Department of Clinical Sciences, Faculty of Veterinary Medicine, University of Montreal, Saint-Hyacinthe, QC, Canada.
Vet Ophthalmol. 2021 Nov;24(6):582-590. doi: 10.1111/vop.12896. Epub 2021 May 12.
Evaluate the effect of repeated doses of topical 1% cyclopentolate hydrochloride alone and in combination with topical 2.5% phenylephrine on pupil diameter (PD), tear production (STT-1), intraocular pressure (IOP), digestive function (gut motility and feces production), and heart rate (HR).
Six healthy mares.
In a prospective, randomized, controlled, and crossover design study, the left eye of six healthy mares was administered 0.2 mL of cyclopentolate alone and in combination with 0.2 mL of phenylephrine. The drugs were administered 3 times a day for 1 day, twice a day for 1 day, and then once a day for 2 days, as commonly used in practice. Daily and two days after the last topical drug administration, HR, digestive auscultation, feces production, STT-1, IOP, and PD were recorded.
The cyclopentolate alone significantly increased the horizontal and vertical PD of the treated eye from day 2 to day 6 (p < .0001) compared with the baseline value. The combination with topical phenylephrine did not have any additional effect on mydriasis compare with the cyclopentolate alone. The other ocular and digestive parameters were not affected by repeated doses of cyclopentolate alone or combined.
Repeated administration of cyclopentolate alone or combined with phenylephrine induce a significant mydriasis for at least 48 h after the last administration in normal horses' eyes, and do not affect STT-1, IOP, digestive function, and HR. The phenylephrine combined with the cyclopentolate did not potentiate the pupil dilation when compared with cyclopentolate alone in healthy horses.
评估单独及联合使用 1%盐酸环戊醇和 2.5%苯肾上腺素重复局部给药对瞳孔直径(PD)、泪液生成(STT-1)、眼内压(IOP)、消化功能(肠道蠕动和粪便生成)和心率(HR)的影响。
六匹健康母马。
在一项前瞻性、随机、对照和交叉设计的研究中,六匹健康母马的左眼分别给予 0.2 mL 环戊醇和 0.2 mL 苯肾上腺素。药物每天给药 3 次持续 1 天,每天给药 2 次持续 1 天,然后每天给药 1 次持续 2 天,这是临床上常用的给药方式。在最后一次局部药物给药后的每天和两天,记录 HR、消化听诊、粪便生成、STT-1、IOP 和 PD。
与基线值相比,单独使用环戊醇从第 2 天到第 6 天(p<0.0001)显著增加了治疗眼的水平和垂直 PD。与单独使用环戊醇相比,联合使用局部苯肾上腺素对瞳孔散大没有任何额外作用。其他眼部和消化参数不受单独重复使用环戊醇或联合用药的影响。
在正常马的眼睛中,单独或联合使用环戊醇重复给药至少 48 小时后可显著引起瞳孔散大,且不影响 STT-1、IOP、消化功能和 HR。与单独使用环戊醇相比,苯肾上腺素联合环戊醇并不能增强瞳孔扩张。