First Author: E.Ungureanu ROMANIA
Co Author(s): S. Gradinaru A. Stefanescu O. Palii D. Dogaru
Purpose:
Evaluation of the influence of mild to moderate exercise on intraocular pressure of normal patients and glaucoma patients
Setting:
Prospective study, 32 patients divided in 5 groups, 6-8 patients per group
Methods:
Patients were divided in several groups: normal patients without treatment, normal patients after prostaglandin analogue instilation, normal patients after ?-blocker instilation, glaucoma patients treated with prostaglandin analogue, glaucoma patients treated with ?-blocker. Intraocular pressure was measured before exercise and after, at 1 minute, 15 minutes, 30 minutes and 1 hour. The exercise consisted in submaximal jogging. For a subgroup of normal patients without treatment the exercise consisted in weight lifting.
Results:
Intraocular pressure decreased in all groups except the group with weight lifting where it increased. The decrease was was significant immediately exercise and at 15 minutes; at 30 minutes was significant only in normal patient groups, with or without instillation. For the group with weight lifting most og the patients had an increase of intraocular pressure, which was significant after 15 minutes also.
Conclusions:
Exercise reduces the IOP of glaucoma patients already under antiglaucoma treatment. Moderate aerobic exercise reduces the IOP of healthy individuals. Aerobic exercise also reduces the IOP following instillation of a ?-blocker, a prostaglandin analogue or an ?-agonist. Regular moderate aerobic exercise should be encouraged for glaucoma patients, while weight lifting glaucoma patients should be followed-up carefully FINANCIAL DISCLOSURE?: No
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