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Floxal

Manufactured by Bausch & Lomb
Sourced in Germany, United States

Floxal is a laboratory equipment product manufactured by Bausch & Lomb. It is designed for general laboratory use, but its core function is not specified in the information provided. A detailed and unbiased description cannot be provided without extrapolation or interpretation.

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12 protocols using floxal

1

Technique for iStent inject Implantation

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iStent inject implantation was completed following standard phacoemulsification and intraocular lens (IOL) implantation. As described previously [23 (link)–31 (link)], the iStent inject implantation technique may be summarized as follows: after pupillary miosis with a cholinergic agent (carbachol), the anterior chamber is filled with a medium-viscosity ocular viscosurgical device (OVD) and the surgeon then guides a single-use stainless steel injector through a temporal clear corneal incision in order to deliver two pre-loaded titanium stents ab interno into the nasal Schlemm’s canal approximately two clock-hours apart. Each heparin-coated 360 µm × 230 µm stent has multiple lateral outlet lumens for fluid outflow and a symmetric design facilitating implantation in either the right or the left eye (Fig. 1). The stents are designed to decrease IOP by increasing trabecular outflow from the anterior chamber to Schlemm’s canal. After surgery, patients received 1 week of topical antibiotic (ciprofloxacin; Floxal®, Bausch & Lomb, Berlin, Germany) and 4 weeks of topical anti-inflammatory medication (dexamethasone, Bausch & Lomb, Berlin, Germany).
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2

Intravitreal Anti-C5 Antibody Administration

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The monoclonal antibody against the complement factor C5 BB5.1 (Hycult Biotech, Uden, Netherlands) was administered intravitreally in two different doses (15 µmol/µl: ONA+C5-I or 25 µmol/µl: ONA+C5-II) one day before immunization (Supplementary Figure 1A) (Copland et al., 2010 (link)). The intravitreal injections were repeated every 2 weeks. After being anesthetized with a ketamine/xylazine cocktail (100/4 mg/kg), eyes were dilated with tropicamide 5% and topically anesthetized with conjuncain. Under a stereomicroscope (Zeiss, Jena, Germany), 5 µl or 8 µl of BB5.1 were injected with a 32-gauge Hamilton cannula into the right eye, while the left eye served as untreated ONA group. After the injection, Floxal, an antibiotic ointment (Bausch&Lomb, Rochester, NY, USA), was applied to the eyes.
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3

Intravitreal Injection of S100B in Rats

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Rats were anesthetized with a mixture of ketamine (50 mg/ml, Ratiopharm) and xylazine (2%, Bayer Health Care). After the application of a topical anesthetic (Conjuncain, 4 mg/ml, Bausch&Lomb), the pupil was dilated with a mydriaticum (Tropicamide, 5 mg/ml, Stulln). The S100B protein was used in two different concentrations. One group was treated with 2 μl of a 0.2 μg/μl S100B solution (S100B I group, Sigma-Aldrich) and the other group was treated with 2 μl of a 0.5 μg/μl S100B solution (S100B II group, Sigma-Aldrich). S100B was injected in the vitreous of one eye with a 32-gauge needle (Hamilton) under a stereomicroscope (Zeiss). The control group received 2 μl PBS (Biochrome), since this was used as a solvent for S100B. The corresponding eyes remained untreated. Therefore, four groups were compared in this study: native, PBS, S100B I and S100B II. After the injection, the eyes were treated with Floxal, an antibiotic ointment (Bausch&Lomb), and examined after 2 h and on the next day. Animals with eye bleeding or cataracts were excluded. In addition, the general behavior and look of the animals was evaluated once a week.
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4

Implantation of iStent inject Device

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The iStent inject device is comprised of two biocompatible titanium stents preloaded on a single-use sterile injector. Each stent contains four lateral outlet lumens to facilitate multidirectional outflow. The stents are placed ab internally through the trabecular meshwork into Schlemm’s Canal at approximately 2–3 h apart, providing access to up to 6 h of aqueous outflow [5 (link), 6 (link)]. Implantation is completed either following phacoemulsification (in combined-cataract cases) or as a standalone procedure, as described in the respective prior publications [3 (link), 4 (link)]. Following implantation, stent position and patency are confirmed via gonioscopy, viscoelastic is removed, and surgical wound closure is ensured. Postoperatively, patients were prescribed 1 week of topical antibiotic ciprofloxacin (Floxal®, Bausch&Lomb, Berlin, Germany) and four weeks of topical anti-inflammatory medication (Dexamethasone; Bausch&Lomb).
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5

Intravitreal S100B Injection in Rats

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Wistar rats received an intraocular S100B injection (n = 6–7/group). Before intraocular treatment, animals were anesthetized with a mixture of ketamine (50 mg/mL, Ratiopharm, Ulm, Germany) and xylazine (2%, Bayer Health Care, Leverkusen, Germany) followed by a topical anesthetic (Conjuncain, 4 mg/mL, Bausch & Lomb, Rochester, NY, USA) and a mydriatic to dilate the pupil (Tropicamide, 5 mg/mL, Pharma Stulln, Stulln, Germany). In the S100B group, 0.4 µg/µL S100B solution (Sigma-Aldrich) was injected in the vitreous of one eye with a 32-gauge needle (Hamilton, VWR, Radnor, PA, USA) under a stereomicroscope (Zeiss, Jena, Germany) [29 (link)]. Controls received 2 µL phosphate-buffered saline (PBS; Biochrome), which also functioned as a solvent for S100B. After the injection, the eyes were treated with an antibiotic ointment (Floxal, Bausch & Lomb). Animals were examined 2 h after injection and on the next day. Once a week, the general behavior and look of the animals was examined Eye bleeding or cataracts were considered as early endpoints in this study.
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6

Rat Model of Corneal Wound Healing

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The experiments were performed on 8-week old male Wistar rats, weighing approximately 200 g. All animals were provided by the Center for Experimental Medicine, Medical University of Silesia, Katowice, Poland and were treated in accordance with the ARVO Statement for the Use of Animals in Ophthalmic and Vision Research and the EC Directive 86/609/EEC for animal experiments, using the protocols approved and monitored by the Local Committee for Animal Experiments of Medical University of Silesia.
All surgical procedures were performed under general anaesthesia with an intraperitoneal injection of a mixture of ketamine (50 mg/kg, VetaKetam, Vetagro, Poland) and xylazine (5 mg/kg, Xylapan, Vetoquinol Biowet, Poland). For the local anaesthesia, we used 0.5% Proxymetacaine hydrochloridum (Alcaine, Alcon, Fort Worth, TX, US). During the recovery from anaesthesia, the rats were placed in their cages and an ointment containing ofloxacin (Floxal, Bausch&Lomb, Bridgewater, NJ, US) was applied on the cornea to prevent corneal desiccation and infection. After follow-up time, the animals were sacrificed with an intraperitoneal overdose of a mixture of ketamine and xylazine.
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7

iStent inject Trabecular Micro-bypass Implantation

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As was described in the pivotal trial publication by Samuelson et al. [14 (link)], iStent inject trabecular micro-bypass consists of two titanium stents on a single injector, with each stent having 230 µm diameter, 360 µm height, and 80 µm central lumen diameter. Despite the micro-scale dimensions (approximately the size of the period on this page), each stent is known to be able to handle the entire aqueous outflow production of the human eye (up to 2.5 µl/min on average) [15 (link)]. In the present study, the iStent inject stents were implanted either after cataract surgery or as a standalone procedure. In either case, the stents were inserted ab internally 2–3 clock-hours apart through the trabecular meshwork into Schlemm’s canal, which facilitates up to 6 total clock-hours of outflow [16 (link)]. After implantation, stent positioning was confirmed gonioscopically, viscoelastic was removed, and the clear corneal incision was confirmed to be closed. In the weeks after surgery, patients instilled topical ciprofloxacin (Floxal®, Bausch&Lomb, Berlin, Germany, × 1 week) and topical anti-inflammatory medication (Dexamethasone, Bausch&Lomb, Berlin, Germany, × 4-week taper).
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8

Intravitreal Injection of HSP27 in Rats

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The intravitreal injections of HSP27 or PBS were performed as previously described [34 (link)]. Briefly, rats were anesthetized with ketamine (50 mg/mL, Ratiopharm, Ulm, Germany) and xylazine (2%, Bayer Health Care, Leverkusen, Germany). After the pupil was dilated with a mydriatic (Tropicamid 5 mg/mL, Stulln, Germany), a topical anesthetic (Conjuncain 4 mg/mL, Bausch&Lomb, Berlin, Germany) was applied on the eye. The commercially available HSP27 protein (cat. HSP0503; Lot: 097102, AtGen, Yatap-dong, South Korea) was already dissolved in 20 mM Hepesl buffer (pH 7.5). However, to obtain a protein solution of 0.2 µg/µL, we diluted the HSP27 protein in PBS. One eye per animal (n = 12) was injected with 2 µL of 0.2 µg/µL (final concentration: 0.4 µg) HSP27 solution under a stereomicroscope (Zeiss, Oberkochen, Germany), with a 32-gauge needle (Hamilton, Reno, NV, USA). Control animals received the same volume of PBS (Biochrome, Berlin, Germany; n = 12), since this was used as a solvent for HSP27. After the injection, the eyes were treated with an antibiotic ointment (Floxal, Bausch&Lomb, Berlin, Germany). No injection was performed on the contralateral eye.
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9

Intravitreal Injection of HSP27 in Mice

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Mice were anesthetized with ketamine (120 mg/mL, Ratiopharm, Ulm, Germany) and xylazine (16 mg/kg, Bayer Health Care, Leverkusen, Germany). Then, a topical anesthetic was applied onto the eye (Conjuncain, 4 mg/mL Bausch&Lomb, Rochester, NY, United States) followed by a mydriatic to dilatate the pupil (Tropicamide, 5 mg/mL, Stulln, Stulln, Germany). The HSP27 protein (cat. HSP0503; Lot: 097102, AtGen, Yatap-dong, South Korea) was already dissolved in 20 mM phosphate-buffered saline (PBS, pH 7.5). One eye per animal was injected with 1 μL of 0.6 μg/μL HSP27 solution under a stereomicroscope (Zeiss, Oberkochen, Germany) with a 32-gauge needle (Hamilton, Reno, NV, United States). Control animals received the same volume of PBS (Biochrome, Berlin, Germany) since this was used as a solvent for HSP27. After the injection, an antibiotic ointment was dripped on the eye (Floxal, Bausch&Lomb). Non-injected contralateral eyes served as naive controls. After injection, the animals were monitored at close intervals to make sure that they were in good condition. Four weeks after injection, subsequent analyses were performed.
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10

Intravitreal Anti-C5 Antibody Treatment in ONA-Induced Rats

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A monoclonal antibody against the complement factor C5 (BB5.1; Hycult Biotech, Uden, Netherlands) was injected intravitreally into one eye of some ONA immunized rats, as previously described (Reinehr et al. 2019a (link)). For this, either a lower (15 μmol, n = 6; ONA + C5-I) or a higher (25 μmol, n = 6; ONA + C5-II) concentration of the antibody was applied. The control group was not treated intravitreally (n = 6). The anti-C5 therapy was first administered 1 day before the first immunization with ONA and was repeated every 2 weeks (Fig. 1).
For the injections, rats were anesthetized with a mixture of ketamine and xylazine (100/4 mg/kg). Mydriasis was induced by tropicamide 5% eye drops, and the ocular surface was locally anesthetized with oxybuprocaine-containing eye drops (Conjuncain, Bausch+Lomb, Rochester, NY, USA). The injection of either 5 or 8 μl BB5.1 was administered into the right eye of the rat under a stereomicroscope (Zeiss, Jena, Germany) using a 32 Gauge Hamilton cannula (Hamilton Company, Reno, NV, USA). An antibiotic eye ointment (Floxal, Bausch+Lomb) was applied onto the treated eye. The untreated left eyes of the animals constituted the ONA group (n = 6).
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