Mycobacteriosis, eye, cat. Inflammation scores: 1 = less than 1000
inflammatory cells; 2 = 1000–10,000 inflammatory cells; 3 =
10,001–50,000 inflammatory cells; 4 = 50,001–100,000 inflammatory cells;
5 = more than 100,000 inflammatory cells, calculated over the entire
area of the lesion. Figure 11. Iris, Mycobacterium
bovis, case 5. Inflammation score 2. (a) Lymphoplasmacytic
iritis with scant T cells scattered throughout the iris stroma (black
arrow). Immunohistochemistry (IHC) for CD3. (b) B cells are more
abundant and outnumber T cells. IHC for Pax5. Figure 12.
Ciliary body, M. bovis, case 9. Pyogranulomatous
cyclitis, inflammation score 5, with extensive necrosis (asterisk) and
loss of the epithelium of the pars plicata. There is a cyclitic membrane
(black arrow), and Morgagnian globules in the lens (inset), indicating a
cataract. Hematoxylin and eosin (HE). Figure 13. Sclera and
episclera, M. bovis, case 4. Pyogranulomatous
scleritis, inflammation score 5, with degeneration of collagen
(asterisk) and a cluster of lymphocytes (black arrow). HE. Figure
14. Sclera, Mycobacterium lepraemurium, case
22. Pyogranulomatous scleritis, inflammation score 4, with “atypical”
granulomas showing immunolabeled monocytes and granulocytes, mostly
within the granuloma; macrophages and epithelioid macrophages are
negative. IHC for calprotectin. Figure 15. Corneal limbus,
M. lepraemurium, case 21. Inflammation score 3. (a)
Pyogranulomatous perilimbal inflammation expanding the stroma, with the
formation of non-necrotic pyogranulomas dominated by epithelioid
macrophages. Normal features of the corneal limbus such as blood vessels
(black arrow) and melanocytes are present. HE. (b) Positive staining for
acid-fast bacilli indicative of mycobacteria within pyogranulomas.
Bacterial index grade 5. Ziehl-Neelsen (ZN). Figure 16.
Conjunctiva, Mycobacterium microti, case 3.
Pyogranulomatous conjunctivitis of the third eyelid, inflammation score
5. Collagen fibers are present, subdividing the inflammatory infiltrate.
The fibrous capsules are thin and incomplete. Masson’s trichrome.
Figure 17. Optic nerve, M. bovis, case
8. Inflammation score 5. (a) Pyogranulomatous optic neuritis with
necrosis (asterisk). HE. (b) Abundant acid-fast bacilli (pink) present
within the optic nerve. The overall bacterial index grade was 5. ZN.
Figure 18. Vitreous, M. bovis, case
17. Neutrophils are numerous within the vitreous. IHC for
calprotectin.