Effect of topical ophthalmic latanoprost 0.005% solution alone and in combination with diclofenac 0.1% solution in healthy horses: a pilot study

Vet Ophthalmol. 2017 Sep;20(5):398-404. doi: 10.1111/vop.12439. Epub 2016 Oct 28.

Abstract

Objective: To evaluate the effect of topical ophthalmic 0.005% latanoprost alone and in combination with 0.1% diclofenac on healthy horses.

Animals studied: Twelve healthy adult horses.

Procedures: A randomized, masked crossover design was used with horses divided into three groups for once daily treatment in one randomly selected eye. For arm 1 of the study, Group D (n = 3) received 0.1% diclofenac, Group L (n = 3) received 0.005% latanoprost, and Group DL (n = 6) received 0.005% latanoprost and 0.2 ml of 0.1% diclofenac. For arm 2 of the study, horses from Group D and L were placed into Group DL and horses from Group DL were placed into either Group D or L. Evaluations of intraocular pressure (IOP), vertical pupil diameter, aqueous flare, conjunctival hyperemia, epiphora, blepharospasm, and blepharoedema were performed 4 times daily on days 1 and 2 (baseline), days 3 to 7 (arm 1 treatment), days 8 to 11 (washout), days 12 to 16 (arm 2 treatment), and days 17 and 18 (return to baseline).

Results: During the treatment period, significant reduction in IOP and vertical pupil diameter occurred in treated eyes of Groups L and DL, but not Group D. These variables did not differ significantly between Groups L and DL. Blepharospasm, blepharoedema, epiphora, and conjunctival hyperemia scores were significantly higher in Group L than in Groups D and DL.

Conclusions: Latanoprost reduced IOP in healthy horses and signs of drug-induced discomfort were mitigated by concurrent use of diclofenac.

Keywords: NSAID; glaucoma; intraocular pressure; miosis; prostaglandin; uveitis.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Administration, Topical
  • Animals
  • Antihypertensive Agents / administration & dosage
  • Antihypertensive Agents / pharmacology*
  • Diclofenac / administration & dosage
  • Diclofenac / pharmacology*
  • Double-Blind Method
  • Drug Therapy, Combination / veterinary
  • Horses
  • Intraocular Pressure / drug effects*
  • Latanoprost
  • Ophthalmic Solutions / administration & dosage
  • Ophthalmic Solutions / pharmacology*
  • Pilot Projects
  • Prostaglandins F, Synthetic / administration & dosage
  • Prostaglandins F, Synthetic / pharmacology*
  • Pupil / drug effects

Substances

  • Antihypertensive Agents
  • Ophthalmic Solutions
  • Prostaglandins F, Synthetic
  • Diclofenac
  • Latanoprost