Dorzolamide increases retinal oxygen tension after branch retinal vein occlusion

Invest Ophthalmol Vis Sci. 2008 Mar;49(3):1136-41. doi: 10.1167/iovs.07-0508.

Abstract

Purpose: To study the effect of dorzolamide on the preretinal oxygen tension (RPO(2)) in retinal areas affected by experimental branch retinal vein occlusion (BRVO) in pigs.

Methods: Experimental BRVO was induced by diathermy close to the optic disc. RPO(2) was measured with an oxygen-sensitive electrode 0.5 mm above the BRVO-affected area, which was compared to the retinal areas not affected by BRVO. In one group of five pigs, RPO(2) was measured at baseline, 1 and 3 hours after BRVO, and after intravenous injection of 500 mg dorzolamide. In a second group of five pigs, RPO(2) was measured 1 week after the BRVO, both before and after intravenous injection of 500 mg dorzolamide.

Results: The average baseline RPO(2) was 2.64 +/- 0.09 kPa (mean +/- SD). In the BRVO-affected areas, RPO(2) decreased significantly (by 0.67 +/- 0.29 and 0.94 +/- 0.13 kPa) at 1 hour and 3 hours after BRVO induction. In the non-BRVO areas RPO(2) increased significantly (by 0.51 +/- 0.14 kPa) 1 hour after BRVO induction, but subsequently decreased and reached baseline 3 hours after BRVO induction. One week after BRVO induction, RPO(2) was 0.67 +/- 0.29 kPa lower in affected areas when compared with the non-BRVO areas. In the BRVO-affected areas, dorzolamide increased RPO(2) significantly (by 0.36 +/- 0.21 kPa at 3 to 4 hours and by 0.67 +/- 0.40 kPa) 1 week after BRVO induction.

Conclusions: Retinal hypoxia induced by experimental BRVO remained significant 1 week after BRVO. Dorzolamide increased retinal oxygen tension in the BRVO-affected areas both at 4 hours and 1 week after experimental BRVO in pigs.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Carbonic Anhydrase Inhibitors / administration & dosage*
  • Disease Models, Animal
  • Fluorescein Angiography
  • Hypoxia / metabolism
  • Injections, Intravenous
  • Ion-Selective Electrodes
  • Ischemia / metabolism
  • Oxygen / metabolism*
  • Oxygen Consumption
  • Partial Pressure
  • Retina / metabolism
  • Retinal Vein Occlusion / metabolism*
  • Sulfonamides / administration & dosage*
  • Swine
  • Thiophenes / administration & dosage*

Substances

  • Carbonic Anhydrase Inhibitors
  • Sulfonamides
  • Thiophenes
  • dorzolamide
  • Oxygen