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Publicaciones científicas

Lifestyles guide and glaucoma (i). Sports and activities

17-nov-2017 | Revista: Archivos de la Sociedad Española de Oftalmología

Moreno-Montañés J (1), Antón-López A (2), Duch-Tuesta S (3), Corsino Fernández-Vila P (4), García-Feijoó J (5), Millá-Griñó E (6), Muñoz-Negrete FJ (7), Pablo-Júlvez L (8), Rodríguez-Agirretxe I (9), Urcelay-Segura JL (10), Ussa-Herrera F (11), Villegas-Pérez MP (12); y Grupo Español de Estilos de Vida y Glaucoma. (1) Clínica Universidad de Navarra, Pamplona, Navarra, España.
(2) Institut Català de Retina, Universitat Internacional de Catalunya, Barcelona, España.
(3) Instituto Condal de Oftalmología, Barcelona, España.
(4) Hospital de Pontevedra, Pontevedra, España.
(5) Hospital Clínico San Carlos, Universidad Complutense de Madrid, Madrid, España.
(6) Hospital Clínic, Universitat de Barcelona, Barcelona, España.
(7) Hospital Universitario Ramón y Cajal, Universidad de Alcalá, Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Madrid, España.
(8) Hospital Miguel Servet, Universidad de Zaragoza, Zaragoza, España.
(9) Hospital Donostia, Universidad del País Vasco, San Sebastián, Guipúzcoa, España.
(10) Hospital Gregorio Marañón, Universidad Complutense de Madrid, Madrid, España.
(11) Instituto de Oftalmobiología Aplicada, Valladolid, España.
(12) Hospital General Universitario Reina Sofía, Universidad de Murcia, Murcia, España.


PURPOSES
The increase in quality and life expectancy, often leads to many patients asking the glaucoma specialist whether some sports, activities or hobbies would affect their illness. The aim of this article is to establish guidelines for patients, based on the scientific evidence of published papers.

METHODS
Review of all published articles on glaucoma and sports or other activities. The papers were classified according to the level of scientific evidence based on the Oxford Centre for Evidence-Based Medicine classification.

RESULTS
Aerobic sports are beneficial for the patient. Yoga indoor sports or relaxation techniques should be avoided if Valsalva manoeuvres are performed or the head is placed very low.

Also, the patients must avoid sudden changes in height. Intense heat does not seem to lead to progression of glaucoma, but intense cold can affect patients with vascular dysregulation. Activities using the near vision slightly reduce the intraocular pressure. The use of wind instruments may raise intraocular pressure, depending on the technique used.

CONCLUSIONS
Certain sports and activities may have an influence on the onset or progression of glaucoma. Glaucoma specialists should have adequate information about the scientific evidence in the publications, in order to properly advise the patients.

CITA DEL ARTÍCULO  Arch Soc Esp Oftalmol. 2017 Nov 17. pii: S0365-6691(17)30281-2. doi: 10.1016/j.oftal.2017.09.005

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