The Clinical Efficacy of a Topical Selective EP2 Receptor Agonist Against Feline Glaucoma That Is Not Responsive to Conventional Anti-Glaucoma Eyedrops.

Abstract

OBJECTIVE: To evaluate the clinical efficacy of the Omidenepag isopropyl 0.002% ophthalmic solution (OMDI) (Eybelis, topical selective EP2 receptor agonist) for feline glaucoma. ANIMAL STUDIED: Eleven client-owned cats. PROCEDURES: The medical records of cats prescribed OMDI between August 2021 and February 2024 were reviewed. These eye drops were administered to feline eyes that were unresponsive to conventional anti-glaucoma medications. Eyes responding to OMDI for &#x2265;&#x2009;6, 1-6, and <&#x2009;1&#x2009;months were classified as long-term responders, short-term responders, and non-responders, respectively. RESULTS: OMDI was administered BID-QID to 12 eyes of 11 cats diagnosed with various glaucoma etiologies: primary glaucoma and secondary glaucoma (lens-induced uveitis from Morgagnian cataract, aqueous misdirection syndrome, idiopathic anterior uveitis, anterior uveitis from systemic hypertension). The mean intraocular pressure immediately before OMDI administration was 53.6&#x2009;mmHg (range, 32-86&#x2009;mmHg). Five eyes retained vision, whereas seven were non-visual. The patients were followed for an average duration of 337.4&#x2009;days (range, 28-1281&#x2009;days) after treatment initiation. Four, two, and six eyes were classified as long-term responders, short-term responders, and non-responders, respectively. Four of the five eyes with vision before OMDI administration were classified as long-term responders. Contrastingly, none of the blind eyes without vision before drug administration were classified as long-term responders. CONCLUSION: OMDI could be an additional therapeutic option for feline glaucoma that is unresponsive to conventional therapies. Administration of OMDI following the early diagnosis of glaucoma is recommended to maximize therapeutic efficacy.