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局部和全身应用硫酸阿托品对正常犬眼眼压和瞳孔直径影响的比较。

Comparison of the effects of topical and systemic atropine sulfate on intraocular pressure and pupil diameter in the normal canine eye.

作者信息

Kovalcuka Liga, Birgele Edite, Bandere Dace, Williams David L

机构信息

Faculty of Veterinary Medicine, Preclinical Institute, Latvia University of Agriculture, K. Helmaņa iela 8, Jelgava, LV-3004, Latvia.

出版信息

Vet Ophthalmol. 2015 Jan;18(1):43-9. doi: 10.1111/vop.12138. Epub 2014 Jan 16.

Abstract

OBJECTIVE

To compare the effects of topical 1% atropine sulfate and systemic 0.1% atropine sulfate on the intraocular pressure (IOP) and horizontal pupil diameter (HPD) in the canine eye.

PROCEDURES

Four groups, each containing 10 dogs of varying age, breed, and sex were treated as follows: (i) One 30 μL drop of topical 1% atropine sulfate was applied unilaterally in each dog, (ii) A control group, one drop of 0.9% saline was used, (iii) 0.06 mg/kg atropine sulfate was given by intramuscular injection, and (iv) Control with saline injected intramuscularly. In all groups, IOP and HPD were measured every 5 min over 60 min.

RESULTS

Topical atropine significantly increased IOP in the treated eye with no change in the untreated eye. A maximum increase in IOP from 17.7 ± 3.1 to 20.3 ± 3.1 mmHg (14.7% increase) was obtained 23.0 ± 14.3 min post-treatment. Maximal HPD of 12.1 ± 1.7 mm in the treated eye occurred 46.5 ± 6.3 min after treatment, with no increase in the untreated eye. Systemic atropine caused an increase in IOP in both eyes, showing a maximum at 15.5 ± 10.6 min post-treatment with an IOP of 17.3 ± 4.6 mmHg in the right eye and 17.1 ± 5.2 mmHg in the left eye (21.8% increase in the right eye and 21.6% in the left eye). Maximal HPD was noted in both eyes 30.0 ± 11.6 min after treatment.

CONCLUSIONS

Atropine sulfate causes a significant increase in IOP when given both topically and by intramuscular injection. It should be used with caution, or indeed avoided entirely, in dogs with glaucoma or in those with a predisposition to the condition.

摘要

目的

比较局部应用1%硫酸阿托品和全身应用0.1%硫酸阿托品对犬眼眼压(IOP)和水平瞳孔直径(HPD)的影响。

程序

将四组,每组包含10只不同年龄、品种和性别的犬,进行如下处理:(i)每只犬单侧滴入一滴30μL的1%硫酸阿托品,(ii)对照组,使用一滴0.9%生理盐水,(iii)通过肌肉注射给予0.06mg/kg硫酸阿托品,(iv)肌肉注射生理盐水作为对照。在所有组中,在60分钟内每隔5分钟测量一次IOP和HPD。

结果

局部应用阿托品使治疗眼的IOP显著升高,未治疗眼无变化。治疗后23.0±14.3分钟时,IOP从17.7±3.1mmHg最大升高至20.3±3.1mmHg(升高14.7%)。治疗眼的最大HPD为12.1±1.7mm,在治疗后46.5±6.3分钟出现,未治疗眼无增加。全身应用阿托品使双眼IOP升高,在治疗后15.5±10.6分钟时达到最大值,右眼IOP为17.3±4.6mmHg,左眼IOP为17.1±5.2mmHg(右眼升高21.8%,左眼升高21.6%)。治疗后30.0±11.6分钟时,双眼出现最大HPD。

结论

硫酸阿托品局部应用和肌肉注射时均会导致IOP显著升高。对于患有青光眼或有青光眼倾向的犬,应谨慎使用,或完全避免使用。

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