Miller P E, Nelson M J, Rhaesa S L
Department of Surgical Sciences, University of Wisconsin, Madison 53706-1102, USA.
Am J Vet Res. 1996 Jan;57(1):79-82.
To evaluate the effect of 0.5% apraclonidine on intraocular pressure (IOP), pupil size, and heart rate in clinically normal dogs.
Randomized masked saline-controlled case study.
Nine clinically normal conditioned adult dogs of either sex.
Normal diurnal variation in IOP, pupil size, and resting heart rate were determined from 7 AM to 7 PM (day 1). These measurements were repeated on day 2 after topical application of 60 microliters of 0.5% apraclonidine to 1 randomly chosen eye of each dog. The contralateral eye received saline solution.
Compared with the saline-treated fellow eye, mean IOP in the apraclonidine-treated eye was significantly reduced (3.0 mm of Hg, 16%) 8 hours after treatment. Because of mild day-to-day variations in IOP, however, IOP in the apraclonidine-treated eye on day 2 was not significantly different from day-1 baseline values obtained from the same eye. Significant mydriasis (2.1 mm, 29.7%), persisting for up to 8 hours, occurred in apraclonidine-treated eyes. Although apraclonidine did not significantly alter heart rate when all 9 dogs were viewed as a group, 4 dogs experienced a 9 to 19.5% reduction in heart rate 2 hours after treatment. Mild blanching of the conjunctiva occurred in apraclonidine-treated eyes.
Apraclonidine lowered IOP and, in contrast to cats where it causes miosis, induced mydriasis in dogs. Although heart rate generally is unchanged, it may be reduced in select individuals.
Topically applied 0.5% apraclonidine may be a useful adjunct to other antiglaucoma treatment modalities in dogs, but is unlikely to be effective as the sole agent in most forms of canine glaucoma.
评估0.5%阿可乐定对临床正常犬眼压、瞳孔大小和心率的影响。
随机双盲生理盐水对照病例研究。
9只临床正常、已适应环境的成年犬,雌雄不限。
于上午7点至下午7点(第1天)测定眼压、瞳孔大小和静息心率的正常昼夜变化。第2天,对每只犬随机选择1只眼局部应用60微升0.5%阿可乐定,对侧眼滴注生理盐水,重复上述测量。
与生理盐水处理的对侧眼相比,阿可乐定处理眼在治疗8小时后平均眼压显著降低(3.0毫米汞柱,16%)。然而,由于眼压存在轻度的每日变化,阿可乐定处理眼在第2天的眼压与同一只眼第1天的基线值无显著差异。阿可乐定处理眼出现显著散瞳(2.1毫米,29.7%),持续长达8小时。虽然将所有9只犬视为一组时阿可乐定未显著改变心率,但4只犬在治疗2小时后心率降低了9%至19.5%。阿可乐定处理眼出现结膜轻度苍白。
阿可乐定可降低犬眼压,与猫不同,在猫中它会引起瞳孔缩小,而在犬中它会诱发散瞳。虽然心率通常不变,但在部分个体中可能会降低。
局部应用0.5%阿可乐定可能是犬青光眼其他抗青光眼治疗方式的有用辅助药物,但在大多数犬青光眼形式中作为单一药物不太可能有效。