Effects of papaverine pilocarpine and epinephrine on fistulized rabbit conjunctiva

Pretreatment with pilocarpine hydrochloride has been demonstrated to increase the number of myofibroblasts in fistulized conjunctiva in rabbits. To determine if this observation is related to changes in the conjunctival vasculature that may be linked to pilocarpine, we evaluated the effects of a vasodilator and a vasoconstrictor in comparison with pilocarpine hydrochloride. Twenty Dutch-belted rabbits, with five rabbits per group, were treated in a masked fashion in both eyes with topical solutions of 4% pilocarpine hydrochloride, 0.3% papaverine, a combination of 4% pilocarpine and 2% epinephrine, or artificial tears for 3 months. Four of five rabbits in each group underwent thermal sclerostomies in both eyes; the fifth rabbit in each group served as a nonsurgical control. The mean number of myofibroblasts per high-power field was greater in the surgical eyes treated with pilocarpine (6.35 $pM 0.48) or papaverine (9.22 $pM 0.44) than in the eyes treated with both epinephrine and pilocarpine (4.80 $pM 0.70) or artificial tears (5.20 $pM 0.40). These results suggest that the vasoactive properties of topical agents can increase or limit the number of myofibroblasts following filtration surgery.

Correlation of salivary and gastric acid secretions in duodenal ulcer patients in tropics

Salivary flow rates on mechanical stimulation by forced spitting method and by chemical stimulation with 10% citric acid and gastric acidity using an augmented histamine test were determined in 20 adult patients suffering from duodenal ulcer and in 20 adult control subjects matched with respect to age, sex, and body weight. Salivary flow rates were found to be much higher in response to chemical than to mechanical stimulus in both the groups. Duodenal ulcer patients exhibited an unexplained exaggerated response to chemical stimulation. Salivary pH, amylase, sodium, and potassium levels showed no significant differences between the two groups. The flow rates by either method generally showed a positive correlation with body weight in both the groups. Histamine stimulated gastric acid secretion was higher in duodenal ulcer patients than in controls. Acid secretion did not appear to be related to weight and also showed no consistent correlation with the salivary flow rates. It was concluded that (1) the salivary flow was dependent on body weight in duodenal ulcer patients as well as in controls, and (2) although salivary gland hyperplasia could be postulated in duodenal ulcer patients on the basis of increased salivary flow, the latter was poorly related to maximal acid secretion and therefore, if a combination of parietal cell and salivary gland hyperplasia did exist, it should be considered as incidental.