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Efficacy of low concentrations of ketorolac tromethamine in animal models of ocular inflammation.

AbstractPURPOSE:
To determine if topical ophthalmic application of ketorolac tromethamine concentrations below 0.5% can block the biochemical and physiological processes associated with chemically induced ocular inflammation in rabbits.
METHODS:
Ocular inflammation was induced in rabbits by intravenous (i.v.) injection of endotoxin (2.5 microg/kg) isolated from Salmonella typhimurium, or by a topical application of arachidonic acid (1.0%). The effect of ketorolac (at concentrations ranging from 0.001%-0.5%) on ocular inflammation was determined by measuring changes in the blood-aqueous barrier, using fluorophotometry (dextran-isothiocyanate-fluorescein; FITC-dextran 2%) and by measuring changes in aqueous humor protein concentrations. Changes in aqueous humor prostaglandin E(2) (PGE(2)) concentrations were also measured.
RESULTS:
Ketorolac 0.01%-0.5% produced substantial decreases in endotoxin-induced fluorescein leakage into the aqueous humor. The decrease produced by ketorolac 0.1% was comparable to that produced by ketorolac 0.5%. Ketorolac 0.1%-0.5% produced substantial decreases in endotoxin-induced increases in prostaglandin concentrations in the aqueous humor, and in arachidonic acid-induced protein leakage into the aqueous humor.
CONCLUSIONS:
Topical application of ketorolac concentrations as low as 0.01%-0.1% significantly reduce chemically induced ocular inflammation in rabbits.
AuthorsL David Waterbury, Allan J Flach
JournalJournal of ocular pharmacology and therapeutics : the official journal of the Association for Ocular Pharmacology and Therapeutics (J Ocul Pharmacol Ther) Vol. 20 Issue 4 Pg. 345-52 (Aug 2004) ISSN: 1080-7683 [Print] United States
PMID15321029 (Publication Type: Comparative Study, Journal Article)
Chemical References
  • Ketorolac Tromethamine
Topics
  • Animals
  • Aqueous Humor (drug effects, metabolism)
  • Disease Models, Animal
  • Dose-Response Relationship, Drug
  • Eye (drug effects, metabolism, pathology)
  • Inflammation (drug therapy)
  • Ketorolac Tromethamine (administration & dosage)
  • Rabbits

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