2024 article
Mydriasis in eastern box turtles (<i>Terrapene carolina carolina</i>) following topical administration of proparacaine, 10% phenylephrine, and rocuronium bromide
Tucker-Retter, E. K., Petritz, O. A., & Westermeyer, H. D. (2024, May 17). VETERINARY OPHTHALMOLOGY.
author keywords: Alfaxalone; chelonian; dilation; nondepolarizing muscular blockers; pupillometry; reptile
open access via onlinelibrary.wiley.com (publisher PDF)
UN Sustainable Development Goal Categories
3. Good Health and Well-being
(Web of Science)
Source: Web Of Science
Added: May 28, 2024
Abstract Objective To determine the mydriatic effect of topical 10% phenylephrine with 10 mg/mL rocuronium bromide and compare this protocol with and without pretreatment with proparacaine. Animals Studied Ten client‐owned pet adult eastern box turtles ( Terrapene carolina carolina ). Procedures All turtles were sedated with 8 mg/kg alfaxalone intramuscularly. One group of four turtles received four 20 μL drops of 10% phenylephrine and four 20 μL drops of rocuronium bromide in the right eye. Another group of four turtles received one standard drop of proparacaine followed by four 20 μL drops of 10% phenylephrine and four 20 μL drops of rocuronium bromide in the right eye. Two control group turtles received four 20 μL drops of saline in the right eye. The left eye was untreated in all turtles. Drops of the same type were separated by 2 min while drops of different types were separated by 5 min. Pupil size was recorded at 0, 15, 30, 60, 90, 120, 180, 240, and 360 min after administration of the final drop. Results Treatment with 10% phenylephrine and rocuronium bromide resulted in pupil diameter changes from baseline that were statistically significant from zero at 60, 90, and 120 min in the non‐proparacaine group and 90 min in the proparacaine group. The time to peak effect was 90 min in the proparacaine group and 75 min in the non‐proparacaine group. Saline‐treated pupils in the control group decreased in diameter over the study period. Overall, the treated eyes of the proparacaine group and non‐proparacaine group were not different from each other, but both dilated more than the control group. Conclusions Rocuronium bromide and 10% phenylephrine can produce effective and safe mydriasis in eastern box turtles, but there was wide interindividual variation in effectiveness. Proparacaine did not improve the mydriatic effect.