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Deep subconjunctival injection of gentamicin for the treatment of bacterial conjunctivitis in macaques (Macaca mulatta and Macaca fascicularis)

Abstract

Infectious conjunctivitis occurs in a number of domestic and laboratory animal species and is usually treated topically with eye drops or eye ointments, which must be administered several times a day and sometimes for a prolonged period of time. In aggressive nonhuman primates or other large laboratory animal species, this may require the use of anesthesia or physical restraint before each treatment, which can be stressful to the animals and demanding for personnel. The authors describe a technique for administering deep subconjunctival injections of an antibiotic to laboratory macaques for the treatment of conjunctivitis. Three cases of recurrent conjunctivitis in macaques that responded poorly to other treatment approaches were effectively treated using this technique. This approach is recommended for the treatment of conjunctivitis in macaques and other large animal species.

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References

  1. Kahn, C.M. & Line, S. (eds) The Merck Veterinary Manual 10th edn. (Merck & Co., Inc. Whitehouse Station, NJ, 2010).

    Google Scholar 

  2. Ormerod, L.D. Causes and management of bacterial keratitis in the elderly. Can. J. Ophthalmol. 24, 112–116 (1989).

    CAS  PubMed  Google Scholar 

  3. Rubenstein, J.B. & Virach, V. in Ophthalmology 3rd edn. (Yanoff, M. &Duker, J.S., eds) 1528–1540 (Mosby, Edinburgh, Scotland, 2008).

    Google Scholar 

  4. Hansen, B.C. in The Metabolic Syndrome: Epidemiology, Clinical Treatment, and Underlying Mechanisms (Hansen, B.C. & Bray, G.A., eds.) 373–386 (Humana Press, Totawa, NJ, 2008).

    Book  Google Scholar 

  5. Nakagawa, H. Treatment of chlamydial conjunctivitis. Ophthalmologica 211 (suppl. 1), 25–28 (1997).

    Article  CAS  Google Scholar 

  6. Ward, D.A. & Clark, E.S. Ocular pharmacology. Vet. Clin. North Am. Food Anim. Pract. 7, 779–791 (1991).

    Article  CAS  Google Scholar 

  7. Matsuura, K. Pharmacokinetics of subconjunctival injection of moxifloxacin in humans. Graefes. Arch. Clin. Exp. Ophthalmol. 251, 1019–1020 (2013).

    Article  Google Scholar 

  8. Baum, J. Treatment of bacterial ulcers of the cornea in the rabbit: a comparison of administration by eye drops and subconjunctival injections. Trans. Am. Ophthalmol. Soc. 80, 369–390 (1982).

    CAS  PubMed  PubMed Central  Google Scholar 

  9. Feldman-Billard, S., Du Pasquier-Fediaevsky, L. & Héron, E. Hyperglycemia after repeated periocular dexamethasone injections in patients with diabetes. Ophthalmology 113, 1720–1723 (2006).

    Article  Google Scholar 

  10. Regnier, A., Toutain, P.L., Alvinerie, M., Perique, B. & Ruckebusch, Y. Adrenocortical function and plasma biochemical values in dogs after subconjunctival treatment with methylprednisolone acetate. Res. Vet. Sci. 32, 306–310 (1982).

    Article  CAS  Google Scholar 

  11. Hansen, B.C. in Diabetes Mellitus: A Fundamental and Clinical Text (eds. LeRoith, D., Olefsky J. & Taylor, S.) 1060–1074 (Lippincott Williams and Wilkins, Philadelphia, PA 2004).

    Google Scholar 

  12. Bodkin, N.L., Alexander, T.M., Ortmeyer, H.K., Johnson, E. & Hansen, B.C. Mortality and morbidity in laboratory-maintained Rhesus monkeys and effects of long-term dietary restriction. J. Gerontol. A. Biol. Sci. Med. Sci. 58, 212–219 (2003).

    Article  Google Scholar 

  13. Animal Welfare Act as Amended (7 USC 2131–2156).

  14. Institute for Laboratory Animal Research, National Research Council. Guide for the Care and Use of Laboratory Animals 8th edn. (National Academy Press, Washington, DC, 2011).

  15. Ankel-Simons, F. Primate Anatomy, Third Edition: An Introduction (Academic, New York NY, 2007).

    Google Scholar 

  16. De Rousseau, C. & Bito, L. Intraocular pressure of rhesus monkeys (Macaca mulatta). II. Juvenile ocular hypertension and its apparent relationship to ocular growth. Exp. Eye Res. 32, 407–417 (1981).

    Article  CAS  Google Scholar 

  17. Riordan-Eva, P. in Vaughan & Asbury's General Ophthalmology 18th edn. (Riordan-Eva, P. & Cunningham, E.T. Jr., eds.) Ch. 1 (McGraw-Hill, New York, NY, 2011).

    Google Scholar 

  18. Miller, T.R. Principles of therapeutics. Vet. Clin. North Am. Equine Pract. 8, 479–497 (1992).

    Article  CAS  Google Scholar 

  19. Gordon, T.B. & Cunningham, R.D. Tobramycin levels in aqueous humor after subconjunctival injection in humans. Am. J. Ophthalmol. 93, 107–110 (1982).

    Article  Google Scholar 

  20. George, L.W., Reina-Guerra, M., Baggot, J.D. & Mihalyi, J. Distribution of kanamycin in ocular tissues of calves. J. Vet. Pharmacol. Ther. 9, 183–191 (1986).

    Article  CAS  Google Scholar 

  21. Abeynayake, P. & Cooper, B.S. The concentration of penicillin in bovine conjunctival sac fluid as it pertains to the treatment of Moraxella bovis infection. (I) Subconjunctival injection. J. Vet. Pharmacol. Ther. 12, 25–30 (1989).

    Article  CAS  Google Scholar 

  22. Douglas, L.C., Yi, N.Y., Davis, J.L., Salmon, J.H. & Gilger, B.C. Ocular toxicity and distribution of subconjunctival and intravitreal rapamycin in horses. J. Vet. Pharmacol. Ther. 31, 511–516 (2008).

    Article  CAS  Google Scholar 

  23. McLeod, S. in Ophthalmology 3rd edn. (Yanoff, M. & Duker, J.S., eds.) 262–270 (Mosby, Edinburgh, Scotland, 2008).

    Google Scholar 

  24. Senturk, S., Cetin, C., Temizel, M. & Ozel, E. Evaluation of the clinical efficacy of subconjunctival injection of clindamycin in the treatment of naturally occurring infectious bovine keratoconjunctivitis. Vet. Ophthalmol. 10, 186–189 (2007).

    Article  CAS  Google Scholar 

  25. Azarbod, P., Mohammed, Q., Akram, I. & Moorman, C. Localised abscess following an injection of subtenon triamcinolone acitonide. Eye (Lond.) 21, 672–674 (2007).

    Article  CAS  Google Scholar 

  26. Kim, S.K., Andreoli, C.M., Rizzo, J.F. III, Golden, M.A. & Bradbury, M.J. Optic neuropathy secondary to sub-tenon anesthetic injection in cataract surgery. Arch. Ophthalmol. 121, 907–909 (2003).

    Article  Google Scholar 

  27. Kaderli, B. & Avci, R. Comparison of topical and subconjunctival anesthesia in intravitreal injection administrations. Eur. J. Ophthalmol. 16, 718–721 (2006).

    Article  CAS  Google Scholar 

  28. Veneziale, R.W. et al. SCH 412499: biodistribution and safety of an adenovirus containing P21(WAF-1/CIP-1) following subconjunctival injection in Cynomolgus monkeys. Cutan. Ocul. Toxicol. 26, 83–105 (2007).

    Article  CAS  Google Scholar 

  29. Kumar, C.M. & Dodds, C. Ophthalmic regional block. Ann. Acad. Med. Singapore 35, 158–167 (2006).

    PubMed  Google Scholar 

  30. Tank, P.W. & Gest, T.R. Lippincott Williams & Wilkins Atlas of Anatomy xv, 353 (Wolters Kluwer Health/Lippincott Williams & Wilkins, Philadelphia. PA, 2008).

    Google Scholar 

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Correspondence to Sylvia I. Gografe.

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Gografe, S., Hansen, B. & Hansen, K. Deep subconjunctival injection of gentamicin for the treatment of bacterial conjunctivitis in macaques (Macaca mulatta and Macaca fascicularis). Lab Anim 44, 92–96 (2015). https://doi.org/10.1038/laban.661

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