Modifiable factors in the management of glaucoma: a systematic review of current evidence
Language: 
English
Short Title: 
Modifiable factors in the management of glaucoma
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.

Author(s): 
Hecht, Idan
Achiron, Asaf
Man, Vitaly
Burgansky-Eliash, Zvia
Item Type: 
Journal Article
Publication Title: 
Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Fur Klinische Und Experimentelle Ophthalmologie
Journal Abbreviation: 
Graefes Arch. Clin. Exp. Ophthalmol.
Publication Date: 
2017-04
Publication Year: 
2017
Pages: 
789-796
Volume: 
255
Issue: 
4
ISSN: 
1435-702X
DOI: 
10.1007/s00417-016-3518-4
Library Catalog: 
PubMed
Extra: 
PMID: 27743157

Turabian/Chicago Citation

Idan Hecht, Asaf Achiron, Vitaly Man and Zvia Burgansky-Eliash. 2017-04. "Modifiable factors in the management of glaucoma: a systematic review of current evidence." Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Fur Klinische Und Experimentelle Ophthalmologie 255: 4: 789-796. 10.1007/s00417-016-3518-4.

Wikipedia Citation

<ref> {{Cite journal | doi = 10.1007/s00417-016-3518-4 | issn = 1435-702X | volume = 255 | pages = 789-796 | last = Hecht | first = Idan | coauthors = Achiron, Asaf, Man, Vitaly, Burgansky-Eliash, Zvia | title = Modifiable factors in the management of glaucoma: a systematic review of current evidence | journal = Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Fur Klinische Und Experimentelle Ophthalmologie | date = 2017-04 | pmid = | pmc = }} </ref>