Measurement of plasma gentamicin concentrations postchemical ciliary body ablation in dogs with chronic glaucoma

Objective To investigate the absorption of gentamicin into the plasma after an intravitreal injection in dogs and to report the success rate of this procedure in lowering the intraocular pressure. Animals Twenty‐four client‐owned dogs with chronic, end‐stage glaucoma. Procedures Dogs received a unil...

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Veröffentlicht in:Veterinary ophthalmology 2016-01, Vol.19 (1), p.57-62
Hauptverfasser: Rankin, Amy J., Lanuza, Rick, KuKanich, Butch, Crumley, William C., Pucket, Jonathan D., Allbaugh, Rachel A., Meekins, Jessica M.
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container_end_page 62
container_issue 1
container_start_page 57
container_title Veterinary ophthalmology
container_volume 19
creator Rankin, Amy J.
Lanuza, Rick
KuKanich, Butch
Crumley, William C.
Pucket, Jonathan D.
Allbaugh, Rachel A.
Meekins, Jessica M.
description Objective To investigate the absorption of gentamicin into the plasma after an intravitreal injection in dogs and to report the success rate of this procedure in lowering the intraocular pressure. Animals Twenty‐four client‐owned dogs with chronic, end‐stage glaucoma. Procedures Dogs received a unilateral (22) or bilateral (2) intravitreal injection of 25–40 mg of gentamicin (mean ± SD dose 2.57 ± 1.65 mg/kg and range 0.61–7.50 mg/kg) and 1 mg of dexamethasone per eye. Blood samples were collected at various time points following the intravitreal injection. Plasma concentrations of gentamicin were determined by liquid chromatography and mass spectrometry. Results The total plasma concentration of gentamicin ranged from 0.21 to 9.71 μg/mL (mean ± SD 2.15 ± 2.03). The mean gentamicin CMAX was 2.29 μg/mL at 2.54 h with a terminal half‐life of 9.8 h. The success rate of the chemical ablation procedure was 86.4% (19/22 eyes) in dogs that had at least 1 month of follow‐up. Conclusions Intravitreal injection of gentamicin in eyes with chronic glaucoma resulted in detectable plasma levels in dogs and was successful in lowering the intraocular pressure in 86.4% of the eyes after the first procedure.
doi_str_mv 10.1111/vop.12258
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Animals Twenty‐four client‐owned dogs with chronic, end‐stage glaucoma. Procedures Dogs received a unilateral (22) or bilateral (2) intravitreal injection of 25–40 mg of gentamicin (mean ± SD dose 2.57 ± 1.65 mg/kg and range 0.61–7.50 mg/kg) and 1 mg of dexamethasone per eye. Blood samples were collected at various time points following the intravitreal injection. Plasma concentrations of gentamicin were determined by liquid chromatography and mass spectrometry. Results The total plasma concentration of gentamicin ranged from 0.21 to 9.71 μg/mL (mean ± SD 2.15 ± 2.03). The mean gentamicin CMAX was 2.29 μg/mL at 2.54 h with a terminal half‐life of 9.8 h. The success rate of the chemical ablation procedure was 86.4% (19/22 eyes) in dogs that had at least 1 month of follow‐up. Conclusions Intravitreal injection of gentamicin in eyes with chronic glaucoma resulted in detectable plasma levels in dogs and was successful in lowering the intraocular pressure in 86.4% of the eyes after the first procedure.</description><identifier>ISSN: 1463-5216</identifier><identifier>EISSN: 1463-5224</identifier><identifier>DOI: 10.1111/vop.12258</identifier><identifier>PMID: 25688853</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>Animals ; Anti-Bacterial Agents - administration &amp; dosage ; Anti-Bacterial Agents - blood ; Anti-Bacterial Agents - pharmacokinetics ; Anti-Bacterial Agents - therapeutic use ; Area Under Curve ; canine ; chemical ablation ; Ciliary Body - pathology ; ciliary body ablation ; Dog Diseases - blood ; Dog Diseases - therapy ; Dogs ; Female ; gentamicin ; Gentamicins - administration &amp; dosage ; Gentamicins - blood ; Gentamicins - pharmacokinetics ; Gentamicins - therapeutic use ; glaucoma ; Glaucoma - therapy ; Glaucoma - veterinary ; Half-Life ; Intravitreal Injections - veterinary ; Male ; plasma</subject><ispartof>Veterinary ophthalmology, 2016-01, Vol.19 (1), p.57-62</ispartof><rights>2015 American College of Veterinary Ophthalmologists</rights><rights>2015 American College of Veterinary Ophthalmologists.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3638-16d280db965c89a1b9aeed639d49972aa00c9dfc6a0778bba7b90351407aaa013</citedby><cites>FETCH-LOGICAL-c3638-16d280db965c89a1b9aeed639d49972aa00c9dfc6a0778bba7b90351407aaa013</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fvop.12258$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fvop.12258$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27903,27904,45553,45554</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25688853$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rankin, Amy J.</creatorcontrib><creatorcontrib>Lanuza, Rick</creatorcontrib><creatorcontrib>KuKanich, Butch</creatorcontrib><creatorcontrib>Crumley, William C.</creatorcontrib><creatorcontrib>Pucket, Jonathan D.</creatorcontrib><creatorcontrib>Allbaugh, Rachel A.</creatorcontrib><creatorcontrib>Meekins, Jessica M.</creatorcontrib><title>Measurement of plasma gentamicin concentrations postchemical ciliary body ablation in dogs with chronic glaucoma</title><title>Veterinary ophthalmology</title><addtitle>Vet Ophthalmol</addtitle><description>Objective To investigate the absorption of gentamicin into the plasma after an intravitreal injection in dogs and to report the success rate of this procedure in lowering the intraocular pressure. Animals Twenty‐four client‐owned dogs with chronic, end‐stage glaucoma. Procedures Dogs received a unilateral (22) or bilateral (2) intravitreal injection of 25–40 mg of gentamicin (mean ± SD dose 2.57 ± 1.65 mg/kg and range 0.61–7.50 mg/kg) and 1 mg of dexamethasone per eye. Blood samples were collected at various time points following the intravitreal injection. Plasma concentrations of gentamicin were determined by liquid chromatography and mass spectrometry. Results The total plasma concentration of gentamicin ranged from 0.21 to 9.71 μg/mL (mean ± SD 2.15 ± 2.03). The mean gentamicin CMAX was 2.29 μg/mL at 2.54 h with a terminal half‐life of 9.8 h. The success rate of the chemical ablation procedure was 86.4% (19/22 eyes) in dogs that had at least 1 month of follow‐up. 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Animals Twenty‐four client‐owned dogs with chronic, end‐stage glaucoma. Procedures Dogs received a unilateral (22) or bilateral (2) intravitreal injection of 25–40 mg of gentamicin (mean ± SD dose 2.57 ± 1.65 mg/kg and range 0.61–7.50 mg/kg) and 1 mg of dexamethasone per eye. Blood samples were collected at various time points following the intravitreal injection. Plasma concentrations of gentamicin were determined by liquid chromatography and mass spectrometry. Results The total plasma concentration of gentamicin ranged from 0.21 to 9.71 μg/mL (mean ± SD 2.15 ± 2.03). The mean gentamicin CMAX was 2.29 μg/mL at 2.54 h with a terminal half‐life of 9.8 h. The success rate of the chemical ablation procedure was 86.4% (19/22 eyes) in dogs that had at least 1 month of follow‐up. Conclusions Intravitreal injection of gentamicin in eyes with chronic glaucoma resulted in detectable plasma levels in dogs and was successful in lowering the intraocular pressure in 86.4% of the eyes after the first procedure.</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>25688853</pmid><doi>10.1111/vop.12258</doi><tpages>6</tpages></addata></record>
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subjects Animals
Anti-Bacterial Agents - administration & dosage
Anti-Bacterial Agents - blood
Anti-Bacterial Agents - pharmacokinetics
Anti-Bacterial Agents - therapeutic use
Area Under Curve
canine
chemical ablation
Ciliary Body - pathology
ciliary body ablation
Dog Diseases - blood
Dog Diseases - therapy
Dogs
Female
gentamicin
Gentamicins - administration & dosage
Gentamicins - blood
Gentamicins - pharmacokinetics
Gentamicins - therapeutic use
glaucoma
Glaucoma - therapy
Glaucoma - veterinary
Half-Life
Intravitreal Injections - veterinary
Male
plasma
title Measurement of plasma gentamicin concentrations postchemical ciliary body ablation in dogs with chronic glaucoma
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