Effect of topical ophthalmic dorzolamide(2%)-timolol(0.5%) solution and ointment on intraocular pressure in normal horses

Vet Ophthalmol. 2015 Nov;18(6):457-61. doi: 10.1111/vop.12242. Epub 2014 Dec 18.

Abstract

Objective: To compare the effect of commercially available solution and compounded ointment formulations of dorzolamide(2%)-timolol(0.5%) on intraocular pressure (IOP) of normal horses.

Animals: Eighteen clinically normal horses.

Procedures: A randomized, masked prospective design was used with horses divided into two equal groups. One eye of each horse was selected for topical ophthalmic treatment with either 0.2 mL of dorzolamide(2%)-timolol(0.5%) solution or 0.2 g of dorzolamide(2%)-timolol(0.5%) ointment every 12 h for 5 days. The contralateral eye of horses in both groups was untreated. Rebound tonometry was performed every 6 h starting 2 days prior to and ending 2 days after the treatment period.

Results: The mean IOP reduction in eyes treated with the solution or ointment formulations was 13%. Untreated eyes in both groups experienced a lesser but still statistically significant reduction in IOP. The IOP values did not return to baseline within 48 h of the last treatment.

Conclusions and clinical relevance: The commercially available solution and compounded ointment formulations of ophthalmic dorzolamide(2%)-timolol(0.5%) had similar effects on IOP in normal horses. Persistent IOP reduction following cessation of treatment may indicate prolonged drug effect or acclimation of horses to tonometry.

Keywords: compounded medication; dorzolamide; horse; intraocular pressure; timolol.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Administration, Ophthalmic
  • Adrenergic beta-Antagonists / administration & dosage*
  • Adrenergic beta-Antagonists / therapeutic use
  • Animals
  • Drug Combinations
  • Female
  • Horses
  • Intraocular Pressure / drug effects*
  • Male
  • Ointments
  • Ophthalmic Solutions
  • Sulfonamides / administration & dosage*
  • Sulfonamides / therapeutic use
  • Thiophenes / administration & dosage*
  • Thiophenes / therapeutic use
  • Timolol / administration & dosage*
  • Timolol / therapeutic use
  • Tonometry, Ocular / veterinary

Substances

  • Adrenergic beta-Antagonists
  • Drug Combinations
  • Ointments
  • Ophthalmic Solutions
  • Sulfonamides
  • Thiophenes
  • Timolol
  • dorzolamide