OBJECTIVE To assess the effects of topically applied 2% dorzolamide hydrochloride–0.5% timolol maleate ophthalmic solution (DHTM) on incidence and severity of postoperative ocular hypertension (POH; ie, intraocular pressure [IOP] > 25 mm Hg) in dogs undergoing cataract extraction by phacoemulsification.
DESIGN Randomized, masked, controlled study.
ANIMALS 103 dogs (180 eyes).
PROCEDURES Pertinent history, signalment, and ophthalmic examination findings were recorded. Dogs received 1 drop of DHTM or sham treatment solution (sterile, buffered, isotonic eye drops) in both eyes 14 hours and 2 hours before anesthetic induction and at the time of corneal incision closure (ie, end of surgery); IOPs were assessed by rebound tonometry 2, 4, 6, and 8 hours after surgery and between 7:30 and 8:00 am on the following day. Dogs with IOPs of 26 to 45 mm Hg received 1 drop of 0.005% latanoprost solution topically; the surgeon's treatment of choice was used for dogs with IOPs > 45 mm Hg. Incidence of POH and postoperative IOPs were compared between treatment groups.
RESULTS DHTM treatment resulted in significantly lower incidence of POH than did sham treatment at the level of the dog (18/53 [34%] vs 31/50 [62%]) and the eye (24/94 [26%] vs 42/86 [48%]). Mean IOP did not differ between groups at the time of POH detection. The DHTM-treated eyes that developed POH were significantly more likely to have a 1-hour follow-up IOP < 25 mm Hg after latanoprost administration than were sham-treated eyes (19/25 [76%] vs 18/35 [51%]; OR, 3.87).
CONCLUSIONS AND CLINICAL RELEVANCE Multidose perioperative administration of DHTM in dogs undergoing phacoemulsification reduced the incidence of POH and improved responsiveness of POH to latanoprost treatment.
Objective—To determine effects of cyclophotocoagulation
via administration of 100 J with a neodymium:
yttrium aluminum garnet (Nd:YAG) laser on
corneal touch threshold (CTT), intraocular pressure
(IOP), aqueous tear production, and corneal nerve
morphology in eyes of dogs.
Procedure—Noncontact Nd:YAG laser was transsclerally
applied (10 applications; 25 W for 0.1 seconds for
each application to each of 4 quadrants) to the ciliary
body of the left eye of 15 dogs; the right eye was the
control eye. Corneal integrity, CTT, tear production as
measured by the Schirmer tear test (STT), and IOP were
evaluated for 14 days following laser treatment. On day
14, dogs were euthanatized, eyes harvested, and
corneas stained with gold chloride. Major nerve bundles
were analyzed by use of a drawing tube attached to a
light microscope, and maximum diameters were measured
by use of image analysis software.
Results—All laser-treated eyes had significantly higher
CTT values, compared with control eyes. Six of 15
laser-treated eyes developed ulcerative keratitis. On
most days, IOP was significantly lower in laser-treated
eyes in both morning and evening. Laser-treated
eyes had a significant decrease of approximately 1
nerve bundle/corneal quadrant. Values for STT or
nerve bundle diameters did not differ significantly.
Conclusion and Clinical Relevance—Administration
of 100 J with a Nd:YAG laser effectively
reduced IOP while increasing CTT and caused a significant
decrease in number, but not diameter, of
major corneal nerve bundles. Nerve damage and
corneal hypoesthesia are etiologic factors in ulcerative
keratitis following Nd:YAG cyclophotocoagulation.
(Am J Vet Res 2002;63:906–915)