-9846(17)30006-x
Hines MT.The continued study of immunology and its relationship to diseases of the eye will hopefully give some insight into the pathogenic mechanisms of certain ocular diseases of many species, including the horse. It may lead to a better understanding of equine recurrent uveitis, a disease that has remained an enigma for years and that now appears to be an immunologic hypersensitivity response to a number of varied antigens. The precise mechanism of the inflammation is still unclear, and the immunologic response may be variable or mixed depending upon the inciting antigen. Other ophthalmic diseases i...
[Aspergillus oryzae as a cause of keratomycosis in the horse].
Tierarztliche Praxis    January 1, 1984   Volume 12, Issue 4 489-492 
Marolt J, Naglić T, Hajsig D.A case of a spontaneous mycokeratitis of a previously injured cornea in a horse is described. The infection was caused by Aspergillus oryzae. After application of Chloramphenicol ophthalmic ointment a corneal clouding was found in the centre which was circularly sharply defined and which - after dispensing Dexamethason-Neomycin eye drops - expanded all over to a purulent keratitis. The demarcated and initially non purulent mycotic lesions largely improved after the application of tincture of iodine, whereas the purulent keratitis could be completely cured only by a lasting treatment with Lugol...
Clinical aspects of mycotic keratitis in the horse.
The Cornell veterinarian    October 1, 1979   Volume 69, Issue 4 364-374 
Bistner SI, Riis RC.Several manifestations of equine corenal ulcers caused by mycotic agents are discussed. Antifungal therapy is reviewed. Mycotic keratitis should be suspected when routine corneal ulcer therapy is nonproductive.
An effective single treatment for pinkeye in cattle and non-specific keratitis in horses.
Veterinary medicine, small animal clinician : VM, SAC    February 1, 1970   Volume 65, Issue 2 169-170 
Schrimsher TW.No abstract available