Caujolle D, Mansour D, Leng E A
J Fr Ophtalmol. 1982;5(4):263-71.
A 10% solution of ethanol in physiological saline, administered to the Blanc de Bouscat rabbit by the intraperitoneal route, causes a decrease of intraocular tension at a single dose as low as 15 mg per kg. This dose of 15 mg/kg, regularly given during 6 days per weeks, for 4 weeks, determines a progressive fall of intraocular tension during the 3 to 4 first days of each week, and has apparently cumulative effects: then, it remains at a constant level during the following days, and finally recovers its initial value between 2 consecutive weeks. The decrease of intraocular tension seems to be linked to a reduction of the secretory rate of aqueous humor, partly compensated by an increase of outflow resistance. Ethanol rate, as measured in the aqueous humor 120 min after the last injection, may be either equal to or higher than alcoholemia. After 24 hrs, there is no longer any dosable ethanol trace in the aqueous humor and in the blood, while the intraocular tension has reached its minimal value. It seems that a biological damage due to ethanol still persists, while ethanol rate is null in the blood and in the aqueous humor. A great number of authors have tried to find out the possible causes of ocular hypotension determined by high single doses of ethanol (from 200 to 3250 mg per kg) given to various animal species and to man. Proposed hypotheses do not seem to be worth being kept in mind when ethanol doses and very small (15 mg/kg). In the light of works carried out in vitro, it may be supposed that observed hypotensive ocular effects could be linked to central biochemical disorders having repercussions upon the variations of intraocular tension.
将10%乙醇生理盐水溶液经腹腔注射给予布萨克白兔子,单剂量低至每千克15毫克时即可引起眼内压降低。每周6天、连续4周定期给予15毫克/千克这一剂量,会使每周头3至4天眼内压逐渐下降,且显然有累积效应:之后,在接下来的几天内眼内压保持在恒定水平,最后在连续两周之间恢复到初始值。眼内压降低似乎与房水分泌率降低有关,部分由房水流出阻力增加所补偿。末次注射后120分钟房水中测得的乙醇含量可能等于或高于血液中的乙醇含量。24小时后,房水和血液中不再有可检测到的乙醇痕迹,而眼内压已达到最小值。似乎乙醇造成的生物损伤仍然存在,而血液和房水中的乙醇含量为零。许多作者试图找出给予各种动物和人类高单剂量乙醇(每千克200至3250毫克)所导致的眼压降低的可能原因。当乙醇剂量非常小(15毫克/千克)时,所提出的假设似乎不值得考虑。根据体外实验结果,可以推测所观察到的眼压降低效应可能与影响眼内压变化的中枢生化紊乱有关。