Artigo Revisado por pares

Efficacy of tropicamide, homatropine, cyclopentolate, atropine and hyoscine as mydriatics in Angora goats

2011; Taylor & Francis; Volume: 59; Issue: 6 Linguagem: Inglês

10.1080/00480169.2011.609476

ISSN

1176-0710

Autores

N.C. Whelan, Fernanda Castillo‐Alcala, Ignacio Lizarraga,

Tópico(s)

Ocular Infections and Treatments

Resumo

Abstract AIM: To document the efficacy of five commercially available mydriatics for their potential for diagnostic and therapeutic use in Angora goats. METHODS: Over 8 weeks, the mydriatic effects of 1% tropicamide, 2% homatropine, 1% cyclopentolate, 1% atropine and 0.25% hyoscine were evaluated. Given as block treatments, drugs were applied randomly to one eye of 10 Angora goats, and the contralateral eye served as a control. Vertical and horizontal pupil diameters were measured to document onset ofeffect, time to reach a difference of 5 mm in the vertical/horizontal pupil diameter between eyes, time to maximum pupillary dilation, and duration of mydriatic action. RESULTS: Onset of mydriasis for all drugs occurred within 15 minutes. Time to reach a difference of 5 mm in the vertical pupil diameter between eyes was shortest for 1% tropicamide and 0.25% hyoscine (0.5 h), then 2% homatropine and 1% atropine (0.75 h), and longest for 1% cyclopentolate (1.5 h). The maximum vertical pupillary dilation occurred earliest with 1% tropicamide and 1% atropine (2 h), followed by 0.25% hyoscine (3 h), 2% homatropine (4 h), and latest with 1% cyclopentolate (8 h). The duration of vertical dilation of the pupil was shortest with 1% tropicamide (6 h), then 2% homatropine (12 h), 1% cyclopentolate (12 h), 1% atropine (24 h), and longest for 0.25% hyoscine (96 h). The time to reach maximum horizontal dilation of the pupil in treated eyes was shortest with 1% cyclopentolate (1 h), followed by 1% tropicamide (1.5 h), 0.25% hyoscine (3 h), 2% homatropine (3.5 h), and 1% atropine (4 h). The duration of horizontal pupil dilation was shortest with 1% tropicamide (4.5 h), and longest with 0.25% hyoscine (48 h). CONCLUSION: All five mydriatics induced clinical dilation. Tropicamide (1%) had the shortest duration of effect, but gave incomplete dilation. Good dilation was achieved with 1% cyclopentolate and 2% homatropine, but took too long to reach maximum dilation for routine mydriasis. The largest vertical dilation of the pupil was achieved with 1% atropine and 0.25% hyoscine, but pupils remained dilated for more than 24 h. CLINICAL RELEVANCE: For routine mydriasis in goats, it is recommended that 1% tropicamide be used, though there may be incomplete dilation. For a longer duration of mydriasis, such as in the treatment of anterior uveitis, 1% atropine or 0.25% hyoscine would be the drugs of choice. Key Words: Goatcaprinemydriaticpupiltropicamidehomatropinecyclopentolateatropinehyoscinemuscarinicparasympatholytic Acknowledgements The Institute of Veterinary, Animal and Biomedical Sciences, Massey University, Palmerston North, New Zealand, provided funding assistance. The authors would like to acknowledge Janine Buckleton-Reid of Alcon Laboratories, New Zealand, for provision of the mydriatic drugs; Drs Bill Pomroy, Ian Scott and Keith Thompson for access to the goats; Barbara Adlington and Anne Tunnicliffe for technical assistance and animal care; and Gabrielle Monteith of the Ontario Veterinary College for the statistical analysis. Notes *Non-peer-reviewed Additional informationNotes on contributorsF Castillo-Alcala Current address: Ross University School of Veterinary Medicine, Basseterre, StKitts, West Indies.

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