PUBLICAÇÕES científicas

Lifestyles guide and glaucoma (II). Diet, supplements, drugs, sleep, pregnancy, and systemic hypertension

Antón-López A (1), Moreno-Montañés J (2), Duch-Tuesta S (3), Corsino Fernández-Vila P (4), García-Feijoo 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) Institut Català de Retina, Universitat Internacional de Catalunya, Parc de Salut Mar, Barcelona, España.
(2) Clínica Universidad de Navarra, Pamplona, España.
(3) Instituto Condal de Oftalmología, Barcelona, España.
(4) Hospital de Pontevedra, Pontevedra, España.
(5) Hospital Clínico San Carlos, Universidad Complutense, Madrid, España.
(6) Hospital Clínic, Universitat de Barcelona, Barcelona, España.
(7) Hospital Universitario Ramón y Cajal, Universidad de Alcalá, IRYCIS, Alcalá de Henares, Madrid, España.
(8) Hospital Miguel Servet, Universidad de Zaragoza, Zaragoza, España.
(9) Hospital Donostia, Universidad del País Vasco, Donostia, España.
(10) Hospital Gregorio Marañón, Universidad Complutense, Madrid, España.
(11) Instituto de Oftalmobiología Aplicada, Valladolid, España.
(12) Hospital General Universitario Reina Sofía, Universidad de Murcia, Murcia, España.

Revisão:Archivos de la Sociedad Española de Oftalmología

Data: 14/Nov/2017

Oftalmologia [ES]

PURPOSE
To establish evidence based guidelines to advise patients on the relationship between habits, diet, certain circumstances, diseases and glaucoma.

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
The evidence on the relationship between diet or supplements and the incidence or progression of glaucoma is insufficient to make a general recommendation for glaucoma patients.

Although some studies on normal tension glaucoma suggest that Gingko biloba could reduce glaucoma progression, the results do not allow a general recommendation for all these patients.

Similarly, the evidence on the usefulness of vitamin supplements is not conclusive. The studies on smoking do not clearly demonstrate the relationship between this habit and incidence of glaucoma. Marihuana is not a useful treatment for glaucoma.

Although the results on the relationship between sleep apnoea and glaucoma are heterogeneous, it is recommended that patients with moderate to intense apnoea are tested for glaucoma.

Pregnancy does not influence the course of the disease, but several hypotensive drugs may be harmful for the foetus. Nocturnal systemic hypotension is a risk factor for glaucoma progression.

CONCLUSIONS
Certain habits, circumstances, or diseases may have an influence on the onset or progression of glaucoma. It is important to have adequate information about the scientific evidence in the publications in order to properly advise patients.

CITAÇÃO DO ARTIGO  Arch Soc Esp Oftalmol. 2017 Nov 14. pii: S0365-6691(17)30282-4. doi: 10.1016/j.oftal.2017.10.001. 

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