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Veterinary ophthalmology2025; 29(1); e70012; doi: 10.1111/vop.70012

Ultraviolet C (UV-C) Light Therapy for Equine Ulcerative Keratomycosis-An In Vitro Study.

Abstract: To assess if an affordable, commercially available 275 nm ultraviolet C (UV-C) device can inhibit fungal pathogens associated with equine keratomycosis and to establish the optimal exposure time/dose required in vitro. Methods: Fungal inhibition zone surface areas of isolates from two fungal genera (Aspergillus and Fusarium spp.) were compared in triplicates after UV-C exposure at distances of 10, 15, and 20 mm with single or repeat doses (4 h apart) of 5, 10, 15, or 30 s duration after 24, 48, and 72 h of incubation. Inhibition zones were microscopically assessed, and regrowth checks were performed. Results: Fungal inhibition was achieved with the lowest exposures/doses of 5 s/7.5 mJ/cm and 10 s/7 mJ/cm at distances of 10 and 20 mm, respectively. At 10 mm, the fungal inhibition zone was statistically significantly enlarged by increasing exposure/dose from 5 s to 15 s/22.5 mJ/cm for all isolates. Only Aspergillus flavus showed a further significant zone enlargement after a 30 s/45 mJ/cm exposure/dose. Fungal inhibition zone sizes did not differ significantly between isolates after 15 s exposure regardless of distance, but an increased distance led to a subjective increase in fungal regrowth. While inhibition zones decreased over time, no central growth was noted despite the lack of complete fungal eradication. Conclusions: For Aspergillus and Fusarium spp., an exposure/dose of 15 s at a 10 mm distance/22.5 mJ/cm may optimally align antifungal efficacy with previously reported corneal safety data. Further preclinical and safety studies are required to ensure that this effect translates into clinical practice.
Publication Date: 2025-03-05 PubMed ID: 40045512DOI: 10.1111/vop.70012Google Scholar: Lookup
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  • Journal Article

Summary

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Overview

  • This study investigated whether a commercially available ultraviolet C (UV-C) light device can effectively inhibit fungi that cause eye infections (keratomycosis) in horses.
  • The research aimed to identify the optimal UV-C exposure time and dose that inhibits fungal growth in laboratory conditions.

Background and Objective

  • Equine ulcerative keratomycosis is a fungal infection of the cornea in horses, primarily caused by Aspergillus and Fusarium species.
  • Current treatments can be expensive or have limited efficacy, so alternative therapies are sought.
  • UV-C light at 275 nm has known antimicrobial properties and could be a cost-effective treatment option.
  • The study sought to test a commercially available UV-C device for its ability to inhibit fungal pathogens linked to this equine eye disease.
  • The specific goals were to determine which exposure times and doses produce effective fungal inhibition in vitro and to assess safety based on existing corneal data.

Methods

  • Fungal isolates from two genera linked to equine keratomycosis—Aspergillus and Fusarium—were grown in petri dishes.
  • UV-C light at 275 nm was applied at different distances from the fungal cultures: 10 mm, 15 mm, and 20 mm.
  • Exposure durations tested included 5, 10, 15, and 30 seconds.
  • Doses were given either as a single exposure or repeated exposures 4 hours apart.
  • The areas of fungal growth inhibition, called inhibition zones, were measured after 24, 48, and 72 hours of incubation.
  • Microscopic examination was used to confirm the inhibition zones and to monitor fungal regrowth over time.

Key Findings

  • Effective fungal inhibition was observed with short UV-C exposures:
    • 5 seconds (7.5 mJ/cm²) at 10 mm distance
    • 10 seconds (7 mJ/cm²) at 20 mm distance
  • Increasing exposure time from 5 seconds to 15 seconds at 10 mm distance significantly increased the inhibition zone size for all fungal isolates.
  • Only Aspergillus flavus showed further significant growth inhibition with a 30-second exposure.
  • After 15 seconds of exposure, the inhibition zone sizes were similar across all isolates and distances tested.
  • Greater distance between the UV-C source and fungi tended to allow more fungal regrowth, suggesting less effective treatment.
  • Although inhibition zones shrank over time, no fungal regrowth was observed in the center of the inhibited area, implying persistent fungal suppression even without complete eradication.

Conclusions and Implications

  • An exposure/dose of 15 seconds at 10 mm distance (delivering about 22.5 mJ/cm²) appears to provide the best balance between antifungal effectiveness and previously reported corneal safety limits.
  • This finding supports the potential use of affordable, commercially available UV-C devices as adjunct treatment for fungal keratitis in horses.
  • However, the study was conducted in vitro, so in vivo preclinical and safety studies are necessary to confirm that these doses are both effective and safe in live animals.
  • Future research should also explore clinical protocols, possible tissue effects, and long-term outcomes before recommending UV-C as a standard therapy.

Cite This Article

APA
Hoerdemann M, Sahoo DK, Allbaugh RA, Kubai MA. (2025). Ultraviolet C (UV-C) Light Therapy for Equine Ulcerative Keratomycosis-An In Vitro Study. Vet Ophthalmol, 29(1), e70012. https://doi.org/10.1111/vop.70012

Publication

ISSN: 1463-5224
NlmUniqueID: 100887377
Country: England
Language: English
Volume: 29
Issue: 1
Pages: e70012

Researcher Affiliations

Hoerdemann, Mona
  • Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Iowa State University, Ames, Iowa, USA.
Sahoo, Dipak K
  • Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Iowa State University, Ames, Iowa, USA.
Allbaugh, Rachel A
  • Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Iowa State University, Ames, Iowa, USA.
Kubai, Melissa A
  • Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Iowa State University, Ames, Iowa, USA.

MeSH Terms

  • Animals
  • Horses
  • Horse Diseases / radiotherapy
  • Horse Diseases / microbiology
  • Fusarium / radiation effects
  • Corneal Ulcer / veterinary
  • Corneal Ulcer / radiotherapy
  • Corneal Ulcer / microbiology
  • Eye Infections, Fungal / veterinary
  • Eye Infections, Fungal / radiotherapy
  • Eye Infections, Fungal / microbiology
  • Ultraviolet Therapy / veterinary
  • Aspergillus / radiation effects
  • Ultraviolet Rays

Grant Funding

  • KC Award 028567-00001 / International Equine Ophthalmology Consortium Research Grant
  • CVM PG105121 / Iowa State University College of Veterinary Medicine Seed Grant

References

This article includes 29 references
  1. Martinez PS, Whitley RD, Plummer CE, Richardson RL, Hamor RE, Wellehan JFX. In Vitro Antifungal Susceptibility of Fusarium Species and Aspergillus fumigatus Cultured From Eleven Horses With Fungal Keratitis. Veterinary Ophthalmology 25, no. 5 (2022): 376–384.
    doi: 10.1111/vop.12995google scholar: lookup
  2. Brooks DE, Andrew SE, Dillavou CL, Ellis G, Kubilis PS. Antimicrobial Susceptibility Patterns of Fungi Isolated From Horses With Ulcerative Keratomycosis. American Journal of Veterinary Research 59, no. 2 (1998): 138–142.
  3. Andrew SE, Brooks DE, Smith PJ, Gelatt KN, Chmielewski NT, Whittaker CJG. Equine Ulcerative Keratomycosis: Visual Outcome and Ocular Survival in 39 Cases (1987–1996). Equine Veterinary Journal 30, no. 2 (1998): 109–116.
  4. Adams VJ, Campbell JR, Waldner CL, Dowling PM, Shmon CL. Evaluation of Client Compliance With Short‐Term Administration of Antimicrobials to Dogs. Journal of the American Veterinary Medical Association 226, no. 4 (2005): 567–574.
  5. 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. Veterinary Ophthalmology 12, no. 5 (2009): 318–324.
  6. Storm N, McKay LGA, Downs SN. Rapid and Complete Inactivation of SARS‐CoV‐2 by Ultraviolet‐C Irradiation. Scientific Reports 10, no. 1 (2020): 22421.
  7. Mohr H, Steil L, Gravemann U. BLOOD COMPONENTS: A Novel Approach to Pathogen Reduction in Platelet Concentrates Using Short‐Wave Ultraviolet Light. Transfusion 49, no. 12 (2009): 2612–2624.
  8. Dai T, Garcia B, Murray CK, Vrahas MS, Hamblin MR. UVC Light Prophylaxis for Cutaneous Wound Infections in Mice. Antimicrobial Agents and Chemotherapy 56, no. 7 (2012): 3841–3848.
    doi: 10.1128/aac.00161-12google scholar: lookup
  9. Song C, Wen R, Zhou J. UV C Light From a Light‐Emitting Diode at 275 Nm Shortens Wound Healing Time in Bacterium‐ and Fungus‐Infected Skin in Mice. Microbiology Spectrum 10, no. 6 (2022): e0342422.
    doi: 10.1128/spectrum.03424-22google scholar: lookup
  10. Rock C, Hsu YJ, Curless MS. Ultraviolet‐C Light Evaluation as Adjunct Disinfection to Remove Multidrug‐Resistant Organisms. Clinical Infectious Diseases 75, no. 1 (2021): 35–40.
    doi: 10.1093/cid/ciab896google scholar: lookup
  11. Persaud AT, Burnie J, Thaya L, Dsouza L, Martin S, Guzzo C. A UV‐LED Module That Is Highly Effective at Inactivating Human Coronaviruses and HIV‐1. Virology Journal 19, no. 1 (2022): 29.
  12. Marasini S, Leanse LG, Dai T. Can Microorganisms Develop Resistance Against Light Based Anti‐Infective Agents?. Advanced Drug Delivery Reviews 175 (2021): 113822.
  13. Marasini S. Exploring the Potential of UVC in Treating Superficial Corneal Infections (PhD Thesis). University of Auckland, 2019.
  14. Marasini S, Mugisho OO, Swift S. Effect of Therapeutic UVC on Corneal DNA: Safety Assessment for Potential Keratitis Treatment. Ocular Surface 20 (2021): 130–138.
  15. Kaidzu S, Sugihara K, Sasaki M. Re‐Evaluation of Rat Corneal Damage by Short‐Wavelength UV Revealed Extremely Less Hazardous Property of Far‐UV‐C†. Photochemistry and Photobiology 97, no. 3 (2021): 505–516.
    doi: 10.1111/php.13419google scholar: lookup
  16. Marasini S, Dean SJ, Swift S. Preclinical Confirmation of UVC Efficacy in Treating Infectious Keratitis. Ocular Surface 25 (2022): 76–86.
  17. Mallet JD, Rochette PJ. Wavelength‐Dependent Ultraviolet Induction of Cyclobutane Pyrimidine Dimers in the Human Cornea. Photochemical & Photobiological Sciences 12, no. 8 (2013): 1310–1318.
    doi: 10.1039/c3pp25408agoogle scholar: lookup
  18. Mallet JD, Dorr MM, Desgarnier MCD, Bastien N, Gendron SP, Rochette PJ. Faster DNA Repair of Ultraviolet‐Induced Cyclobutane Pyrimidine Dimers and Lower Sensitivity to Apoptosis in Human Corneal Epithelial Cells Than in Epidermal Keratinocytes. PLoS One 11, no. 9 (2016): e0162212.
  19. Marasini S, Craig JP, Dean SJ, Leanse LG. Managing Corneal Infections: Out With the Old, in With the New?. Antibiotics (Basel) 12, no. 8 (2023): 1334.
  20. Turicea B, Sahoo DK, Allbaugh RA, Stinman CC, Kubai MA. Novel Treatment of Infectious Keratitis in Canine Corneas Using Ultraviolet C (UV‐C) Light. Veterinary Ophthalmology (2024): 1–15.
    doi: 10.1111/vop.13265google scholar: lookup
  21. Martabano BB, Linde Henriksen M, Powell CC. Prevalence of Equine Ulcerative Keratomycosis in Colorado and Association of Environmental Factors: A Retrospective and Descriptive Study (2002–2017). Equine Veterinary Education 33, no. 1 (2021): 24–30.
    doi: 10.1111/eve.13200google scholar: lookup
  22. Galán A, Martín‐Suárez EM, Gallardo JM, Molleda JM. Clinical Findings and Progression of 10 Cases of Equine Ulcerative Keratomycosis (2004–2007). Equine Veterinary Education 21, no. 5 (2009): 236–242.
    doi: 10.2746/095777309x400289google scholar: lookup
  23. Voelter‐Ratson K, Pot SA, Florin M, Spiess BM. Equine Keratomycosis in Switzerland: A Retrospective Evaluation of 35 Horses (January 2000–August 2011). Equine Veterinary Journal 45, no. 5 (2013): 608–612.
    doi: 10.1111/evj.12042google scholar: lookup
  24. Rodrigo DV, Sierra‐Garcia JE, Santos M. Glasius Bio‐Inspired Neural Networks Based UV‐C Disinfection Path Planning Improved by Preventive Deadlock Processing Algorithm. Advances in Engineering Software 175 (2023): 103330.
  25. De Linde Henriksen M, Andersen PH, Mietelka K. Equine Deep Stromal Abscesses (51 Cases—2004–2009)—Part 2: The Histopathology and Immunohistochemical Aspect With Attention to the Histopathologic Diagnosis, Vascular Response, and Infectious Agents. Veterinary Ophthalmology 17, no. s1 (2013): 14–22.
    doi: 10.1111/vop.12102google scholar: lookup
  26. Nautscher N, Bauer A, Steffl M, Amselgruber WM. Comparative Morphological Evaluation of Domestic Animal Cornea. Veterinary Ophthalmology 19, no. 4 (2016): 297–304.
    doi: 10.1111/vop.12298google scholar: lookup
  27. Dugan SJ, Curtis CR, Roberts SM, Severin GA. Epidemiologic Study of Ocular/Adnexal Squamous Cell Carcinoma in Horses. Journal of the American Veterinary Medical Association 198, no. 2 (1991): 251–256.
  28. Ghallab A. In Vitro Test Systems and Their Limitations. EXCLI Journal 12 (2013): 1024–1026.
  29. Nagy LG, Varga T, Csernetics Á, Virágh M. Fungi Took a Unique Evolutionary Route to Multicellularity: Seven Key Challenges for Fungal Multicellular Life. Fungal Biology Reviews 34, no. 4 (2020): 151–169.
    doi: 10.1016/j.fbr.2020.07.002google scholar: lookup

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