Effects of different sleeping positions on intraocular pressure in secondary open-angle glaucoma and glaucoma suspect patients
Jeffrey H Sedgewick,1 Justin A Sedgewick,2 Brandon A Sedgewick,2 Berk Ekmekci3 1Private Practice, Ashburn, Virginia, 2Department of Psychology, University of Virginia, 3Department of Statistics, University of Virginia, Charlottesville, VA, USA Purpose: The aim of this study was to investigate the...
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Dove Medical Press
2018
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oai:doaj.org-article:10c8a96a9ba04d9ebebaee2c976629a32021-12-02T03:03:38ZEffects of different sleeping positions on intraocular pressure in secondary open-angle glaucoma and glaucoma suspect patients1177-5483https://doaj.org/article/10c8a96a9ba04d9ebebaee2c976629a32018-08-01T00:00:00Zhttps://www.dovepress.com/effects-of-different-sleeping-positions-on-intraocular-pressure-in-sec-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Jeffrey H Sedgewick,1 Justin A Sedgewick,2 Brandon A Sedgewick,2 Berk Ekmekci3 1Private Practice, Ashburn, Virginia, 2Department of Psychology, University of Virginia, 3Department of Statistics, University of Virginia, Charlottesville, VA, USA Purpose: The aim of this study was to investigate the effects of different recumbent sleeping positions of the head and body on intraocular pressure (IOP) in secondary open-angle glaucoma and glaucoma suspect patients, specifically pigmentary dispersion (PD) as measured using the ICare rebound tonometer. Patients and methods: A total of 44 eyes of 24 patients with PD were selected in this study. The IOP of 44 eyes was measured in the initial seated position, in the 4 recumbent positions, and again in the sitting position between each of the recumbent positions. Results: The IOP of the right eyes and left eyes was higher in each of the 4 recumbent positions compared to its initial sitting position (all P<0.001). Dependent (D) vs nondependent (ND) comparisons failed to show a significant difference. All lateral vs prone comparisons showed a higher average IOP in the prone position than in the lateral position regardless of D vs ND status. The range of recumbent IOP changes was -4 to +17 mmHg or -17% to +142%. A total of 64% had at least a ≥33% IOP increase with 43% having a ≥50% increase. Conclusion: Lateral and prone sleeping positions usually do result in significant elevations of IOP in PD patients. Dependency status did not make a difference. A significantly larger IOP increase was seen in the prone position than in the lateral position. The presence of 3 clinical variables (disk hemorrhage [DH], notches, and BV changes) might increase the chances of developing a large recumbent increase in IOP. These patients and possibly all PD syndrome (PDS) or PD glaucoma (PDG) patients should consider sleeping in a bed that allows a head elevation of 30°. Keywords: recumbent position intraocular pressure changes, secondary open angle glaucoma, pigmentary dispersion, intraocular pressure, recumbent intraocular pressure changesSedgewick JHSedgewick JASedgewick BAEkmekci BDove Medical Pressarticlesecondary open angle glaucomapigmentary dispersion glaucomarecumbent intraocular pressure changesglaucomaIOPIOP changesOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 12, Pp 1347-1357 (2018) |
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secondary open angle glaucoma pigmentary dispersion glaucoma recumbent intraocular pressure changes glaucoma IOP IOP changes Ophthalmology RE1-994 |
| spellingShingle |
secondary open angle glaucoma pigmentary dispersion glaucoma recumbent intraocular pressure changes glaucoma IOP IOP changes Ophthalmology RE1-994 Sedgewick JH Sedgewick JA Sedgewick BA Ekmekci B Effects of different sleeping positions on intraocular pressure in secondary open-angle glaucoma and glaucoma suspect patients |
| description |
Jeffrey H Sedgewick,1 Justin A Sedgewick,2 Brandon A Sedgewick,2 Berk Ekmekci3 1Private Practice, Ashburn, Virginia, 2Department of Psychology, University of Virginia, 3Department of Statistics, University of Virginia, Charlottesville, VA, USA Purpose: The aim of this study was to investigate the effects of different recumbent sleeping positions of the head and body on intraocular pressure (IOP) in secondary open-angle glaucoma and glaucoma suspect patients, specifically pigmentary dispersion (PD) as measured using the ICare rebound tonometer. Patients and methods: A total of 44 eyes of 24 patients with PD were selected in this study. The IOP of 44 eyes was measured in the initial seated position, in the 4 recumbent positions, and again in the sitting position between each of the recumbent positions. Results: The IOP of the right eyes and left eyes was higher in each of the 4 recumbent positions compared to its initial sitting position (all P<0.001). Dependent (D) vs nondependent (ND) comparisons failed to show a significant difference. All lateral vs prone comparisons showed a higher average IOP in the prone position than in the lateral position regardless of D vs ND status. The range of recumbent IOP changes was -4 to +17 mmHg or -17% to +142%. A total of 64% had at least a ≥33% IOP increase with 43% having a ≥50% increase. Conclusion: Lateral and prone sleeping positions usually do result in significant elevations of IOP in PD patients. Dependency status did not make a difference. A significantly larger IOP increase was seen in the prone position than in the lateral position. The presence of 3 clinical variables (disk hemorrhage [DH], notches, and BV changes) might increase the chances of developing a large recumbent increase in IOP. These patients and possibly all PD syndrome (PDS) or PD glaucoma (PDG) patients should consider sleeping in a bed that allows a head elevation of 30°. Keywords: recumbent position intraocular pressure changes, secondary open angle glaucoma, pigmentary dispersion, intraocular pressure, recumbent intraocular pressure changes |
| format |
article |
| author |
Sedgewick JH Sedgewick JA Sedgewick BA Ekmekci B |
| author_facet |
Sedgewick JH Sedgewick JA Sedgewick BA Ekmekci B |
| author_sort |
Sedgewick JH |
| title |
Effects of different sleeping positions on intraocular pressure in secondary open-angle glaucoma and glaucoma suspect patients |
| title_short |
Effects of different sleeping positions on intraocular pressure in secondary open-angle glaucoma and glaucoma suspect patients |
| title_full |
Effects of different sleeping positions on intraocular pressure in secondary open-angle glaucoma and glaucoma suspect patients |
| title_fullStr |
Effects of different sleeping positions on intraocular pressure in secondary open-angle glaucoma and glaucoma suspect patients |
| title_full_unstemmed |
Effects of different sleeping positions on intraocular pressure in secondary open-angle glaucoma and glaucoma suspect patients |
| title_sort |
effects of different sleeping positions on intraocular pressure in secondary open-angle glaucoma and glaucoma suspect patients |
| publisher |
Dove Medical Press |
| publishDate |
2018 |
| url |
https://doaj.org/article/10c8a96a9ba04d9ebebaee2c976629a3 |
| work_keys_str_mv |
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