Equine keratomycoses in California from 1987 to 2010 (47 cases).
Abstract: Equine keratomycosis in the western USA has received little study, probably owing to its low prevalence. Objective: To determine clinical features, predominant fungal isolates, treatment modalities and outcomes of horses with keratomycosis in California and compare these with results from different geographic regions. Methods: Records of horses presented to the University of California-Davis Veterinary Medical Teaching Hospital (UCD-VMTH) with confirmed keratomycosis between 1987 and 2010 were reviewed for this retrospective study. Information retrieved from the record included background, ophthalmic examination findings, treatment prior to and following presentation, visual outcome, and ocular survival. Results: A total of 48 eyes in 47 horses met the inclusion criteria and comprised 2% of cases presented to the UCD-VMTH ophthalmology service. Prior to presentation, 20 horses (43%) received at least one topically administered anti-inflammatory medication. Keratomycosis was confirmed by fungal culture in 38 horses (81%), by histopathology in 2 horses (4%) and by cytology in 7 horses (15%). Forty-four isolates were identified in the 38 horses cultured; Aspergillus was the most common isolate (64%) and a novel isolate, Papulospora, was identified in 2 horses. Treatment consisted of medication only (73%), medical and surgical treatment (25%), or immediate enucleation (2%). Globe retention was 77% and vision retention was 53%. Corneal perforation was significantly associated with loss of vision (P<0.001). Conclusions: Keratomycosis is relatively uncommon in horses presented for ophthalmic conditions at UCD-VMTH. Corneal perforation was a negative prognostic indicator for vision in this population of northern Californian horses.
© 2012 EVJ Ltd.
Publication Date: 2012-09-04 PubMed ID: 22943420PubMed Central: PMC3515691DOI: 10.1111/j.2042-3306.2012.00623.xGoogle Scholar: Lookup
The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
- Journal Article
- Research Support
- N.I.H.
- Extramural
Summary
This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.
This research paper presents a comprehensive study of equine keratomycosis, a fungal eye disease in horses, in the state of California from 1987 to 2010. The study aims to understand the predominant fungal isolates causing the disease, the typical treatment methods employed, and the outcomes thereof.
Research Objectives
- The study aims to ascertain the clinical features, main fungal strains responsible, treatments used, and outcomes for horses with keratomycosis in California. This data is later compared with similar information from different geographic regions.
Methodology
- For this retrospective study, the researchers reviewed hospital records of horses diagnosed with keratomycosis that were presented to the University of California-Davis Veterinary Medical Teaching Hospital (UCD-VMTH) between 1987 and 2010.
- Data gathered included the horse’s background, findings from ophthalmic examination, treatments given before and after the diagnosis, visual outcome, and ocular survival.
Results
- A total of 48 eyes from 47 horses met the study’s criteria and made up 2% of all cases presented to UCD-VMTH’s ophthalmology service.
- Prior to being presented, 43% of these horses had received topically administered anti-inflammatory medication.
- Keratomycosis was confirmed through fungal culture in 81% of cases, histopathology in 4% of cases, and cytology in 15%. A fungus named Aspergillus was the most frequently isolated organism, retrieved from 64% of cultures, while another one, Papulospora, was identified in 2 horses.
- The treatment strategies primarily consisted of medication (73%), both medical and surgical treatment (25%), or immediate removal of the eye (enucleation) in 2% of cases.
- The research found that 77% of cases managed to retain the globe (eye) and 53% retained vision. Instances of corneal perforation were strongly connected with loss of vision.
Conclusions
- Overall, the study indicates that keratomycosis is relatively rare in horses presented for eye conditions at the UCD-VMTH.
- Important to note is the significant association between corneal perforation and vision loss, indicating these cases to have a negative prognosis.
Cite This Article
APA
Reed Z, Thomasy SM, Good KL, Maggs DJ, Magdesian KG, Pusterla N, Hollingsworth SR.
(2012).
Equine keratomycoses in California from 1987 to 2010 (47 cases).
Equine Vet J, 45(3), 361-366.
https://doi.org/10.1111/j.2042-3306.2012.00623.x Publication
Researcher Affiliations
- William R. Pritchard Veterinary Medical Teaching Hospital, School of Veterinary Medicine, University of California, USA.
MeSH Terms
- Animals
- Anti-Inflammatory Agents / therapeutic use
- Antifungal Agents / therapeutic use
- California / epidemiology
- Eye Infections, Fungal / drug therapy
- Eye Infections, Fungal / epidemiology
- Eye Infections, Fungal / microbiology
- Eye Infections, Fungal / veterinary
- Fungi / classification
- Fungi / isolation & purification
- Horse Diseases / drug therapy
- Horse Diseases / epidemiology
- Horse Diseases / microbiology
- Horses
- Retrospective Studies
Grant Funding
- K08 EY021142 / NEI NIH HHS
Conflict of Interest Statement
. No competing interests have been declared.
References
This article includes 42 references
- Grahn B, Wolfer J, Keller C, Wilcock B. Equine keratomycosis: clinical and laboratory findings in 23 cases.. Prog Vet Comp Ophthalmol 1993;3:2–7.
- Beech J, Sweeney CR, Irby N. Keratomycosis in 11 Horses.. Equine Vet J 1983;2 (suppl):39–44.
- Barton MH. Equine keratomycosis.. Compend Contin Educ Pract Vet 1992;14:936–944.
- Gaarder JE, Rebhun WC, Ball MA, Patten V, Shin S, Erb H. Clinical appearances, healing patterns, risk factors, and outcomes of horses with fungal keratitis: 53 cases (1978-1996).. J Am Vet Med Assoc 1998 Jul 1;213(1):105-12.
- Andrew SE, Brooks DE, Smith PJ, Gelatt KN, Chmielewski NT, Whittaker CJ. Equine ulcerative keratomycosis: visual outcome and ocular survival in 39 cases (1987-1996).. Equine Vet J 1998 Mar;30(2):109-16.
- Ball MA, Rebhun WC, Gaarder JE, Patten V. Evaluation of itraconazole-dimethyl sulfoxide ointment for treatment of keratomycosis in nine horses.. J Am Vet Med Assoc 1997 Jul 15;211(2):199-203.
- Sansom J, Featherstone H, Barnett KC. Keratomycosis in six horses in the United Kingdom.. Vet Rec 2005 Jan 1;156(1):13-7.
- Hendrix DV, Brooks DE, Smith PJ, Gelatt KN, Miller TR, Whittaker C, Pellicane C, Chmielewski N. Corneal stromal abscesses in the horse: a review of 24 cases.. Equine Vet J 1995 Nov;27(6):440-7.
- Brooks DE, Andrew SE, Denis H, Strubbe DT, Biros DJ, Cutler TJ, Samuelson DA, Gelatt KN. Rose bengal positive epithelial microerosions as a manifestation of equine keratomycosis.. Vet Ophthalmol 2000;3(2-3):83-86.
- Bistner SI, Riis RC. Clinical aspects of mycotic keratitis in the horse.. Cornell Vet 1979 Oct;69(4):364-74.
- Gemensky-Metzler AJ, Wilkie DA, Kowalski JJ, Schmall LM, Willis AM, Yamagata M. Changes in bacterial and fungal ocular flora of clinically normal horses following experimental application of topical antimicrobial or antimicrobial-corticosteroid ophthalmic preparations.. Am J Vet Res 2005 May;66(5):800-11.
- Samuelson DA, Andresen TL, Gwin RM. Conjunctival fungal flora in horses, cattle, dogs, and cats.. J Am Vet Med Assoc 1984 May 15;184(10):1240-2.
- Rosa M, Cardozo LM, da Silva Pereira J, Brooks DE, Martins AL, Florido PS, Stussi JS. Fungal flora of normal eyes of healthy horses from the State of Rio de Janeiro, Brazil.. Vet Ophthalmol 2003 Mar;6(1):51-5.
- Andrew SE, Nguyen A, Jones GL, Brooks DE. Seasonal effects on the aerobic bacterial and fungal conjunctival flora of normal thoroughbred brood mares in Florida.. Vet Ophthalmol 2003 Mar;6(1):45-50.
- Ledbetter EC, Patten VH, Scarlett JM, Vermeylen FM. In vitro susceptibility patterns of fungi associated with keratomycosis in horses of the northeastern United States: 68 cases (1987-2006).. J Am Vet Med Assoc 2007 Oct 1;231(7):1086-91.
- Brooks DE, Andrew SE, Dillavou CL, Ellis G, Kubilis PS. Antimicrobial susceptibility patterns of fungi isolated from horses with ulcerative keratomycosis.. Am J Vet Res 1998 Feb;59(2):138-42.
- Coad CT, Robinson NM, Wilhelmus KR. Antifungal sensitivity testing for equine keratomycosis.. Am J Vet Res 1985 Mar;46(3):676-8.
- Hamilton HI, McLaughlin SA, Whitley EM, Gilger BC, Whitley RD. Histological findings in corneal stromal abscesses of 11 horses: correlation with cultures and cytology.. Equine Vet J 1994 Nov;26(6):448-53.
- Ou JI, Acharya NR. Epidemiology and treatment of fungal corneal ulcers.. Int Ophthalmol Clin 2007 Summer;47(3):7-16.
- Preacher KJ. Calculation for the chi-square-test: An interactive calculation tool for chi-square-tests of goodness of fit and independence.. 2001.
- National Committee for Clinical Laboratory Standards. Reference Method for Broth Dilution Antifungal Susceptibility Testing of Filamentous Fungi; Approved Standard.. 2. NCCLS document M38-A2.
- National Committee for Clinical Laboratory Standards. Reference Method for Broth Dilution Antifungal Susceptibility Testing of Yeasts; Approved Standard.. 3. NCCLS document M38-A3.
- Galán A, Martín-Suárez E, Gallardo J, Malleda J. Clinical findings and progression of 10 cases of equine ulcerative keratomycosis (2004–2007). Equine Vet Educ 2009;21:236–242.
- Wilhelmus KR. Climatology of dematiaceous fungal keratitis.. Am J Ophthalmol 2005 Dec;140(6):1156-7.
- Moore CP, Heller N, Majors LJ, Whitley RD, Burgess EC, Weber J. Prevalence of ocular microorganisms in hospitalized and stabled horses.. Am J Vet Res 1988 Jun;49(6):773-7.
- Smolin G, Okumoto M. Potentiation of Candida albicans keratitis by antilymphocyte serum and corticosteroids.. Am J Ophthalmol 1969 Oct;68(4):675-82.
- Francois J, Rijsselaere M. Corticosteroids and ocular mycoses: experimental study.. Ann Ophthalmol 1974 Mar;6(3):207-17.
- Petroutsos G, Guimaraes R, Giraud JP, Pouliquen Y. Corticosteroids and corneal epithelial wound healing.. Br J Ophthalmol 1982 Nov;66(11):705-8.
- Boneham GC, Collin HB. Steroid inhibition of limbal blood and lymphatic vascular cell growth.. Curr Eye Res 1995 Jan;14(1):1-10.
- Phillips K, Arffa R, Cintron C, Rose J, Miller D, Kublin CL, Kenyon KR. Effects of prednisolone and medroxyprogesterone on corneal wound healing, ulceration, and neovascularization.. Arch Ophthalmol 1983 Apr;101(4):640-3.
- O'Day DM, Ray WA, Robinson R, Head WS. Efficacy of antifungal agents in the cornea. II. Influence of corticosteroids.. Invest Ophthalmol Vis Sci 1984 Mar;25(3):331-5.
- Searl SS, Udell IJ, Sadun A, Hyslop NE Jr, Albert DM, Kenyon KR. Aspergillus keratitis with intraocular invasion.. Ophthalmology 1981 Dec;88(12):1244-50.
- Moore CP, Fales WH, Whittington P, Bauer L. Bacterial and fungal isolates from Equidae with ulcerative keratitis.. J Am Vet Med Assoc 1983 Mar 15;182(6):600-3.
- McLaughlin SA, Brightman AH, Helper LC, Manning JP, Tomes JE. Pathogenic bacteria and fungi associated with extraocular disease in the horse.. J Am Vet Med Assoc 1983 Feb 1;182(3):241-2.
- Venugopal PL, Venugopal TL, Gomathi A, Ramakrishna ES, Ilavarasi S. Mycotic keratitis in Madras.. Indian J Pathol Microbiol 1989 Jul;32(3):190-7.
- Pearce JW, Giuliano EA, Moore CP. In vitro susceptibility patterns of Aspergillus and Fusarium species isolated from equine ulcerative keratomycosis cases in the midwestern and southern United States with inclusion of the new antifungal agent voriconazole.. Vet Ophthalmol 2009 Sep-Oct;12(5):318-24.
- Betbeze CM, Wu CC, Krohne SG, Stiles J. In vitro fungistatic and fungicidal activities of silver sulfadiazine and natamycin on pathogenic fungi isolated from horses with keratomycosis.. Am J Vet Res 2006 Oct;67(10):1788-93.
- Clode AB, Davis JL, Salmon J, Michau TM, Gilger BC. Evaluation of concentration of voriconazole in aqueous humor after topical and oral administration in horses.. Am J Vet Res 2006 Feb;67(2):296-301.
- Shadomy HJ, Dixon DM. A new Papulaspora species from the infected eye of a horse: Papulaspora equi sp. nov.. Mycopathologia 1989 Apr;106(1):35-9.
- Olson CL. Bacterial flora of the conjunctiva and lid margin. Effects of parenteral trisulfapyramidines and topical tetracycline and erythromycin.. Arch Ophthalmol 1969 Aug;82(2):197-202.
- Wilson FM 2nd. Adverse external ocular effects of topical ophthalmic medications.. Surv Ophthalmol 1979 Sep-Oct;24(2):57-88.
- Keller RL, Hendrix DV. Bacterial isolates and antimicrobial susceptibilities in equine bacterial ulcerative keratitis (1993--2004).. Equine Vet J 2005 May;37(3):207-11.
Citations
This article has been cited 15 times.- Mo PM, Picard J, Gummow B. The conjunctival fungal microflora of horses in a North Queensland tropical environment and their in vitro susceptibilities to antifungal agents. Vet Res Commun 2023 Sep;47(3):1641-1651.
- Walter H, Verspohl J, Meißner J, Oltmanns H, Geks AK, Busse C. In Vitro Antimicrobial Activity of N-Acetylcysteine against Pathogens Most Commonly Associated with Infectious Keratitis in Dogs and Cats. Antibiotics (Basel) 2023 Mar 11;12(3).
- Lazareva Y, Rayisyan M, Mironova E. Features of the clinical picture of keratitis in horses with different forms of the course of the disease. Open Vet J 2022 Nov-Dec;12(6):830-838.
- Tahoun A, Elnafarawy HK, Elmahallawy EK, Abdelhady A, Rizk AM, El-Sharkawy H, Youssef MA, El-Khodery S, Ibrahim HMM. Epidemiological and Molecular Investigation of Ocular Fungal Infection in Equine from Egypt. Vet Sci 2020 Sep 8;7(3).
- Flores MM, Del Piero F, Habecker PL, Langohr IM. A retrospective histologic study of 140 cases of clinically significant equine ocular disorders. J Vet Diagn Invest 2020 May;32(3):382-388.
- Mustikka MP, Grönthal TSC, Pietilä EM. Equine infectious keratitis in Finland: Associated microbial isolates and susceptibility profiles. Vet Ophthalmol 2020 Jan;23(1):148-159.
- Cullen M, Jacob ME, Cornish V, VanderSchel IQ, Cotter HVT, Cubeta MA, Carbone I, Gilger BC. Multi-locus DNA sequence analysis, antifungal agent susceptibility, and fungal keratitis outcome in horses from Southeastern United States. PLoS One 2019;14(3):e0214214.
- Sandmeyer LS, Bauer BS, Robinson K, Grahn BH. Diagnostic ophthalmology. Can Vet J 2014 Mar;55(3):281-3.
- Stolle LM, Oltmanns H, Meißner J, Heun F, Schieder AK, Wolff HT, Ohnesorge B, Busse C. Polyhexanide, Povidone-Iodine, and Hypochlorous Acid Show High In Vitro Antimicrobial Efficacy Against Pathogens Commonly Associated With Equine Infectious Keratitis. Vet Ophthalmol 2026 Jan;29(1):e70141.
- Hardefeldt L, Thomas K, Page S, Norris J, Browning G, El Hage C, Stewart A, Gilkerson J, Muscatello G, Verwilghen D, van Galen G, Bauquier J, Cuming R, Reynolds B, Whittaker C, Wilkes E, Clulow J, Burden C, Begg L. Antimicrobial prescribing guidelines for horses in Australia. Aust Vet J 2025 Dec;103(12):781-889.
- Marchegiani A, Bazzano M, Cassarani MP, Arcelli R, Orzalesi C, Lombardo G, Lombardo M, Spaterna A, Gialletti R. Efficacy of riboflavin/UV-A corneal phototherapy as stand-alone treatment for ulcerative keratitis in horses. Vet Med (Praha) 2021 Aug;66(8):321-329.
- Preston JF, Mustikka MP, Priestnall SL, Dunkel B, Fischer MC. Clinical features and outcomes of horses presenting with presumed equine immune mediated keratitis to two veterinary hospitals in the United Kingdom and Finland: 94 cases (2009-2021). Equine Vet J 2025 May;57(3):598-610.
- Bhunjun CS, Chen YJ, Phukhamsakda C, Boekhout T, Groenewald JZ, McKenzie EHC, Francisco EC, Frisvad JC, Groenewald M, Hurdeal VG, Luangsa-Ard J, Perrone G, Visagie CM, Bai FY, Błaszkowski J, Braun U, de Souza FA, de Queiroz MB, Dutta AK, Gonkhom D, Goto BT, Guarnaccia V, Hagen F, Houbraken J, Lachance MA, Li JJ, Luo KY, Magurno F, Mongkolsamrit S, Robert V, Roy N, Tibpromma S, Wanasinghe DN, Wang DQ, Wei DP, Zhao CL, Aiphuk W, Ajayi-Oyetunde O, Arantes TD, Araujo JC, Begerow D, Bakhshi M, Barbosa RN, Behrens FH, Bensch K, Bezerra JDP, Bilański P, Bradley CA, Bubner B, Burgess TI, Buyck B, Čadež N, Cai L, Calaça FJS, Campbell LJ, Chaverri P, Chen YY, Chethana KWT, Coetzee B, Costa MM, Chen Q, Custódio FA, Dai YC, Damm U, Santiago ALCMA, De Miccolis Angelini RM, Dijksterhuis J, Dissanayake AJ, Doilom M, Dong W, Álvarez-Duarte E, Fischer M, Gajanayake AJ, Gené J, Gomdola D, Gomes AAM, Hausner G, He MQ, Hou L, Iturrieta-González I, Jami F, Jankowiak R, Jayawardena RS, Kandemir H, Kiss L, Kobmoo N, Kowalski T, Landi L, Lin CG, Liu JK, Liu XB, Loizides M, Luangharn T, Maharachchikumbura SSN, Mkhwanazi GJM, Manawasinghe IS, Marin-Felix Y, McTaggart AR, Moreau PA, Morozova OV, Mostert L, Osiewacz HD, Pem D, Phookamsak R, Pollastro S, Pordel A, Poyntner C, Phillips AJL, Phonemany M, Promputtha I, Rathnayaka AR, Rodrigues AM, Romanazzi G, Rothmann L, Salgado-Salazar C, Sandoval-Denis M, Saupe SJ, Scholler M, Scott P, Shivas RG, Silar P, Silva-Filho AGS, Souza-Motta CM, Spies CFJ, Stchigel AM, Sterflinger K, Summerbell RC, Svetasheva TY, Takamatsu S, Theelen B, Theodoro RC, Thines M, Thongklang N, Torres R, Turchetti B, van den Brule T, Wang XW, Wartchow F, Welti S, Wijesinghe SN, Wu F, Xu R, Yang ZL, Yilmaz N, Yurkov A, Zhao L, Zhao RL, Zhou N, Hyde KD, Crous PW. What are the 100 most cited fungal genera?. Stud Mycol 2024 Jul;108:1-411.
- Roberts D, Thomas J, Salmon J, Cubeta MA, Stapelmann K, Gilger BC. Cold atmospheric plasma inactivates Aspergillus flavus and Fusarium keratoplasticum biofilms and conidia in vitro. J Med Microbiol 2024 Jul;73(7).
- Tieu S, Charchoglyan A, Paulsen L, Wagter-Lesperance LC, Shandilya UK, Bridle BW, Mallard BA, Karrow NA. N-Acetylcysteine and Its Immunomodulatory Properties in Humans and Domesticated Animals. Antioxidants (Basel) 2023 Oct 16;12(10).
Use Nutrition Calculator
Check if your horse's diet meets their nutrition requirements with our easy-to-use tool Check your horse's diet with our easy-to-use tool
Talk to a Nutritionist
Discuss your horse's feeding plan with our experts over a free phone consultation Discuss your horse's diet over a phone consultation
Submit Diet Evaluation
Get a customized feeding plan for your horse formulated by our equine nutritionists Get a custom feeding plan formulated by our nutritionists