DOI QR코드

DOI QR Code

Prophylactic effect of topical betaxolol and dorzolamide on the fellow eye in unilateral canine primary angle closure glaucoma: 60 cases (2016.1-2021.5)

  • Ahn, Junyeong (Department of Veterinary Clinical Sciences and Research Institute for Veterinary Science, College of Veterinary Medicine, Seoul National University) ;
  • Kang, Seonmi (Department of Veterinary Clinical Sciences and Research Institute for Veterinary Science, College of Veterinary Medicine, Seoul National University) ;
  • Shim, Jaeho (Department of Veterinary Clinical Sciences and Research Institute for Veterinary Science, College of Veterinary Medicine, Seoul National University) ;
  • Jeong, Youngseok (Department of Veterinary Clinical Sciences and Research Institute for Veterinary Science, College of Veterinary Medicine, Seoul National University) ;
  • Lee, Songhui (Department of Veterinary Clinical Sciences and Research Institute for Veterinary Science, College of Veterinary Medicine, Seoul National University) ;
  • Lee, Eunji (Department of Veterinary Clinical Sciences and Research Institute for Veterinary Science, College of Veterinary Medicine, Seoul National University) ;
  • Seo, Kangmoon (Department of Veterinary Clinical Sciences and Research Institute for Veterinary Science, College of Veterinary Medicine, Seoul National University)
  • Received : 2022.07.11
  • Accepted : 2022.09.02
  • Published : 2022.09.30

Abstract

This study was aimed to evaluate the prophylactic anti-glaucoma effect of topical 5% betaxolol (BTX) and 2% dorzolamide (DRZ) on the second eye in dogs with unilateral primary angle closure glaucoma (PACG). Medical records of 60 dogs with unilateral PACG who received prophylactic anti-glaucoma eyedrops in the second eye, from 2016 to 2021, were reviewed. The prophylactic effects of BTX were maintained on 28/60 (46.7%) eyes until last visit and BTX failure was observed on median 510 (range, 53-1,927) days in 32/60 (53.3%) eyes. After DRZ instillation in BTX failure eyes, the prophylactic effects were extended at median 610 (range, 157-2,270) days in 21/32 (65.6%) eyes. DRZ failure eyes (17/21, 81.0%) eyes required chemical ablation or surgical intervention due to uncontrolled intraocular pressure. The duration of prophylactic effects was decreased with aging (R2 = 0.334, p = 0.006). The predominant breeds were Shih-Tzu (41.9%) and American Cocker Spaniel (30.6%) with no significant differences in survival curves (p = 0.210). The average prophylactic effects of BTX persisted more than 1.5 year and could be selected the first prophylactic eye drop in unilateral PACG. Also, early surgical intervention should be considered in prophylactic medications failure cases.

Keywords

Acknowledgement

This study was supported by BK21 FOUR Future Veterinary Medicine Leading Education and Research Center and the Research Institute for Veterinary Science (RIVS), College of Veterinary Medicine, Seoul National University, Seoul 08826, Republic of Korea. In addition, this research was supported by Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Education (2021R1I1A1A01058695).

References

  1. Plummer CE, Bras D, Grozdanic S, Komaromy AM, McLellan G, Miller P, Sapienza JS, Teixeira L, Webb T. Prophylactic anti-glaucoma therapy in dogs with primary glaucoma: a practitioner survey of current medical protocols. Vet Ophthalmol 2021;24 Suppl 1:96-108. https://doi.org/10.1111/vop.12820
  2. Dubielzig RR, Ketring KL, McLellan GJ, Albert DM. Veterinary Ocular Pathology: A Comparative Review. pp. 419-448, Saunders Elsevier, Oxford, 2010.
  3. Gelatt KN, Brooks DE, Kallberg ME. The Canine Glaucomas. In: Gelatt KN, ed. Essentials of Veterinary Ophthalmology. 2nd ed. pp. 155-187, Wiley-Blackwell Ames, Iowa, 2008.
  4. Brooks DE. Glaucoma in the dog and cat. Vet Clin North Am Small Anim Pract 1990;20:775-797. https://doi.org/10.1016/S0195-5616(90)50062-5
  5. Plummer CE, Komaromy AM, Gelatt KN. The Canine Glaucoma. In: Gelatt KN, Ben- Shlomo G, Gilger BC, Hendrix DV, Kern TJ, Plummer CE, eds. Veterinary Ophthalmology. 6th ed. pp. 1173-1255, John Wiley & Sons, Hoboken, 2021.
  6. Grozdanic SD, Kecova H, Harper MM, Nilaweera W, Kuehn MH, Kardon RH. Functional and structural changes in a canine model of hereditary primary angle-closure glaucoma. Invest Ophthalmol Vis Sci 2010;51:255-263. https://doi.org/10.1167/iovs.09-4081
  7. Miller PE, Schmidt GM, Vainisi SJ, Swanson JF, Herrmann MK. The efficacy of topical prophylactic antiglaucoma therapy in primary closed angle glaucoma in dogs: a multicenter clinical trial. J Am Anim Hosp Assoc 2000;36:431-438. https://doi.org/10.5326/15473317-36-5-431
  8. Slater MR, Erb HN. Effects of risk factors and prophylactic treatment on primary glaucoma in the dog. J Am Vet Med Assoc 1986;188:1028-1030.
  9. Bojic L, Bagatin J, Ivanisevic M, Hozo I, Racic G, and Karelovic D. Influence of betaxolol and timolol on the venous tone in glaucoma patients. Int ophthalmol 1999;23:149-153. https://doi.org/10.1023/A:1010683130919
  10. Wilkie DA, Latimer CA. Effects of topical administration of timolol maleate on intraocular pressure and pupil size in dogs. Am J Vet Res 1991;52:432-435.
  11. Takiyama N, Shoji S, Habata I, Ohba S. The effects of a timolol maleate gel-forming solution on normotensive beagle dogs. J Vet Med Sci 2006;68:631-633. https://doi.org/10.1292/jvms.68.631
  12. Dietrich UM, Chandler MJ, Cooper T, Vidyashankar A, Chen G. Effects of topical 2% dorzolamide hydrochloride alone and in combination with 0. 5% timolol maleate on intraocular pressure in normal feline eyes. Vet Ophthalmol 2007;10 Suppl 1:95-100. https://doi.org/10.1111/j.1463-5224.2007.00583.x
  13. Ghaffari MS, Bokaie S, and Barghy MH. Effect of topical 0.5% betaxolol administration on intraocular pressure in clinically normal dogs. Comp Clin Pathol 2010;19:243-245. https://doi.org/10.1007/s00580-009-0860-5
  14. Sugrue MF. The preclinical pharmacology of dorzolamide hydrochloride, a topical carbonic anhydrase inhibitor. J Ocul Pharmacol Ther 1996;12:363-376. https://doi.org/10.1089/jop.1996.12.363
  15. Wistrand PJ, Schenholm M, Lonnerholm G. Carbonic anhydrase isoenzymes CA I and CA II in the human eye. Invest Ophthalmol Vis Sci 1986;27:419-428.
  16. Priehs DR, Gum GG, Whitley RD, Moore LE. Evaluation of three applanation tonometers in dogs. Am J Vet Res 1990;51: 1547-1550.
  17. Iwabe S, Moreno-Mendoza NA, Trigo-Tavera F, Crowder C, Garcia-Sanchez GA. Retrograde axonal transport obstruction of brain-derived neurotrophic factor (BDNF) and its TrkB receptor in the retina and optic nerve of American Cocker Spaniel dogs with spontaneous glaucoma. Vet Ophthalmol 2007;10 Suppl 1:12-19.
  18. Gelatt KN, Miyabayashi T, Gelatt-Nicholson KJ, MacKay EO. Progressive changes in ophthalmic blood velocities in Beagles with primary open angle glaucoma. Vet Ophthalmol 2003;6: 77-84. https://doi.org/10.1046/j.1463-5216.2003.00273.x
  19. Jiang B, Harper MM, Kecova H, Adamus G, Kardon RH, Grozdanic SD, Kuehn MH. Neuroinflammation in advanced canine glaucoma. Mol Vis 2010;16:2092-2108.
  20. Alyahya K, Chen CT, Mangan BG, Gionfriddo JR, Legare ME, Dubielzig RR, Madl JE. Microvessel loss, vascular damage and glutamate redistribution in the retinas of dogs with primary glaucoma. Vet Ophthalmol 2007;10 Suppl 1:70-77. https://doi.org/10.1111/j.1463-5224.2007.00562.x
  21. McIlnay TR, Gionfriddo JR, Dubielzig RR, Powell CC, Madl JE. Evaluation of glutamate loss from damaged retinal cells of dogs with primary glaucoma. Am J Vet Res 2004;65:776-786. https://doi.org/10.2460/ajvr.2004.65.776
  22. Whelan N, Welch P, Pace A, Brienza C. A comparison of the efficacy of topical brinzolamide and dorzolamide alone and in combination with oral methazolamide in decreasing normal canine intraocular pressure. Paper presented at: 30th Annual Meeting of the American College of Veterinary Ophthalmologists; 1999 Nov 3-7; Chicago, USA, Chicago: Vet Ophthalmol 1999;2:266.
  23. Stavinohova R, Newton JR, Busse C. The effect of prophylactic topical carbonic anhydrase inhibitors in canine primary closed-angle glaucoma. J Small Anim Pract 2015;56:662-666. https://doi.org/10.1111/jsap.12393
  24. Park Y, Jeong M, Park SA, Kim WT, Kim SE, Ahn J, Seo K. A retrospective study of primary glaucoma in dogs: 43 cases (2006~2009). J Vet Clin 2012;29:38-42.
  25. Yun S, Lee D, Kang S, Kim DW, Kim Y, Cho JY, Seo K. Proteomic analysis of aqueous humor in canine primary angle-closure glaucoma in American Cocker Spaniel dogs. Vet Ophthalmol 2021;24:520-532. https://doi.org/10.1111/vop.12937
  26. Dees DD, Fritz KJ, Maclaren NE, Esson DW, Sheehan Gaerig AM, Atkins RM, Knollinger AM. Efficacy of prophylactic antiglaucoma and anti-inflammatory medications in canine primary angle-closure glaucoma: a multicenter retrospective study (2004-2012). Vet Ophthalmol 2014;17:195-200. https://doi.org/10.1111/vop.12069
  27. Gelatt KN, MacKay EO. Prevalence of the breed-related glaucomas in pure-bred dogs in North America. Vet Ophthalmol 2004;7:97-111. https://doi.org/10.1111/j.1463-5224.2004.04006.x
  28. Westermeyer HD, Hendrix DV, Ward DA. Long-term evaluation of the use of Ahmed gonioimplants in dogs with primary glaucoma: nine cases (2000-2008). J Am Vet Med Assoc 2011;238:610-617. https://doi.org/10.2460/javma.238.5.610
  29. Kang S, Shim J, Seo K. The association of topical flurbiprofen with the incidence of postoperative glaucoma after phacoemulsification in dogs. Vet Ophthalmol 2021;24:460-468. https://doi.org/10.1111/vop.12926
  30. Zibura AE, Robertson JB, Westermeyer HD. Gonioscopic iridocorneal angle morphology and incidence of postoperative ocular hypertension and glaucoma in dogs following cataract surgery. Vet Ophthalmol 2021;24 Suppl 1:50-62. https://doi.org/10.1111/vop.12802
  31. O'Neill DG, Brodbelt DC, Keddy A, Church DB, Sanchez RF. Keratoconjunctivitis sicca in dogs under primary veterinary care in the UK: an epidemiological study. J Small Anim Pract 2021;62:636-645. https://doi.org/10.1111/jsap.13382
  32. Sanchez RF, Innocent G, Mould J, Billson FM. Canine keratoconjunctivitis sicca: disease trends in a review of 229 cases. J Small Anim Pract 2007;48:211-217. https://doi.org/10.1111/j.1748-5827.2006.00185.x
  33. Miller PE, Bentley E. Clinical signs and diagnosis of the canine primary glaucomas. Vet Clin North Am Small Anim Pract 2015;45:1183-1212. https://doi.org/10.1016/j.cvsm.2015.06.006
  34. Reilly CM, Morris R, Dubielzig RR. Canine goniodysgenesis-related glaucoma: a morphologic review of 100 cases looking at inflammation and pigment dispersion. Vet Ophthalmol 2005;8:253-258. https://doi.org/10.1111/j.1463-5224.2005.00399.x
  35. Kong X, Liu X, Huang X, Mao Z, Zhong Y, Chi W. Damage to the blood-aqueous barrier in eyes with primary angle closure glaucoma. Mol Vis 2010;16:2026-2032.