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Fungal Keratitis in a Warmblood Gelding

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A 14 year old Warmblood gelding initially presented to the Cornell Ruffian Center for fever and presumed maxillary sinusitis. A centrally located corneal ulcer was identified in the left eye (OS). Following sinus treatment, the patient was referred to Cornell University Equine and Fann Animal Hospital (EFAH) for further evaluation. On presentation to EF AH, the patient was squinting his left eye and the left cornea was diffusely rose bengal positive. Corneal in vivo confocal microscopy revealed diffuse superficial keratitis with fungal elements present OS. A diagnosis of fungal keratitis was made. Medical management using voriconazole, ofloxacin and atropine was attempted but the patient had worsened on recheck two weeks later. Repeat confocal microscopy revealed numerous fungal hyphae present in the superficial cornea. With failure of medical management, surgery was elected. A superficial keratectomy with a conjunctiva] bridge graft was performed and medical therapy was altered. This paper will discuss etiology, presentation, diagnosis and treatment of equine fungal keratitis.

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2016-10-26

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Fungal keratitis, keratomycosis, equine

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case study

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