Lifestyle modifications and environmental risk factors for glaucoma.

IF 3 2区 医学 Q1 OPHTHALMOLOGY Current Opinion in Ophthalmology Pub Date : 2024-10-24 DOI:10.1097/ICU.0000000000001098
Abdelrahman M Elhusseiny, Ahmad A Aref
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Abstract

Purpose of review: To summarize recent evidence about the association between different lifestyle modifications and environmental risk factors and glaucoma.

Recent findings: Incorporating moderate exercise into the routine of glaucoma patients may help slow the progression of the condition. However, caution should be taken when using swim goggles, and it may be advisable to avoid certain yoga positions and heavy weight-lifting exercises, as they have been linked to intraocular pressure (IOP) spikes and potential risks for glaucoma patients. Various relaxation techniques may lower IOP. The evidence remains inconclusive about the association between vitamins intake and glaucoma. Dietary nitric oxide has been associated with a lower risk of glaucoma. Higher smoking intensity has been linked to faster visual field decline and retinal nerve fiber layer thinning. Additionally, there is currently insufficient evidence to support the use of marijuana in managing glaucoma, with side effects outweighing the proposed benefits. A significant association has been found between air pollutants and ganglion cell layer thinning, as well as a greater burden of glaucoma.

Summary: Lifestyle and environmental factors are increasingly recognized as significant contributors to glaucoma development and progression. These modifications should be integrated into a comprehensive treatment approach alongside medications or surgical interventions.

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青光眼的生活方式改变和环境风险因素。
综述的目的:总结有关不同生活方式的改变和环境风险因素与青光眼之间关系的最新证据:将适度运动纳入青光眼患者的日常生活习惯可能有助于减缓病情的发展。然而,在使用泳镜时应小心谨慎,最好避免某些瑜伽姿势和举重运动,因为它们与眼压飙升和青光眼患者的潜在风险有关。各种放松技巧可降低眼压。关于维生素摄入量与青光眼之间的关系,目前尚无定论。膳食中的一氧化氮与降低青光眼风险有关。较高的吸烟强度与较快的视野下降和视网膜神经纤维层变薄有关。此外,目前还没有足够的证据支持使用大麻来治疗青光眼,因为大麻的副作用超过了所建议的益处。总结:生活方式和环境因素越来越被认为是导致青光眼发生和发展的重要因素。这些改变应与药物或手术干预一起纳入综合治疗方法中。
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来源期刊
CiteScore
6.80
自引率
5.40%
发文量
120
审稿时长
6-12 weeks
期刊介绍: Current Opinion in Ophthalmology is an indispensable resource featuring key up-to-date and important advances in the field from around the world. With renowned guest editors for each section, every bimonthly issue of Current Opinion in Ophthalmology delivers a fresh insight into topics such as glaucoma, refractive surgery and corneal and external disorders. With ten sections in total, the journal provides a convenient and thorough review of the field and will be of interest to researchers, clinicians and other healthcare professionals alike.
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