The Early Ophthalmic Effects of Vatinoxan in Healthy Detomidine-Sedated Horses.
Mustikka MP, Karikoski NP, Raekallio MR, Teppo ES, Pot SA, Honkavaara J · Veterinary Ophthalmology · 1 July 2026
Vatinoxan prevents detomidine-induced intraocular pressure reduction in horses.
This randomized, masked, crossover study evaluated vatinoxan's ophthalmic effects in seven healthy horses receiving detomidine sedation. Vatinoxan is a peripherally selective alpha2-adrenoceptor antagonist investigated for its potential to mitigate detomidine's ocular side effects. Horses received either detomidine alone (20 μg/kg IV) or detomidine with vatinoxan (200 μg/kg IV). Intraocular pressure, tear production (Schirmer tear test), and vertical pupil diameter were measured at predetermined intervals for 25 minutes post-treatment. Results demonstrated that detomidine alone significantly reduced IOP throughout the observation period, while vatinoxan co-administration prevented this IOP decrease. Tear production increased similarly with both treatments. Pupil diameter remained unchanged with either treatment. The study concludes that vatinoxan effectively alleviates the early detomidine-associated decrease in intraocular pressure in healthy horses, suggesting potential clinical benefits in mitigating detomidine's ocular effects during equine anesthesia.
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