Modifiable factors in the management of glaucoma: a systematic review of current evidence.
Hecht Idan, Achiron Asaf, Man Vitaly, Burgansky-Eliash Zvia
AI Summary
This review found some lifestyle factors (head elevation, exercise, diet, sleep position) may influence glaucoma progression, but robust evidence for specific interventions is lacking, guiding clinical advice.
Abstract
Purpose
Primary open angle glaucoma is a chronic optic neuropathy affecting millions of people worldwide and represents a major public health issue. Environmental factors, behaviors, and diet are intimately related to patient health and may play a role in the pathogenesis and progression of glaucoma. This study aims to review the literature, focusing on the last three years, regarding modifiable lifestyle interventions in the management of primary open angle glaucoma.
Methods
Electronic databases were searched for studies published between January 2013 and July 2016 on the topic of lifestyle interventions in primary open angle glaucoma.
Results
Sleeping with the head elevated and avoiding the worst eye-dependent side during sleep may slightly lower intraocular pressure and reduce visual field loss. Some food supplements and moderate aerobic exercise may also reduce intraocular pressure up to 2.0 and 3.0 mmHg, respectively. Frequency of coffee intake may be associated with disease progression. Potential negative effects are associated with weight-lifting and yoga exercises.
Conclusions
Certain lifestyle habits could influence glaucoma progression, yet no specific interventions are currently supported by robust evidence. Awareness of the possible influences of certain habits should help guide clinical advice and is important to help patients avoid adverse outcomes and take an active role in the management of their disease.
MeSH Terms
Shields Classification
Key Concepts5
Sleeping with the head elevated and avoiding the worst eye-dependent side during sleep may slightly lower intraocular pressure and reduce visual field loss in primary open angle glaucoma patients.
Some food supplements may reduce intraocular pressure up to 2.0 mmHg in primary open angle glaucoma patients.
Moderate aerobic exercise may reduce intraocular pressure up to 3.0 mmHg in primary open angle glaucoma patients.
Frequency of coffee intake may be associated with disease progression in primary open angle glaucoma.
Potential negative effects are associated with weight-lifting and yoga exercises in primary open angle glaucoma patients.
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