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61 protocols using proparacaine hydrochloride

1

Rabbit Anesthesia and Euthanasia Protocol

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A total of 45 New Zealand white rabbits weighing between 2 and 3 kg were used. The Institutional Animal Care and Use Committee of the Harry S. Truman Memorial Veterans’ Hospital and University of Missouri–Columbia approved the study. All animals were treated humanely and in accordance with the tenets of the Association for Research in Vision and Ophthalmology’s (ARVO) Statement for the Use of Animals in Ophthalmic and Vision Research. General anesthesia in rabbits was given by an intramuscular injection of ketamine hydrochloride (50 mg/kg) and xylazine hydrochloride (10 mg/kg). Local anesthesia was given with two to three drops of topical 0.5% proparacaine hydrochloride (Alcon Laboratories, Inc., Fort Worth, TX). The rabbits were killed by an intravenous injection of Beuthanasia-D (Merck & Co., Inc., Madison, NJ) (150 mg/kg) in rabbits under general anesthesia.
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2

In Vivo Corneal Confocal Microscopy

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Examination was carried out using the 40X lens of the Confoscan 4. Before the examination, a drop of topical anesthetic 0.5% proparacaine hydrochloride (Alcon, USA) was used to anesthetize both eyes. A drop of Genteal gel (0.3% Hypromellose, Alcon Laboratories, Inc., USA) was applied onto the lens tip. The patient was seated in front of the microscope with chin rest and forehead support in place and was asked to fixate the examined eye to the light inside the lens. The joy stick was used to move the lens toward the eye until the gel contacted the cornea. The device alerted the operator when the stroma appeared on the monitor, after which time, the operator pressed a button to initiate recording and the device automatically completed the alignment. The device was set to scan on anterior mode which focused on the anterior part of the cornea (up to 200 μm depth). In this mode, 350 images were acquired at a speed of 25 frames per second with 3μm distance between images. Each image represented a coronal section of 460 X 345 um (158,700 um2) with a minimum axial step of 1 um, magnification of X500, and lateral resolution of 0.6 um/pixel. A total of 1 to 3 scans were obtained for each cornea by an experienced operator.
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3

Intravitreal Injection of Bevacizumab and LW6

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On P12, mice were anesthetized by 3% isoflurane followed by 2% isoflurane during drug injections. Eyes were first dilated with 1% tropicamide and treated with 0.5% proparacaine hydrochloride as a topical anesthetic (Alcaine, Alcon, United States). Mice then received intravitreal injection of bevacizumab (1 μL), LW6 (0.3 μL), or both (1 μL + 0.3 μL) under a stereomicroscope (Hamilton, United States) using a 33-gauge Hamilton syringe (Hamilton, United States).
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4

Alkali-Induced Corneal Injury Model

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Except for the 12 mice used for monitoring and photographic analysis during alkali burns, the remaining mice were randomly assigned to 2 groups: a control group without any intervention and an NaOH group subjected to alkali burn treatment. Each experiment involved 18 mice, with 9 mice per group. On the seventh day after alkali burns, corneal tissues from the right eyes of three individuals were pooled to create one sample, and each group comprised three biological replicates for subsequent experiments. Mice were anesthetized with 5% isoflurane and maintained under anesthesia with 2% isoflurane. Before causing corneal alkali damage, a topical anesthetic was applied using 0.5% proparacaine hydrochloride (Alcon, Fort Worth, TX, USA). A circular filter paper (2.0 mm × 2.0 mm) soaked with NaOH (1 mol/L) was attached to the central cornea of the right eye for 40 seconds to induce an alkali burn. Afterward, the paper was quickly removed, and the conjunctival sac was washed entirely with a 0.9% sterile saline solution for 1 minute. After alkali burns, the mice in the experimental and control groups were both treated with ofloxacin eye drops twice daily for 3 days to prevent infection.
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5

Sodium Hydroxide-Induced Corneal Injury Model

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The CAI model was established as described previously (40 (link)). Six-week-old mice were anesthetized with 50 mg/kg pentobarbital sodium and placed on a body warming pad, and topical anesthesia eye drop (proparacaine hydrochloride, Alcon, 1370) was applied to the cornea for 30 seconds. A 2 mm round filter paper infiltrated with 0.5 μL of 1 M sodium hydroxide solution (Sigma, S2770) was placed on the cornea for 60 seconds with no direct contact with the limbus. Thereafter, the injured cornea was gently rinsed with sterile saline for at least 60 seconds and covered by topical antibiotic gel (Ofloxacin Eye Ointment, Shenyang Xingqi Pharmaceutical Co.). PBS-operated mouse eyes were used as the sham controls. Slit-lamp observations and pharmacological procedures at later time points were performed as indicated.
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6

Primate Ocular Preparation for Electrophysiology

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Monkeys were sedated with ketamine (10 mg/kg) (Troy Laboratories, Glendenning, New South Wales, Australia) and xylazine (1 mg/kg) (Lloyd Laboratories, Shenandoah, IA, USA) injected intramuscularly. Pupil dilation was achieved by the combined topical administration of 1% tropicamide and 2.5% phenylephrine hydrochloride (Alcon Laboratories, Fort Worth, TX, USA). Before placing the recording lens, proparacaine hydrochloride (0.5%) (Alcon Laboratories, Fort Worth, TX, USA) and methylcellulose (2.5%) (Akorn, Inc., Buffalo Grove, IL, USA) eye drops were applied to assure local anesthesia and corneal surface hydration, respectively.
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7

Retinopathy of Prematurity Screening Protocol

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Babies smaller than 37 weeks of gestational age were examined for ROP. All babies were examined at 4–6 weeks after birth. ROP screening was performed after applying tropicamide 1% (Tropamid®, Bilimilaç®,Gebze, Turkey) and phenylephrine hydrochloride 0.5% (Mydfrin®, Alcon®, Fort Worth, TX) eye drops three times for pupillary dilatation. ROP screening was performed by an experienced ophthalmologist using binocular indirect ophthalmoscope combined with a scleral depressor after applying proparacaine hydrochloride 0.5% (Alcaine®, Alcon®, Fort Worth, TX) eye drops as the topical anesthetic. The grading of the ROP status was made according to the international ROP classification.[ 1 (link)] For each infant, the status of ROP was recorded including the zone, stage, extent of the disease, and the presence or absence of plus disease in the study.[8 (link),10 (link),12 (link)] After ROP screening procedure, each infant was also graded according to the maximum stage of ROP in both eyes. Subjects that were not diagnosed with ROP were followed up every two to three weeks until retinal vascular maturation was completed. Subjects diagnosed with ROP were followed up every one to two weeks due to the severeness of the disease.
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8

Flash ERG Recordings in Mice

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ERGs were recorded using an Espion E2 system (Diagnosys). Mice were anesthetized as described above after dark adaptation overnight. Pupils were dilated, and a drop of proparacaine hydrochloride (0.5%; Alcon) was applied on the cornea for topical anesthesia. Flash ERG recordings were obtained simultaneously from both eyes with gold wire loop electrodes, with the reference electrode placed in the mouth and the ground subdermal electrode at the tail. ERG responses were obtained at increasing light intensities over the ranges of 1 × 10−4 to 10 cd⋅s/m2 under dark-adapted conditions and 0.3 to 100 cd⋅s/m2 under a rod-saturating background light. The stimulus interval between flashes varied from 5 s at the lowest stimulus to 60 s at the highest ones. 2 to 10 responses were averaged depending on flash intensity. ERG signals were recorded with 0.3-Hz low-frequency and 300-Hz high-frequency cutoffs sampled at 1 kHz. Analysis of a-wave and b-wave amplitudes was performed using Espion ERG Data Analyzer software (version 6.0.54). The a-wave amplitude was measured from the baseline to the negative peak, and the b-wave was measured from the a-wave trough to the maximum positive peak. Statistical comparisons between ERG amplitudes between animals of different genotypes were analyzed using a two-way ANOVA.
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9

Conjunctival Impression Cytology Protocol

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Conjunctival epithelial cells were collected via impression cytology as previously described [28 (link)]. Briefly, after administration of topical anesthetic (0.5% proparacaine hydrochloride; Alcon), two sterile membrane filters (6 × 6 mm, Millipore) were gently placed onto the inferotemporal and superotemporal bulbar conjunctiva. Gentle pressure was applied to the filters for 10 seconds using blunt smooth edged forceps. The membranes were then gently removed from the eye and transferred into an Eppendorf tube containing TRIzol reagent (Invitrogen; Carlsbad, CA). The samples were then stored at −80°C until processing.
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10

Alkali-Induced Corneal Injury and Treatment

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The mice were studied while under general anesthesia induced by intraperitoneal injection of 0.3 ml/kg chloral hydrate, followed by topical anesthesia of the eye by drops of 0.5% proparacaine hydrochloride (Alcon, Inc., Fort Worth, TX, USA). A sheet of filter paper (Sigma-Aldrich; Merck KGaA, Darmstadt, Germany) was cut to size in order to provide disk-shaped pieces with diameters of 2 mm. These filter paper disks were presoaked in 1 N NaOH, and then applied to the center of the anesthetized cornea of the right eye of each mouse for 10 sec, followed by immediate eye irrigation with balanced salt solution (Alcon, Inc.), as previously described (15 (link)), and the animals were then randomly allocated to 1 of 3 different treatment groups: Levofloxacin eye drops (KB2), levofloxacin and FK506 eye drops (SY1), or levofloxacin and tobramycin dexamethasone eye drops (SY2).
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