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1.
PLoS One ; 13(3): e0193217, 2018.
Article in English | MEDLINE | ID: mdl-29513686

ABSTRACT

Antibiotic resistance of bacteria common to the ocular surface is an evolving problem. Thus, novel treatment options with new modes of action are required. We investigated the antibacterial activity and safety of three commercially available topical veterinary ophthalmic products (cationic steroid antibiotics, products A and B, and a neutral superoxidized water, product C) to determine their potential use as antimicrobial alternatives. The minimum inhibitory concentrations (MIC) of the three products were determined against 17 antibiotic resistant bacterial clinical isolates from the ocular surface. Using a standard cytotoxicity assay, the products at varying concentrations were evaluated with a corneal fibroblast cell line and a macrophage-like cell line to determine their potential toxic effect in vitro. The commercial ophthalmic solutions, ofloxacin 0.3%, tobramycin 0.3% and gentamicin 0.3% were used as positive controls for the MIC and tobramycin 0.3% was used as positive control for the cytotoxicity assays. For the MIC, Product C showed no inhibition of growth for any organisms, while Products A and B showed inhibition of growth similar to slightly less than the positive controls. For the cytotoxicity assays, Product C exhibited minimal toxicity while Products A and B exhibited toxicity similar to the controls. In conclusion, Product C had no antibacterial activity in these assays, while Products A and B had antibacterial profiles similar to slightly less than common topical ophthalmic antibiotics and cytotoxicity profiles similar to common topical ophthalmic antibiotics. To our knowledge, this is the first report on the antibacterial activity and safety of the cationic steroid antibiotics and superoxidized water.


Subject(s)
Anti-Bacterial Agents/pharmacology , Bacteria/drug effects , Hydrogen Peroxide/pharmacology , Steroids/pharmacology , Animals , Anti-Bacterial Agents/toxicity , Cations/pharmacology , Cations/toxicity , Cell Line , Dog Diseases/drug therapy , Dogs , Drug Resistance, Microbial , Eye/microbiology , Eye Infections, Bacterial/drug therapy , Eye Infections, Bacterial/veterinary , Gentamicins/pharmacology , Humans , Hydrogen Peroxide/toxicity , Mice , Microbial Sensitivity Tests , Ofloxacin/pharmacology , Ophthalmic Solutions , Steroids/toxicity , Tobramycin/pharmacology , Veterinary Drugs/pharmacology , Veterinary Drugs/toxicity
2.
Vet Ophthalmol ; 20(5): 390-397, 2017 Sep.
Article in English | MEDLINE | ID: mdl-27734587

ABSTRACT

OBJECTIVE: To determine the most common etiologies of panuveitis in a group of dogs, patient response to therapy, and visual outcome. DESIGN: Retrospective study. MATERIALS AND METHODS: Medical records of 55 dogs diagnosed with panuveitis at the Purdue University Veterinary Teaching Hospital between December 2000 and December 2015 were reviewed. Data collected included signalment, season of diagnosis, descriptions of ocular lesions, diagnostic testing, treatment protocols, etiologic diagnoses (when determined), and visual outcome. RESULTS: The most common clinical sign in the anterior segment was aqueous flare and in the posterior segment was serous retinal detachment. The most common diagnosis was idiopathic/immune-mediated disease followed by systemic blastomycosis, lymphoma, and other causes (leptospirosis, aspergillosis, and histoplasmosis). Of the 43 dogs for which follow-up was available, 40% of dogs had resolution of visible inflammation and retinal reattachment, 32% of dogs had slight to moderate improvement, and 28% of dogs had no improvement or deterioration of lesions. Mean follow-up time was 11 months, and mean time to resolution of visible inflammation and retinal reattachment was 32 days. Sixty-five percent of dogs either retained or regained vision in one or both diseased eyes with initial medical therapy. CONCLUSIONS: Idiopathic/immune-mediated panuveitis was the most common diagnosis. Dogs with idiopathic/immune-mediated panuveitis tended to respond more favorably to medical therapy than dogs with infectious panuveitis. Visual outcome was favorable in those dogs that responded to initial medical therapy, but long-term therapy was required in many dogs to maintain vision and prevent recurrence of disease.


Subject(s)
Dog Diseases/etiology , Panuveitis/veterinary , Animals , Dog Diseases/immunology , Dog Diseases/therapy , Dogs , Panuveitis/etiology , Panuveitis/therapy , Retina , Retinal Detachment/complications , Retinal Detachment/veterinary , Retrospective Studies , Vision, Ocular , Visual Acuity
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