Corneal stromal abscess in a horse

A thoroughbred yearling presented with a focal, yellow, midstromal corneal opacity with concurrent iridocyclitis which was consistent with a corneal stromal abscess. When continued, appropriate, medical therapy failed to improve the patient’s condition, penetrating keratoplasty was performed for diagnosis and therapy. Histopathology showed that the deep corneal stroma and Descemet’s membrane were severely infiltrated with necrotic neutrophils and numerous, intralesional fungal hyphae. Culture was negative. Bacteria were not isolated, consistent with a fungal corneal stromal abscess. The resultant corneal scar did not interfere with the horse’s racing career.