Comparison of Proparacaine, Tetracaine, and Oxybuprocaine in Corneal Sensitivity Measurement.

Purpose: This study aimed to determine the onset and duration of action of 3 commercially available topical anesthetic solutions in Brazil, using the Cochet-Bonnet esthesiometer (Luneau®, Paris, France) and to quantitatively assess patient-reported discomfort during application. Methods: A prospective, randomized, masked, and double-blind study was conducted, involving 40 eyes from 21 patients. Patients were administered each one of the topical anesthetics weekly, and corneal sensitivity was measured using the Cochet-Bonnet esthesiometer's corneal touch threshold (CTT). Patients rated the burning sensation using a visual analogue scale (VAS). Results: Among the 21 patients (42.9% male), with a mean age of 31.95 years (±standard deviation = 10.17, range = 22.0-58.0), corneal sensitivity significantly decreased 30 s after application, returning to baseline after 30 min for all groups (P < 0.0001). Significant differences in CTT were observed at 5 min, with proparacaine exhibiting a superior anesthetic effect (P = 0.0003), at 10 min, where tetracaine displayed the most substantial anesthetic effect (P = 0.0135), and at 20 min, where tetracaine demonstrated the highest anesthetic efficacy (P < 0.0001). VAS scores indicated the most intense burning sensation with tetracaine (P < 0.0001). Men reported experiencing more discomfort during instillation compared with women (P = 0.0168). Conclusions: Proparacaine exhibited the fastest onset of action among the 3 topical anesthetics and provided a more comfortable eye sensation during instillation. However, tetracaine demonstrated the longest duration of action despite causing more discomfort.

Corneal sensitivity in five horse breeds / Sensibilidade corneana em cinco raças de equinos

This study aimed to determine and compare corneal sensitivity values in different regions of the cornea in five horse breeds. One hundred and forty five healthy horses, adults of both sexes, of the following breeds - Arabian horse (AH; n=20), Mangalarga Marchador (MM; n=50), Pure Blood Lusitano (PBL; n=35), Quarter Horse (QH; n=20), Brazilian Sport Horse (BSH; n=20)-were investigated. Corneal touch threshold (CTT) was measured with a Cochet-Bonnet esthesiometer in five different corneal regions. Measurements of the median central CTT were: 4.50±0.50cm (AH), 3.50±0.56cm (MM), 3.00±0.25cm (PBL), 2.50±0.44cm (QH) and 2.50±0.00cm (BSH). The central region was the most sensitive and the dorsal region the least sensitive corneal region for all breeds. CTT values differed for corneal regions and horse breeds. The CTT values were different among the corneal regions and the horse breeds. Arabian horses presented higher sensitivity values being the most sensitive in all of the corneal regions.

Objetivou-se com o presente estudo, determinar e comparar valores de sensibilidade corneana em diferentes regiões da córnea em cinco raças de equinos. Foram investigados 145 equinos hígidos, adultos de ambos os sexos, das raças: Puro Sangue Árabe (PSA; n=20), Mangalarga Marchador (MM; n=50), Puro Sangue Lusitano (PBL; n=35), Quarto de Milha (QH; n=20) e Brasileiro de Hipismo (BSH; n=20). O limiar táctil da córnea (LTC) foi mensurado com o auxílio do estesiômetro de Cochet-Bonnet, em cinco diferentes regiões da córnea (central, nasal, ventral, temporal e dorsal). Os valores médios das mensurações do LTC central foram: 4,50±0,50cm (PSA), 3,50±0,56cm (MM), 3,00±0,25cm (PSL), 2,50±0,44cm (QM) e 2,50±0,00cm (BH). A região central foi a mais sensível e a região dorsal a menos sensível para todas as raças. Os valores de LTC diferiram para as regiões da córnea e entre as raças dos cavalos, sendo a raça Puro Sangue Árabe o que apresentou valores maiores de sensibilidade, desta forma sendo o mais sensível em todas as regiões corneanas.

Corneal sensitivity in five horse breeds / Sensibilidade corneana em cinco raças de equinos

This study aimed to determine and compare corneal sensitivity values in different regions of the cornea in five horse breeds. One hundred and forty five healthy horses, adults of both sexes, of the following breeds - Arabian horse (AH; n=20), Mangalarga Marchador (MM; n=50), Pure Blood Lusitano (PBL; n=35), Quarter Horse (QH; n=20), Brazilian Sport Horse (BSH; n=20)-were investigated. Corneal touch threshold (CTT) was measured with a Cochet-Bonnet esthesiometer in five different corneal regions. Measurements of the median central CTT were: 4.50±0.50cm (AH), 3.50±0.56cm (MM), 3.00±0.25cm (PBL), 2.50±0.44cm (QH) and 2.50±0.00cm (BSH). The central region was the most sensitive and the dorsal region the least sensitive corneal region for all breeds. CTT values differed for corneal regions and horse breeds. The CTT values were different among the corneal regions and the horse breeds. Arabian horses presented higher sensitivity values being the most sensitive in all of the corneal regions.(AU)

Objetivou-se com o presente estudo, determinar e comparar valores de sensibilidade corneana em diferentes regiões da córnea em cinco raças de equinos. Foram investigados 145 equinos hígidos, adultos de ambos os sexos, das raças: Puro Sangue Árabe (PSA; n=20), Mangalarga Marchador (MM; n=50), Puro Sangue Lusitano (PBL; n=35), Quarto de Milha (QH; n=20) e Brasileiro de Hipismo (BSH; n=20). O limiar táctil da córnea (LTC) foi mensurado com o auxílio do estesiômetro de Cochet-Bonnet, em cinco diferentes regiões da córnea (central, nasal, ventral, temporal e dorsal). Os valores médios das mensurações do LTC central foram: 4,50±0,50cm (PSA), 3,50±0,56cm (MM), 3,00±0,25cm (PSL), 2,50±0,44cm (QM) e 2,50±0,00cm (BH). A região central foi a mais sensível e a região dorsal a menos sensível para todas as raças. Os valores de LTC diferiram para as regiões da córnea e entre as raças dos cavalos, sendo a raça Puro Sangue Árabe o que apresentou valores maiores de sensibilidade, desta forma sendo o mais sensível em todas as regiões corneanas.(AU)

Corneal sensitivity in five horse breeds / Sensibilidade corneana em cinco raças de equinos

ABSTRACT: This study aimed to determine and compare corneal sensitivity values in different regions of the cornea in five horse breeds. One hundred and forty five healthy horses, adults of both sexes, of the following breeds - Arabian horse (AH; n=20), Mangalarga Marchador (MM; n=50), Pure Blood Lusitano (PBL; n=35), Quarter Horse (QH; n=20), Brazilian Sport Horse (BSH; n=20)-were investigated. Corneal touch threshold (CTT) was measured with a Cochet-Bonnet esthesiometer in five different corneal regions. Measurements of the median central CTT were: 4.50±0.50cm (AH), 3.50±0.56cm (MM), 3.00±0.25cm (PBL), 2.50±0.44cm (QH) and 2.50±0.00cm (BSH). The central region was the most sensitive and the dorsal region the least sensitive corneal region for all breeds. CTT values differed for corneal regions and horse breeds. The CTT values were different among the corneal regions and the horse breeds. Arabian horses presented higher sensitivity values being the most sensitive in all of the corneal regions.

RESUMO: Objetivou-se com o presente estudo, determinar e comparar valores de sensibilidade corneana em diferentes regiões da córnea em cinco raças de equinos. Foram investigados 145 equinos hígidos, adultos de ambos os sexos, das raças: Puro Sangue Árabe (PSA; n=20), Mangalarga Marchador (MM; n=50), Puro Sangue Lusitano (PBL; n=35), Quarto de Milha (QH; n=20) e Brasileiro de Hipismo (BSH; n=20). O limiar táctil da córnea (LTC) foi mensurado com o auxílio do estesiômetro de Cochet-Bonnet, em cinco diferentes regiões da córnea (central, nasal, ventral, temporal e dorsal). Os valores médios das mensurações do LTC central foram: 4,50±0,50cm (PSA), 3,50±0,56cm (MM), 3,00±0,25cm (PSL), 2,50±0,44cm (QM) e 2,50±0,00cm (BH). A região central foi a mais sensível e a região dorsal a menos sensível para todas as raças. Os valores de LTC diferiram para as regiões da córnea e entre as raças dos cavalos, sendo a raça Puro Sangue Árabe o que apresentou valores maiores de sensibilidade, desta forma sendo o mais sensível em todas as regiões corneanas.

Evaluation of standardized endodontic paper point tear test in New Zealand white rabbits and comparison between corneal sensitivity followed tear tests.

OBJECTIVE: To evaluate endodontic paper point tear test (PPTT) in rabbits and compare changes in corneal touch threshold (CTT) induced by Schirmer tear test (STT) and PPTT. Normal corneal sensitivity recovery time after both tear tests was also measured. Also, mean PPTT and STT values were obtained. METHODS: Tear production of 20 eyes, from 10 rabbits, was evaluated using STT and the PPTT. Central corneal touch threshold was measured by a Cochet-Bonnet esthesiometer before any tear test was performed (zero time), immediately after the test (1 min), and consecutively at 6, 11, 16, and 26 min. Tests were conducted on three consecutive days: Day 1 - control condition, no tear tests performed only the CTT; Day 2 - CTT before and after PPTT; and Day 3 - CTT before and after STT. CTT values were compared using repeated measures ANOVA. RESULTS: Corneal touch threshold was significantly increased for at least 16 min after STT, indicating STT causes corneal discomfort. No difference was found between CTT following PPTT and controls, indicating PPTT caused minimal corneal discomfort. The mean (±SD) value for STT was 5.2 ± 1.0 mm/min and for PPTT was 13.8 ± 1.5 mm/min. DISCUSSION: The aqueous fraction of rabbit's tears can be successfully measured by PPTT. This report established reference values for PPTT in rabbits. Additionally, the absence of a significant difference in CTT after PPTT compared with controls shows that PPTT is well tolerated by rabbits. Considering the improved comfort (compared with STT), accuracy, and low cost, PPTT is a bona fide method of measuring aqueous tear production in rabbits.