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Published on: September 22, 2017
Progressive optic neuropathy in congenital glaucoma associated with the Sirsasana yoga posture
Daniela S Monteiro de Barros1, Sheila Bazzaz, Moataz E Gheith
1William and Anna Goldberg Glaucoma Service and Research Center, Wills Eye Institute, Jefferson Medical College, 840 Walnut Street, Suite 1150, PA 19107, USA.
Abstract:
The authors describe a case of progressive optic neuropathy in a patient with congenital glaucoma who had routinely practiced the Sirsasana (headstand) yoga posture for several years. Ophthalmic examination included best-corrected visual acuity, anterior segment examination, indirect ophthalmoscopy, ultrasound pachymetry for central corneal thickness, and intraocular pressure before, during, and after maintaining the Sirsasana posture for 5 minutes. Intraocular pressure increased significantly during the Sirsasana posture. Transient elevation in intraocular pressure during yoga exercises may lead to progressive glaucomatous optic neuropathy, especially in susceptible patients with congenital glaucoma.
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