Kato T, Hiraki S, Hayasaka S
Department of Ophthalmology, Toyama Medical and Pharmaceutical University, Japan.
Ophthalmic Res. 1998;30(2):113-9. doi: 10.1159/000055463.
We evaluated the effects of inflammation and physicochemical nature of selected agents on the intracameral levels of intravenously injected drugs in albino rabbits. Transcorneal diffusion of prostaglandin E2 (10, 50 or 250 micrograms/ml) using a glass cylinder was used to produce inflammation of the anterior segment in the right eyes. As a control, a vehicle was applied to the left cornea. Immediately, 2, 5, or 11 h after prostaglandin E2 administration, a mixed solution of fluorescein, cefmenoxime, and chloramphenicol (50 mg each/kg body weight) was injected intravenously. One hour after injection of the drugs, the primary aqueous humor was withdrawn. The intracameral levels of protein and these drugs after prostaglandin E2 administration increased at 1 h in a dose-dependent manner. These levels then gradually decreased. One hour after prostaglandin E2 administration, the intracameral levels of protein and these drugs in the prostaglandin E2-administered eyes were significantly higher than those in the vehicle-administered eyes, except chloramphenicol after administration of 10 micrograms/ml prostaglandin E2. Our findings indicate that the intracameral levels of intravenously administered drugs are altered not only by the severity of inflammation but also by the properties of drugs.
我们评估了炎症以及所选药物的物理化学性质对白化兔眼内房水中静脉注射药物水平的影响。使用玻璃圆柱体进行前列腺素E2(10、50或250微克/毫升)的经角膜扩散,以诱发右眼眼前节炎症。作为对照,将赋形剂应用于左眼角膜。在给予前列腺素E2后立即、2小时、5小时或11小时,静脉注射荧光素、头孢甲肟和氯霉素的混合溶液(各50毫克/千克体重)。注射药物1小时后,抽取原发性房水。给予前列腺素E2后1小时,房水中蛋白质和这些药物的水平呈剂量依赖性增加。然后这些水平逐渐下降。给予前列腺素E2后1小时,除给予10微克/毫升前列腺素E2后的氯霉素外,给予前列腺素E2的眼中房水中蛋白质和这些药物的水平显著高于给予赋形剂的眼。我们的研究结果表明,静脉注射药物的眼内房水水平不仅会因炎症的严重程度而改变,还会因药物的性质而改变。