Moriwaki Y, Iizuka T, Nakamura A, Nakata K, Masaoka Y, Ueda T, Koide R, Inatomi M, Fukado Y, Uchida E
Department of Ophthalmology, School of Medicine, Showa University, Shinagawa-ku, Japan.
Nippon Ganka Gakkai Zasshi. 1992 Feb;96(2):152-60.
It has been reported that some of the topically-used antiglaucomatics have a central ocular hypotensive effect. In this study, the influence of topical and intracerebroventricular (i.c.v.) administration of phenylephrine, clonidine, guanfacine, prazosin, yohimbine on the intraocular pressure (IOP) was investigated in the rabbit. Male pigmented rabbits were used throughout the experiments. For measurement of IOP, an applanation pneumatonograph was used. By unilateral topical administration of phenylephrine, an increase in IOP in the eye in which instillation was performed was observed. On the other hand, a slight decrease in IOP was observed by similar treatment of prazosin and yohimbine. No significant change of IOP in the contralateral eye was observed with these drugs. On the contrary, unilateral topical administration of clonidine or guanfacine decreased the IOP of both eyes. Furthermore, the decrease of IOP was more remarkable in the contralateral eye compared to the eye which received instillation. The IOP of both eyes was decreased in a dose-related fashion by i.c.v. administration of clonidine or guanfacine. The ocular hypotensive effects of clonidine were diminished by the pretreatment by i.c.v. administration with yohimbine. These results suggest that the ocular hypotensive effect of clonidine and guanfacine is due to their alpha 2-adrenoceptor stimulation in the central nervous system.
据报道,一些局部使用的抗青光眼药物具有中枢性降眼压作用。在本研究中,研究了苯肾上腺素、可乐定、胍法辛、哌唑嗪、育亨宾局部及脑室内给药对兔眼压(IOP)的影响。整个实验使用雄性有色兔。使用压平式眼压计测量眼压。通过单侧局部给予苯肾上腺素,观察到给药眼的眼压升高。另一方面,哌唑嗪和育亨宾进行类似处理后观察到眼压略有下降。这些药物对侧眼的眼压未观察到明显变化。相反,单侧局部给予可乐定或胍法辛可降低双眼眼压。此外,与给药眼相比,对侧眼的眼压下降更显著。脑室内给予可乐定或胍法辛可使双眼眼压呈剂量相关下降。可乐定的降眼压作用可被脑室内给予育亨宾预处理减弱。这些结果表明,可乐定和胍法辛的降眼压作用是由于它们在中枢神经系统中刺激α2肾上腺素能受体。