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Topic:Veterinary Medicine

Veterinary medicine for horses encompasses the study and application of medical practices to diagnose, treat, and prevent diseases in equine species. This field involves a comprehensive understanding of equine anatomy, physiology, pathology, and pharmacology. Veterinary practitioners employ a range of diagnostic tools and therapeutic interventions to address health issues in horses, including lameness, gastrointestinal disorders, respiratory conditions, and infectious diseases. Preventative care, such as vaccination and deworming programs, is also a significant aspect of equine veterinary medicine. This page gathers peer-reviewed research studies and scholarly articles that explore various aspects of veterinary medicine as it pertains to horses, including advancements in diagnostic techniques, treatment protocols, and preventive health strategies.
Dexmedetomidine preconditioning reduces ischaemia-reperfusion injury in equine model of large colon volvulus.
Equine veterinary journal    May 15, 2024   Volume 56, Issue 6 1251-1258 doi: 10.1111/evj.14099
Watkins A, Engiles J, Long A, Brandly J, Hopster K.Large colon volvulus is a cause of colic in horses with high morbidity and mortality when not promptly treated. More treatment options are needed to improve the outcome of these cases by protecting against the damage caused by ischaemia and reperfusion injury. Objective: To determine the effect of preconditioning with dexmedetomidine prior to induction of ischaemia-reperfusion (IR) injury in a large colon volvulus model in the horse. Methods: Randomised blinded in vivo experiments. Methods: Horses received either a dexmedetomidine (DEX) or saline (CON) constant rate infusion (CRI) immediately ...
The effect of uterine massage and number of embryo flushing attempts on embryo recovery in mares.
Theriogenology    May 15, 2024   Volume 224 94-101 doi: 10.1016/j.theriogenology.2024.05.017
Sala-Ayala L, Martรญnez-Bovรญ R, Querol-Paajanen A, Cuervo-Arango J.The aims of this study were to determine the effect of the embryo flushing technique and the number of flushing attempts performed by operators of different experience on embryo recovery (ER). Ten non-lactating mares were inseminated with the same stallion in six cycles each (nย =ย 60). Embryo flushing (EF) was performed 7-9 days after ovulation by three operators (OP; 20ย EF cycles each): OP1 had performed >500ย EF before the study, while OP2 and 3 had performed 0ย EF. Each EF was performed with 2 flushing attempts (FA) using 1L of ringer's lactate "in-and-out" using two EF techniques: 1) ...
Lessons Learned from West Nile Virus Infection:Vaccinations in Equines and Their Implications for One Health Approaches.
Viruses    May 14, 2024   Volume 16, Issue 5 781 doi: 10.3390/v16050781
Naveed A, Eertink LG, Wang D, Li F.Humans and equines are two dead-end hosts of the mosquito-borne West Nile virus (WNV) with similar susceptibility and pathogenesis. Since the introduction of WNV vaccines into equine populations of the United States of America (USA) in late 2002, there have been only sporadic cases of WNV infection in equines. These cases are generally attributed to unvaccinated and under-vaccinated equines. In contrast, due to the lack of a human WNV vaccine, WNV cases in humans have remained steadily high. An average of 115 deaths have been reported per year in the USA since the first reported case in 1999. ...
Effect of pregnancy on isolation efficiency and in vitro proliferation of equine peripheral-blood derived mesenchymal stromal cells.
Theriogenology    May 14, 2024   Volume 224 107-118 doi: 10.1016/j.theriogenology.2024.05.015
Mattei DN, Harman RM, Van de Walle GR, Smith R, Grivel JC, Abdelalim EM, Vinardell T.Mesenchymal stromal cells (MSCs) have regenerative and immunomodulatory potential and may be used to treat injured tissues. Pregnancy has been associated with increased MSCs in the peripheral circulation in multiple species, but to date, there are no reports on this matter in horses. This study aimed to evaluate the effect of pregnancy on isolation efficiency and proliferation capacity of equine MSCs derived from the peripheral blood (PB) of mares. Venous blood samples were collected at the 11th month of gestation and 1 month after delivery from clinically healthy Arabian mares that presented ...
Feasibility of hemoperfusion using extracorporeal therapy in the horse.
Frontiers in veterinary science    May 14, 2024   Volume 11 1414426 doi: 10.3389/fvets.2024.1414426
Hobbs KJ, Le Sueur ANV, Burke MJ, Cooper BL, Sheats MK, Ueda Y.Develop, implement, and monitor for adverse effects of, a novel hemoperfusion therapy in adult horses. Unassigned: A prospective, observational feasibility study using three healthy adult horses from the North Carolina State University teaching herd. Health status was determined by physical exam, complete blood count, coagulation panel, and serum biochemistry. Each horse was instrumented with a 14 Fr ร— 25โ€‰cm double-lumen temporary hemodialysis catheter and underwent a 240โ€‰min polymer-based hemoperfusion session. Horses were administered unfractionated heparin to maintain anti-coagulation ...
Surgical treatment of headshaking by removal of a paracondylar process fragment via modified hyovertebrotomy approach: A detailed anatomical and surgical description in an adult horse.
Veterinary surgery : VS    May 13, 2024   Volume 53, Issue 5 942-949 doi: 10.1111/vsu.14102
Spiesshofer P, Hawkins AE, Berner D, Previdelli RL, Fiske-Jackson AR.To describe, in detail, the relevant anatomy and surgical approach to access the paracondylar process (PCP) and report its application in a clinical case of headshaking. Methods: A seven-year-old, mixed breed mare. Methods: Experimental study/case report. Methods: A seven-year-old mixed breed mare was presented for investigation of acute onset progressing violent headshaking, resulting in the horse falling on multiple occasions. The horse was highly reactive to palpation over the right PCP. Standing computed tomographic (CT) investigation and ultrasonographic examination of the head detected a...
Radiographic analysis in Thoroughbreds reveals morphological changes in healthy maturing stifle joints and possible association between subchondral lesions and femoral condyle width.
American journal of veterinary research    May 13, 2024   1-11 doi: 10.2460/ajvr.23.12.0291
Wadbled L, Finck C, Santschi EM, Morehead JP, Fogarty U, Lemirre T, Beauchamp G, Richard H, Laverty S.Assess femorotibial features in foals with and without medial femoral condyle (MFC) subchondral radiolucencies (SR+ and SR-). Methods: 3 independent, sequential radiographic studies were performed. Study 1 retrospectively measured femorotibial morphological parameters in repository radiographs (SR- and SR+). Study 2 qualitatively compared drawings of intercondylar notch shape in postmortem radiographs (SR-). Study 3 prospectively measured femorotibial parameters in 1-month-old foals (SR-). In studies 1 and 3, 13 morphologic parameters were measured. Limb directional asymmetry was assessed in 2...
Comparison of daily heart rate and heart rate variability in trained and sedentary aged horses.
Journal of equine veterinary science    May 13, 2024   105094 doi: 10.1016/j.jevs.2024.105094
Sanigavatee K, Poochipakorn C, Huangsaksri O, Wonghanchao T, Rodkruta N, Chanprame S, Wiwatwongwana T, Chanda M.Athletic horses are usually retired from equestrian competition at an advanced age. Aged horses may then continue to have regular exercise or are sedentary. The comparison of autonomic regulation between sedentary aged horses (SAH) and trained aged horses (TAH) after retirement remains unpublished. This study compared daily heart rate (HR) and heart rate variability between 11 SAH and 11 TAH over 22 hours (07.00 h to 05.00 h on an alternate day) and during the day and night. An increase in mean beat-to-beat (RR) intervals (p < 0.01-0.0001) and parasympathetic nervous system (PNS) index (p &...
Extensive intraocular melanoma with secondary glaucoma in a 15-month-old Thoroughbred filly.
Veterinary medicine and science    May 13, 2024   Volume 10, Issue 3 e1471 doi: 10.1002/vms3.1471
Pereira R, Gillespie S, Rapezzano G, Withers J, Duz M, Foote A.A 15-month-old, grey, Thoroughbred filly presented for investigation of a 6-week history of corneal oedema and blepharospasm on the right eye (OD). The filly was otherwise healthy. Following ophthalmic examination, glaucoma on the OD was diagnosed. A space occupying mass within the anterior chamber was documented on transpalpebral ultrasonographic examination. This mass obliterated most of the anterior intraocular structures on the peripheral nasal side (corneal endothelium and drainage angle), leading to secondary glaucoma. After systemic and topical treatment addressing secondary glaucoma, t...
Immunology of Physical Exercise: Is Equus caballus an Appropriate Animal Model for Human Athletes?
International journal of molecular sciences    May 10, 2024   Volume 25, Issue 10 5210 doi: 10.3390/ijms25105210
Witkowska-Piล‚aszewicz O, Malin K, Dฤ…browska I, Grzฤ™dzicka J, Ostaszewski P, Carter C.Domestic horses routinely participate in vigorous and various athletic activities. This enables the horse to serve as a model for studying athletic physiology and immunology in other species, including humans. For instance, as a model of physical efforts, such as endurance rides (long-distance running/aerobic exercise) and races (anaerobic exercise), the horse can be useful in evaluating post-exercise response. Currently, there has been significant interest in finding biomarkers, which characterize the advancement of training and adaptation to physical exercise in the horse. The parallels in c...
Knowledge and perception of equine ticks and tick-borne diseases of Pennsylvania horse owners and caretakers.
Journal of equine veterinary science    May 10, 2024   105092 doi: 10.1016/j.jevs.2024.105092
Smarsh DN, Kenny LB, Spindler M, Poh KC, Machtinger ET.There is limited data on current knowledge of Pennsylvania horse caretakers on tick-borne diseases (TBDs), tick identification, and tick management practices. This study aimed to determine tick knowledge, concern, and management among Pennsylvania equine caretakers using an online survey. Descriptive statistics and one-way ANOVA tests were used to analyze data. The survey received 894 responses (539 completed) from Pennsylvania equine owners and caretakers. The largest proportion of respondents cared for 3-5 horses (31%), followed by 2 horses (27%). Veterinarian-confirmed diagnosis rates of tw...
Pharmacokinetics, pharmacodynamics and antinociceptive effects of buprenorphine following transdermal administration to horses.
Veterinary anaesthesia and analgesia    May 10, 2024   S1467-2987(24)00078-3 doi: 10.1016/j.vaa.2024.05.001
Nelson GR, Mama KR, Weiner D, McKemie DS, Kass PH, Steinmetz SJ, Knych HK.This study describes the pharmacokinetics and pharmacodynamics, including antinociceptive effects, of a transdermal buprenorphine solution in horses. It was hypothesized that transdermal application would lead to sustained blood concentrations and antinociceptive effects with fewer adverse effects compared with intravenous (IV) injection. Methods: Prospective nonrandomized four-part parallel experimental study. Methods: A group of eight horses (three mares and five geldings) aged 6-12 years. Methods: Horses were administered incremental doses of 15, 30 and 45 ฮผg kg of buprenorphine transderma...
Surgical Closure of Equine Abdomen, Prevention, and Management of Incisional Complications.
Journal of visualized experiments : JoVE    May 10, 2024   Issue 207 doi: 10.3791/65546
Salciccia A, de la Rebiรจre de Pouyade G, Caudron I, Ponthier J, Serteyn D, Sandersen C, Deleuze S, Grulke S.Although rarely fatal, complications of ventral midline laparotomy incision in equine patients increase hospitalization cost and duration and may jeopardize return to athletic function. Therefore, many techniques have been developed to reduce their occurrence and expedite their resolution when they occur. Our technique of celiotomy incision closure includes the use of tension sutures (vertical U mattress) of polyglactin 910 on the linea alba, which is then apposed by polyglactin 910 interrupted sutures or a simple continuous pattern suture with a stop midway before routine closure of the super...
Numerical evaluation of internal femur osteosynthesis based on a biomechanical model of the loading in the proximal equine hindlimb.
BMC veterinary research    May 10, 2024   Volume 20, Issue 1 188 doi: 10.1186/s12917-024-04044-5
Lang JJ, Li X, Micheler CM, Wilhelm NJ, Seidl F, Schwaiger BJ, Barnewitz D, von Eisenhart-Rothe R, Grosse CU, Burgkart R.Femoral fractures are often considered lethal for adult horses because femur osteosynthesis is still a surgical challenge. For equine femur osteosynthesis, primary stability is essential, but the detailed physiological forces occurring in the hindlimb are largely unknown. The objective of this study was to create a numerical testing environment to evaluate equine femur osteosynthesis based on physiological conditions. The study was designed as a finite element analysis (FEA) of the femur using a musculoskeletal model of the loading situation in stance. Relevant forces were determined in the mu...
Current insights into equine neuroaxonal dystrophy/equine degenerative myeloencephalopathy.
Veterinary journal (London, England : 1997)    May 10, 2024   Volume 305 106129 doi: 10.1016/j.tvjl.2024.106129
Young AE, Finno CJ.Equine neuroaxonal dystrophy/equine degenerative myeloencephalopathy (eNAD/EDM) is an inherited neurodegenerative disease associated with vitamin E deficiency in the first year of life. It is the second most common cause of spinal ataxia in horses euthanized for neurologic disease. Equine NAD/EDM is characterized by neurologic signs including a symmetric proprioceptive ataxia (> grade 2/5) and a wide-base stance at rest. There are currently no antemortem tests for eNAD/EDM in any breed. Conclusive diagnosis requires postmortem histologic evaluation of the brainstem and spinal cord at necrop...
Seroprevalence of West Nile Virus among Equids in Bulgaria in 2022 and Assessment of Some Risk Factors.
Veterinary sciences    May 9, 2024   Volume 11, Issue 5 209 doi: 10.3390/vetsci11050209
Rusenova N, Rusenov A, Chervenkov M, Sirakov I.The aim of this study was to analyze the seroprevalence of West Nile virus (WNV) among equids in Bulgaria, confirm the results of a competitive ELISA versus the virus neutralization test (VNT) and investigate some predisposing factors for WNV seropositivity. A total of 378 serum samples from 15 provinces in northern and southern Bulgaria were tested. The samples originated from 314 horses and 64 donkeys, 135 males and 243 females, aged from 1 to 30 years. IgG and IgM antibodies against WNV protein E were detected by ELISA. ELISA-positive samples were additionally tested via VNT for WNV and Usu...
Micro-computed tomography reveals high-density mineralised protrusions and microstructural lesions in equine stifle joint articular cartilage.
Equine veterinary journal    May 8, 2024   Volume 57, Issue 1 203-216 doi: 10.1111/evj.14100
Ducrocq M, Kamus L, Richard H, Beauchamp G, Janvier V, Laverty S.Stifle osteoarthritis (OA) lesions are most common in the medial femorotibial (MFT) compartment. Their characterisation and mapping will inform equine veterinarians towards an accurate diagnosis of OA. Objective: Investigate and map micro-CT (ฮผCT) changes in the hyaline articular cartilage (HAC) in the medial femoral condyle (MFC) and medial tibial plateau (MTP). Methods: Ex vivo cadaveric. Methods: Stifles (nโ€‰=โ€‰7 OA and 17 control [CO]) were retrieved from a tissue bank. The MFC and MFT were imaged with ฮผCT. Regions of interest (ROIs) were cranial (MFCcr; MTPcr) and caudal (MFCca; MTPca...
A Screening Study Identified Decitabine as an Inhibitor of Equid Herpesvirus 4 That Enhances the Innate Antiviral Response.
Viruses    May 8, 2024   Volume 16, Issue 5 746 doi: 10.3390/v16050746
Normand C, Thieulent CJ, Fortier C, Sutton G, Senamaud-Beaufort C, Jourdren L, Blugeon C, Vidalain PO, Pronost S, Hue ES.Equid herpesvirus 4 (EHV-4) is a common respiratory pathogen in horses. It sporadically induces abortion or neonatal death. Although its contribution in neurological disorders is not clearly demonstrated, there is a strong suspicion of its involvement. Despite preventive treatments using vaccines against EHV-1/EHV-4, the resurgence of alpha-EHV infection still constitutes an important threat to the horse industry. Yet very few studies have been conducted on the search for antiviral molecules against EHV-4. A screening of 42 antiviral compounds was performed in vitro on equine fibroblast cells ...
Penetrating wood foreign bodies (stob) of the coronary band in horses: 15 cases.
Journal of the American Veterinary Medical Association    May 8, 2024   Volume 262, Issue 8 1099-1103 doi: 10.2460/javma.24.01.0003
Trostle SS, Santos MAPD, Stephens PR.To retrospectively report the historical and clinical findings, diagnostics, treatment, and outcome of horses with penetrating wood foreign bodies (PWFBs) of the coronary band. Methods: 15 client-owned horses. Methods: Horses had varying degrees of lameness and soft tissue swelling of the coronary band and pastern region. A defect in the coronary band was identified, but the actual wood foreign body was not always readily visualized. Results: Medical records of horses diagnosed with PWFBs of the coronary band between 2004 and 2023 were reviewed. Information retrieved from the medical records i...
Fragmented acupuncture needle as a linear metallic foreign body near the proximal interphalangeal joint of a horse.
Journal of the American Veterinary Medical Association    May 8, 2024   Volume 262, Issue 8 1-4 doi: 10.2460/javma.24.03.0205
Trostle SS, Kearney EM, Medoff M, Devaney S.To describe the clinical presentation, diagnosis, and treatment of a fragmented, migrating acupuncture needle near the palmar proximal interphalangeal joint (PIPJ) of a horse. Methods: A 9-year-old Warmblood cross mare. Unassigned: The mare presented for evaluation of a linear metallic foreign body on the palmar lateral aspect of the PIPJ following acupuncture treatment. The mare had a pinpoint puncture wound and sensitivity to palpation over the lateral aspect of the PIPJ region. The referring veterinarian performed radiographs and found a linear metallic foreign body near the lateral palmar ...
Longitudinal in vivo cationic contrast-enhanced computed tomography classifies equine articular cartilage injury and repair.
Journal of orthopaedic research : official publication of the Orthopaedic Research Society    May 8, 2024   Volume 42, Issue 10 2264-2276 doi: 10.1002/jor.25869
Nelson BB, Mรคkelรค JTA, Lawson TB, Patwa AN, Snyder BD, McIlwraith CW, Grinstaff MW, Seabaugh KA, Barrett MF, Goodrich LR, Kawcak CE.Cationic contrast-enhanced computed tomography (CECT) capitalizes on increased contrast agent affinity to the charged proteoglycans in articular cartilage matrix to provide quantitative assessment of proteoglycan content with enhanced images. While high resolution microCT has demonstrated success, we investigate cationic CECT use in longitudinal in vivo imaging at clinical resolution. We hypothesize that repeated administration of CA4+ will have no adverse side effects or complications, and that sequential in vivo imaging assessments will distinguish articular cartilage repair tissue from earl...
A survey of the radiation safety practices of veterinary practitioners during portable equine radiography in Ireland.
Radiation protection dosimetry    May 7, 2024   Volume 200, Issue 8 763-769 doi: 10.1093/rpd/ncae115
Daly S, Skelly C, Lewis M, Toomey R.Veterinary practitioners and other personnel involved in the examination are exposed to ionizing radiation while performing portable radiographs on horses. An online survey was distributed to all Veterinary Council of Ireland-registered practices where the self-reported practice profile is at least 20% equine work. The survey contained questions relating to radiation safety training, protocols, personal dosimetry and lead protection usage, repeat exposures, sedation, and personnel roles during the examination. The aim of the survey was to document the current radiation safety practices of equi...
Nuclear Magnetic Resonance (NMR) Metabolomics: Current Applications in Equine Health Assessment.
Metabolites    May 7, 2024   Volume 14, Issue 5 269 doi: 10.3390/metabo14050269
Laus F, Bazzano M, Spaterna A, Laghi L, Marchegiani A.Metabolomics can allow for the comprehensive identification of metabolites within biological systems, at given time points, in physiological and pathological conditions. In the last few years, metabolomic analysis has gained popularity both in human and in veterinary medicine, showing great potential for novel applications in clinical activity. The aim of applying metabolomics in clinical practice is understanding the mechanisms underlying pathological conditions and the influence of certain stimuli (i.e., drugs, nutrition, exercise) on body systems, in the attempt of identifying biomarkers th...
Colic incidence, risk factors, and therapeutic management in a working horse population in Tuban, Indonesia.
Veterinary world    May 4, 2024   Volume 17, Issue 5 963-972 doi: 10.14202/vetworld.2024.963-972
Fikri F, Hendrawan D, Wicaksono AP, Purnomo A, Khairani S, Chhetri S, Purnama MTE, ร‡alฤฑลŸkan H.Colic is the primary problem affecting equestrian care worldwide. The primary cause of colic is digestive diseases; however, they can also affect organs from different systems in the abdominal region. In addition to a prior history of the disease and its treatment, risk factors may be assessed to determine the etiology of the disease in horses without or with a history of colic. This study aimed to present a summary of the incidence, risk factors, and medical procedures for colic in horses. Unassigned: Based on owner reports, 223 horses in Tuban, Indonesia, suspected of having colic were inves...
New pack size for Equioxx.
The Veterinary record    May 3, 2024   Volume 194, Issue 9 332 doi: 10.1002/vetr.4223
No abstract available
Effect of storage conditions on the quality of equine and canine mesenchymal stem cell derived nanoparticles including extracellular vesicles for research and therapy.
Discover nano    May 3, 2024   Volume 19, Issue 1 80 doi: 10.1186/s11671-024-04026-4
Klymiuk MC, Balz N, Elashry MI, Wenisch S, Arnhold S.Nanoparticles including extracellular vesicles derived from mesenchymal stem cells are of increasing interest for research and clinical use in regenerative medicine. Extracellular vesicles (EVs), including also previously named exosomes, provide a promising cell-free tool for therapeutic applications, which is probably a safer approach to achieve sufficient healing. Storage of EVs may be necessary for clinical applications as well as for further experiments, as the preparation is sometimes laborious and larger quantities tend to be gained. For this purpose, nanoparticles were obtained from mes...
[Individual hormonal profiles of blood progesterone and estradiol-17β during the course of a reproductive cycle in mares].
Tierarztliche Praxis. Ausgabe G, Grosstiere/Nutztiere    May 3, 2024   Volume 52, Issue 2 88-95 doi: 10.1055/a-2276-5226
Laufkรถtter S, Lรคngerer L, Wehrend A.This study presents the individual course of estradiol-17รŸ and progesterone concentrations in blood during the reproductive cycle in mares in order to point out physiological differences between individual animals and to aid in the interpretation of hormone values. Methods: Concentrations of estradiol-17รŸ and progesterone were determined in seven mares over the course of their cycle. One mare was excluded from the study due to a physiologically deviating cycle. In addition, the mares' ovaries were examined via ultrasound on a daily basis in order to match the hormone values to morphological ...
[New drugs for horses and production animals in 2023].
Tierarztliche Praxis. Ausgabe G, Grosstiere/Nutztiere    May 3, 2024   Volume 52, Issue 2 96-100 doi: 10.1055/a-2291-7062
Emmerich IU.In 2023, no new active pharmaceutical ingredients were released on the German market for horses and food-producing animals. Two established veterinary active pharmaceutical ingredients became available for additional species: The phosphorus compound butafosfan was also approved for horses, dogs, and cats and the mineral sodium chloride as an isotonic sodium chloride solution was also approved for rabbits and guinea pigs. In addition, for small animals, there were new releases of an agent (pergolidmesilate) in a novel pharmaceutical formulation and a lower content of the active ingredient, one ...
Effect of video angle on detection of induced front limb lameness in horses.
BMC veterinary research    May 3, 2024   Volume 20, Issue 1 172 doi: 10.1186/s12917-024-04032-9
Valle AP, Brown KA, Reilly P, Ciamillo SA, Davidson EJ, Stefanovski D, Stewart HL, Ortved KF.Lameness examinations are commonly performed in equine medicine. Advancements in digital technology have increased the use of video recordings for lameness assessment, however, standardization of ideal video angle is not available yielding videos of poor diagnostic quality. The objective of this study was to evaluate the effect of video angle on the subjective assessment of front limb lameness. A randomized, blinded, crossover study was performed. Six horses with and without mechanically induced forelimb solar pain were recorded using 9 video angles including horses trotting directly away and ...
Comparative efficacy of low-volume retrobulbar anesthesia using three commercial local anesthetics in adult horses.
Journal of the American Veterinary Medical Association    May 3, 2024   1-11 doi: 10.2460/javma.24.02.0121
Tooley ZC, Eaton JS, Grant-Counard SM, Ilkenhans SM, Hetzel SJ, Bartholomew KJ.To compare the efficacy of low-volume (5-mL) locoregional retrobulbar anesthesia ("retrobulbar block") by use of 3 commercial local anesthetic formulations. Methods: 8 healthy adult mares. Methods: A block-randomized, masked, controlled design was used. A single ultrasound-guided retrobulbar block was performed with 2% lidocaine, 2% mepivacaine, or 0.5% bupivacaine (n = 5 eyes/group). Contralateral eyes served as untreated controls. End points performed at baseline and time intervals up to 24 hours postblock included the following: assessment of neurophthalmic reflexes/responses, intraocular p...