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Objective  To retrospectively describe laboratory findings, treatment, and outcome associated with equine infectious keratitis in Finland.    Animals and procedures  Medical records of horses diagnosed with infectious keratitis in University of Helsinki Equine Hospital from January 2007 to June 2018 were reviewed.    Results  Forty‐seven cases were included. Keratomycosis was diagnosed in 27 eyes and bacterial keratitis in 20 eyes.  Aspergillus flavus  was the most frequent fungal isolate (9/17, 53%), followed by  Cylindrocarpon  sp. (3/17, 18%) and  Aspergillus fumigatus  (2/17, 12%). Susceptibility was tested for 10/11  Aspergillus  sp. isolates; all were susceptible to voriconazole while only two were susceptible to amphotericin B.  Cylindrocarpon  sp. isolates were resistant to both agents.  Streptococcus equi  subsp.  zooepidemicus  was the most frequent bacterial isolate (9/19, 47%), followed by other streptococci (4/19, 21%). All 13  Streptococcus  sp. isolates were susceptible to penicillin, and all tested isolates (n = 11) were also susceptible to chloramphenicol. Mean duration of medical treatment was longer in fungal keratitis (38 days) than in bacterial keratitis (25 days) ( P  < .001). Twenty‐six of the eyes underwent globe‐sparing surgery in addition to medical therapy. Recovery was achieved in 66% (31/47) of all cases and in 59% (16/27) and 75% (15/20) ( P  = .264) of cases with keratomycosis and bacterial keratitis, respectively.    Conclusions  Although  Aspergillus  sp. and  S zooepidemicus  were the most frequently encountered isolates, cytology, culture, and susceptibility testing are essential to differentiate bacterial and fungal keratitis and guide the clinician to choose the most efficient treatment.

Equine infectious keratitis in Finland: Associated microbial isolates and susceptibility profiles