Herring Ian P, Bobofchak Mark A, Landry Matthew P, Ward Daniel L
Department of Small Animal Clinical Sciences Virginia-Maryland Regional College of Veterinary Medicine, Virginia Tech, Blacksburg, VA 24061-0442, USA.
Am J Vet Res. 2005 Jan;66(1):77-80. doi: 10.2460/ajvr.2005.66.77.
To determine the duration of effect and the effect of multiple doses of topical ophthalmic application of 0.5% proparacaine hydrochloride on corneal sensitivity in clinically normal dogs.
8 clinically normal dogs.
Dogs were randomly allocated to treatment order in a 2 x 2 (period X treatment) crossover study. Treatments consisted of topical application of ophthalmic 0.5% proparacaine (1 drop or 2 drops at a 1-minute interval); treatments were applied to both eyes. A Cochet-Bonnet aesthesiometer was used to determine corneal touch threshold (CTT) before corneal application, 1 and 5 minutes after corneal application, and at 5-minute intervals thereafter for 90 minutes.
The CTT value before treatment differed significantly from CTT values after treatment until 45 minutes after application in the 1-drop group and until 55 minutes after application in the 2-drop group. As determined by use of the Cochet-Bonnet aesthesiometer, a significantly greater anesthetic effect was detected for the 2-drop treatment, compared with the effect for the 1-drop treatment, at 30, 35, 40, 45, 50, and 55 minutes after application. Maximal anesthetic effect lasted for 15 minutes for the 1-drop treatment and 25 minutes for the 2-drop treatment.
Duration of corneal anesthetic effect induced by topical ophthalmic application of 0.5% proparacaine in dogs of this study is considerably longer than that reported elsewhere. Serial application of doses of 0.5% proparacaine increases the duration and magnitude of corneal anesthetic effects.
确定0.5%盐酸丙美卡因局部眼用多次给药对临床正常犬角膜敏感性的作用持续时间及效果。
8只临床正常犬。
在一项2×2(时期×治疗)交叉研究中,犬被随机分配治疗顺序。治疗包括局部应用0.5%丙美卡因眼药水(1滴或每隔1分钟滴2滴);双眼均进行治疗。在角膜用药前、用药后1分钟和5分钟以及之后每隔5分钟直至90分钟,使用Cochet-Bonnet麻醉计确定角膜触觉阈值(CTT)。
在1滴组中,治疗前的CTT值与用药后45分钟内的CTT值有显著差异;在2滴组中,与用药后55分钟内的CTT值有显著差异。使用Cochet-Bonnet麻醉计测定,在用药后30、35、40、45、50和55分钟时,2滴治疗组的麻醉效果明显大于1滴治疗组。1滴治疗组的最大麻醉效果持续15分钟,2滴治疗组持续25分钟。
本研究中局部眼用0.5%丙美卡因对犬角膜产生麻醉作用的持续时间比其他地方报道的要长得多。多次应用0.5%丙美卡因可增加角膜麻醉作用的持续时间和强度。