Comparison of the rebound tonometer (TonoVet) with the applanation tonometer (TonoPen XL) in normal Eurasian Eagle owls (Bubo bubo)

OBJECTIVE: To examine the feasibility and accuracy of a handheld rebound tonometer, TonoVet, and to compare the intraocular pressure (IOP) readings of the TonoVet with those of an applanation tonometer, TonoPen XL, in normal Eurasian Eagle owls. ANIMALS STUDIED: Ten clinically normal Eurasian Eagle owls (20 eyes). PROCEDURES: Complete ocular examinations, using slit-lamp biomicroscopy and indirect ophthalmoscopy, were conducted on each raptor. The IOP was measured bilaterally using a rebound tonometer followed by a topical anesthetic agent after 1 min. The TonoPen XL tonometer was applied in both eyes 30 s following topical anesthesia. RESULTS: The mean +/- SD IOP obtained by rebound tonometer was 10.45 +/- 1.64 mmHg (range 7-14 mmHg), and by applanation tonometer was 9.35 +/- 1.81 mmHg (range 6-12 mmHg). There was a significant difference (P = 0.001) in the IOP obtained from both tonometers. The linear regression equation describing the relationship between both devices was y = 0.669x + 4.194 (x = TonoPen XL and y = TonoVet). The determination coefficient (r(2)) was r(2) = 0.550. CONCLUSIONS: The results suggest that readings from the rebound tonometer significantly overestimated those from the applanation tonometer and that the rebound tonometer was tolerated well because of the rapid and minimal stress-inducing method of tonometry in the Eurasian Eagle owls, even without topical anesthesia. Further studies comparing TonoVet with manometric measurements may be necessary to employ rebound tonometer for routine clinical use in Eurasian Eagle owls.     

高眼压兔眼房水丛管腔内皮细胞的电镜观察

探讨房水丛管腔内壁内皮细胞及其细胞间连接在高眼压房水流出中的作用。巩膜环扎法造成兔眼高眼压动物模型；透射电镜观察持续不同时间高眼压兔眼房水丛内壁内皮细胞及其细胞间连接的超微结构变化。结果：高眼压３ｄ，１周房水丛内皮细胞南变薄，胞突互相包绕形成假空泡，细胞连接和间隙正常；高眼压３，４周内皮细胞更薄，胞质内大空泡减少，细胞间连接存在，细胞间隙无扩张，假空泡消失。     

Comparison of a rebound and an applanation tonometer for measuring intraocular pressure in normal rabbits

Objective To compare intraocular pressure (IOP) measurements made on healthy adult rabbits without the effect of tranquilizers using the new applanation tonometer, Tono‐Pen Avia^®, and the rebound tonometer Tonovet^®. Methods Intraocular pressure was measured throughout the day (6:00, 9:00, 12:00, 15:00, and 18:00 h) in 38 adult New Zealand White rabbits (76 eyes). The animals were 20 males and 18 females, with a mean weight of 3.5 kg and an average age of 6 months. A complete ocular exam (including Schirmer tear test, fluorescein staining, slit‐lamp biomicroscopy, and direct ophthalmoscopy) was performed on all animals at the beginning of the trial. Rebound tonometry was performed, and after 10 min, anesthetic drops were instilled and applanation tonometry was carried out. IOP values obtained using the two techniques were analyzed statistically. Results The mean IOP was 9.51 ± 2.62 mmHg with Tonovet^®, and 15.44 ± 2.16 mmHg with the Tono‐Pen Avia^®. Significant differences between measurements with the two tonometers were observed (P < 0.001). The linear regression equation describing the relationship between the two tonometers was y = 0.4923x + 10.754 (y = Tonovet^® and x = Tono‐Pen Avia^®). High IOPs were recorded in the early measurements (6:00), but the average IOPs from both devices were statistically similar throughout the day (P = 0.086). The correlation coefficient was r² = 0.357. No significant difference in IOP regarding gender was observed. Conclusion The Tono‐Pen Avia^® recorded higher levels of IOP compared with the Tonovet^®. Early in the day, the IOP of rabbits was higher than later in the day, regardless of the tonometer used.     

Effect of acute intraocular pressure elevation on blood flow velocity and resistance in the rabbit ophthalmic artery

Objective To determine the effect of intraocular pressure (IOP) on blood flow velocity and resistance in the rabbit ophthalmic artery. Animals Ten adult New Zealand White rabbits were used. Procedures Right eyes were cannulated and the IOP was raised in a stepwise manner from 20 to 70 mmHg. Peak systolic velocity (PSV), end diastolic velocity (EDV) and resistive index (RI) in the ophthalmic artery were measured by color Doppler imaging. Values of PSV, EDV and RI were compared at various IOPs via the analysis of variance (anova ) of a randomized block design with post hoc Bonferroni test. Results Significant differences of PSV, EDV and RI at different IOP points (all P < 0.001) were observed. Over the entire IOP range, linear regression showed a negative correlation between IOP and both PSV and EDV (β = ?0.07434, P = 0.0020 and β = ?0.07829, P < 0.001, respectively), as well as a positive correlation between the RI and IOP (β = 0.00221, P < 0.001). Moreover, line plots identified a point with IOP = 40 mmHg, splitting the IOP range with different regression slopes. Piecewise linear regression indicated no correlation between PSV, EDV, RI and IOP when the IOP was elevated from 20 to 40 mmHg (P = 0.1832, P = 0.5932 and P = 0.5819, respectively). However, piecewise linear regression detected a stronger negative correlation between PSV, EDV and IOP (β = ?0.15760, P = 0.0011 and β = ?0.11872, P = 0.001, respectively) and a stronger positive correlation between RI and IOP (β = 0.00273, P = 0.0015) during the stage from 40 to 70 mmHg. Conclusions The ophthalmic artery in the rabbits was capable of maintaining normal blood velocity and resistance when IOP was below 40 mmHg. However, the autoregulatory capacity was greatly limited when IOP was over 40 mmHg.     

Relationship between levels of IL-2, TNF-α and nitric oxide in aqueous humor after intraocular lens implantation

AIM: To investigate the relationship between the level of interleukin-2 (IL-2), tumour necrosis factor-α (TNF-α) and nitric oxide (NO) in aqueous humor after intraocular lens implantation. METHODS: New Zealand rabbits were divided randomly into three groups: (1) control group; (2) extracapsular cataract extraction group (ECCE); (3) extracapsular cataract extraction and posterior chamber intraocular lens implantation group (ECCE+IOL). The inflammation in all experimental rabbit eyes was observed via zoom-photo slit-lamp microscope on 1, 3, 7, 14 d and 30 d postoperation. Meanwhile, aqueous humor was drawn for white blood cell (WBC) counting and classifying and for determining IL-2, TNF-α and NO₂^-/NO₃^- contents. RESULTS: (1) The level of IL-2 and TNF-α and NO₂^-/ NO₃^- in aqueous humor of ECCE+IOL group were higher than that in ECCE and control at 1 to 14 days postoperation, respectively, it increased to peak value at 3 to 7 days postoperation and decreased gradually two weeks postoperation; (2) The changes in IL-2, TNF-α and NO₂^-/NO₃^- in each group were basically similer; (3) The changes of IL-2 and TNF-α level were closely related with NO content in aqueous humor (r=0.69, P<0.01 and r=0.98, P<0.01). CONCLUSION: IL-2, TNF-α and NO play an important role in intraocular inflammation intraocular lens implantation.     

The effects of bimatoprost and unoprostone isopropyl on the intraocular pressure of normal cats

OBJECTIVE: To evaluate the effects on intraocular pressure (IOP), pupillary diameter (PD), blepharospasm score, conjunctival injection score, and aqueous humor flare score when either 0.03% bimatoprost solution is applied once daily or 0.15% unoprostone isopropyl solution is applied twice daily topically to the eyes of normal cats. MATERIALS AND METHODS: The aforementioned parameters were evaluated daily in each of 12 cats throughout the entirety of the study. During an initial 10-day treatment phase a single eye of six of the cats was treated with 0.03% bimatoprost solution while a single eye of the remaining six cats was treated with buffered saline solution (BSS) once daily. During a second 10-day treatment phase a single eye of six of the cats was treated with 0.15% unoprostone isopropyl solution while a single eye of the remaining six cats was treated with BSS twice daily. Contralateral eyes of all cats remained untreated at all time points. RESULTS: Blepharospasm score, conjunctival injection score, and aqueous humor flare score never rose from a value of 0, for any eye of any cat during the study. The mean +/- SD of IOP for eyes treated with 0.03% bimatoprost solution and BSS were 16.55 +/- 3.06 mmHg and 18.02 +/- 3.52 mmHg, respectively. The mean +/- of PD for eyes treated with 0.03% bimatoprost solution and BSS were 5.7 +/- 1.57 mm and 6.39 +/- 1.78 mm, respectively. The mean +/- SD of IOP for eyes treated with 0.15% unoprostone isopropyl solution and BSS were 15.7 +/- 2.91 mmHg and 17.2 +/- 2.9 mmHg, respectively. The mean +/- SD of PD for eyes treated with 0.15% unoprostone isopropyl solution and BSS were 5.8 +/- 1.43 mm and 6.9 +/- 1.37 mm, respectively. There was no significant difference (P > or = 0.05) in IOP or PD between eyes treated with 0.03% bimatoprost solution vs. eyes treated with BSS. Similarly, there was no significant difference (P > or = 0.05) in IOP or PD between eyes treated with 0.15% unoprostone isopropyl solution vs. eyes treated with BSS. CONCLUSION: Neither once daily topical administration of 0.03% bimatoprost solution nor twice daily topical administration of 0.15% unoprostone isopropyl solution significantly affect the IOP of normal cats. Both 0.03% bimatoprost solution and 0.15% unoprostone isopropyl solution induced no significant ocular side effects in normal cats when dosed over a 10-day treatment period.     

Tono-Pen XL calibration curves for cats, cows and sheep

The objective of this study was to provide calibration curves for correcting intraocular pressure (IOP) measurements obtained using the Tono-Pen XL tonometer in cats, cows and sheep. Twelve eyes from 9 cats, 13 eyes from 7 cows, 10 eyes from 5 sheep were used. The anterior chamber of the eye was cannulated in vivo, in situ (immediately post mortem) or ex vivo with a fine needle and IOP was varied from 10 to 90 mmHg in steps of 10 mmHg by adjusting the height of a saline reservoir connected to the needle. For each pressure setting, several readings of IOP were made using the tonometer. The relationship between Tono-Pen reading and manometer setting was linear over the full range of measurement. However, the slope of the data regression line deviated significantly from 1 and indicated that the instrument systematically underestimated IOP. For cats the average slope was 0.62 and for cows and sheep it was 0.72 and 0.69, respectively. For the latter animals, the regression line also had a nonzero intercept of approximately 4.5 mmHg. Similar results were obtained from in vivo and ex vivo eyes and with different Tono-Pen XL tonometers. Although developed for use on humans, the Tono-Pen XL can provide reproducible and accurate measurement of IOP in cats, cows and sheep when suitably calibrated by manometry. The calibration curves provided here, and by implication those reported for other animals using this tonometer, differ in slope from those measured with earlier models of the Tono-Pen. The reproducibility of the curves we obtained implies that they can be used to correct IOP readings from the Tono-Pen XL when manometry is not possible.