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Abstract

Thymoxamine hydrochloride can be used intraocularly to reverse phenylephrine or epinephrine mydriasis during intraocular surgery (0.2–0.5 ml of 0.01% or 0.02% solutions proved to be effective). No endothelial damage was found up to a dose of 1 ml of 0.02% thymoxamine in animal experiments using a physiologically buffered solution. Since stability is low in the buffered state, the final concentration has to be prepared at the time of surgery using a 0.5% solution and a phosphate buffer. Intracameral thymoxamine is a potent miotic during operations and can be helpful in extracapsular cataract surgery, keratoplasty, and repair of perforating injuries.

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References

  • Bahn CF, Meyer RF, MacCallum DK, Lillie JH, Lovett EJ, Sugar A, Martonyi CL (1982) Penetrating keratoplasty in the cat. A clinically applicable model. Ophthalmology 89:687–699

    PubMed  Google Scholar 

  • Barisoni DM, Veall N (1969) Effect of thymoxamine on circulation in skin flaps and denervated skin. Lancet 1:400–401

    Article  PubMed  Google Scholar 

  • Birmingham AT, Szolesanyi J (1965) Competitive blockade of adrenergic alpha-receptors and histamine receptors by thymoxamine. J Pharm Pharmacol 17:449–458

    PubMed  Google Scholar 

  • Bonomi L, Tomazzoli L (1977) Thymoxamine and intraocular pressure. Graefe's Arch Clin Exp Ophthalmol 204:95–100

    Article  Google Scholar 

  • Campbell DG (1972) Pigmentary dispersion and glaucoma. A new theory. Arch Ophthalmol 97: 1667–1672

    Google Scholar 

  • Dixon RS, Anderson RL, Hatt MU (1979) The use of thymoxamine in eyelid retraction. Arch Ophthalmol 97:2147–2150

    PubMed  Google Scholar 

  • General Practitioner Research Group (1969) Thymoxamine in chilblains. Practitioner 196:144–146

    Google Scholar 

  • Gospodarowicz D, Greenburg G, Alvarado J (1979) Transplantation of cultured bovine endothelial cells to species with nonregenerative endothelium. The cat is an experimental model. Arch Ophthalmol 97:2163–2169

    PubMed  Google Scholar 

  • Halasa AH, Rutkowski PC (1973) Thymoxamine therapy for angle closure glaucoma. Arch Ophthalmol 90:177–179

    PubMed  Google Scholar 

  • Lee DA, Brubaker RF, Nagataki S (1981) Effect of thymoxamine on aqueous humor formation in the normal human eye as measured by fluorophotometry. Invest Ophthalmol Vis Sci 21:805–811

    PubMed  Google Scholar 

  • Lee DA, Brubaker RF, Nagataki S (1983a) Acute effect of thymoxamine on aqueous humor formation in the epinephrine-treated normal eye as measured by fluorophotometry. Invest Ophthalmol Vis Sci 24:165–168

    PubMed  Google Scholar 

  • Lee DA, Rimele TJ, Brubaker RF, Nagataki S, Vanhoutte PM (1983b) Effect of thymoxamine on the human pupil. Exp Eye Res 36:655–662

    Article  PubMed  Google Scholar 

  • Mapstone R (1970) Safe mydriasis. Br J Ophthalmol 54:690–692

    PubMed  Google Scholar 

  • Odin L, O'Donnell FE Jr. (1982) Adrenergic influence on iris stromal pigmentation: evidence for alpha-adrenergic receptors. Invest Ophthalmol Vis Sci 23:528–530

    PubMed  Google Scholar 

  • Paterson GD, Paterson G (1972) Drug therapy of glaucoma. Br J Ophthalmol 56: 288–294

    PubMed  Google Scholar 

  • Patil PN, Trendelenburg U (1982) The extraneural uptake and metabolism of H3-isoprenaline in the rabbit iris. Naunyn-Schmiedebergs Arch Pharmacol 318:158–165

    Article  PubMed  Google Scholar 

  • Pau H (1955) Sympathikolyse durch lokale konjunktivale Opilonapplikation am Auge. Klin Monatsbl Augenheilkd 126:171–176

    PubMed  Google Scholar 

  • Sears ML (1984) Autonomic nervous system: adrenergic agonists. In: Sears ML (ed) Pharmacology of the eye. Springer, Heidelberg New York, pp 193–248

    Google Scholar 

  • Small S, Stewart-Jones JH (1976) Influence of thymoxamine on changes in pupil diameter and accommodation produced by homatropine and ephedrine. Br J Ophthalmol 60:132–134

    PubMed  Google Scholar 

  • Sundmacher R, Müller O (1980) Spaltlampenmikroskopie des Hornhautendothels im Spiegelbezirk. Ber Dtsch Ophthalmol Ges 77:943–950

    Google Scholar 

  • Susanna R, Drance SM, Schulzer M, Douglas G (1978) The effects of thymoxamine on anterior chamber depth in human eyes. Can J Ophthalmol 13:250–251

    PubMed  Google Scholar 

  • Tranzer JP, Thoenen H (1968) An electron microscopic study of selective, acute degeneration of sympathetic nerve terminals after administration of 6-hydroxydopamine. Experientia 24: 155–156

    PubMed  Google Scholar 

  • Trendelenburg U (1982) Über- und Unterempfindlichkeit autonom innervierter Organe. In: Krieglstein GK, Leydhecker W (eds) Medikamentöse Glaukomtherapie. Bergmann, Munich, pp 19–24

    Google Scholar 

  • Turner P, Sneddon JM (1968) Alpha-receptor blockade by thymoxamine in the human eye. Clin Pharmacol Ther 9:45–50

    PubMed  Google Scholar 

  • Van Horn DL, Sendele DD, Seideman S, Buco PJ (1977) Regenerative capacity of the corneal endothelium in rabbit and cat. Invest Ophthalmol Vis Sci 16:597–613

    PubMed  Google Scholar 

  • Virdi PS, Hayreh SS (1984) Effects of pilocarpine, epifrin, and thymoxamine on iris vessels in rhesus monkeys. Int Ophthalmol 7:3–10

    Article  PubMed  Google Scholar 

  • Wand M, Grant WM (1976) Thymoxamine hydrochloride: effects on the facility of outflow and intraocular pressure. Invest Ophthalmol Vis Sci 15:400–402

    Google Scholar 

  • Wand M, Grant WM (1978) Thymoxamine test. Differentiating angle-closure glaucoma from open angle glaucoma with narrow angles. Arch Ophthalmol 96:1009–1011

    PubMed  Google Scholar 

  • Wand M, Grant WM (1980) Thymoxamine hydrochloride: an alpha-adrenergic blocker. Surv Ophthalmol 25:75–84

    Article  PubMed  Google Scholar 

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Grehn, F., Fleig, T. & Schwarzmüller, E. Thymoxamine: A miotic for intraocular use. Graefe's Arch Clin Exp Ophthalmol 224, 174–178 (1986). https://doi.org/10.1007/BF02141493

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  • DOI: https://doi.org/10.1007/BF02141493

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