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The Effect of Yoga on Intraocular Pressure Using the "iCare HOME2" Tonometer
Tania Darja Shajiei1,2, Josephine Wachtl2, Angelika Schuknecht1,2
1Ophthalmology, University Hospital Zurich, Zurich, Switzerland.
Common yoga poses can significantly increase intraocular pressure (IOP) in both healthy and glaucoma patients, especially head-down positions. Glaucoma patients should exercise caution with yoga to avoid potential risks to vision.
Area of Science:
- Ophthalmology
- Physiology
- Integrative Medicine
Background:
- Intraocular pressure (IOP) elevation is a risk factor for glaucoma progression.
- Certain yoga postures may impact IOP, posing a potential risk.
- The iCare HOME2 self-tonometer allows for IOP measurement outside clinical settings.
Purpose of the Study:
- To evaluate the immediate effect of common yoga postures on IOP in healthy and glaucomatous eyes.
- To compare IOP recovery time in healthy versus glaucoma patients after yoga.
- To utilize the iCare HOME2 self-tonometer for IOP assessment during yoga.
Main Methods:
- A prospective, observational study involving 25 healthy and 25 glaucoma participants.
- Participants performed four yoga positions (Viparita Karani, Uttanasana, Halasana, Adho Mukha Svanasana) for 90 seconds each.
- IOP was measured using the iCare HOME2 before, during, and after each yoga posture.
Main Results:
- All tested yoga positions caused a significant IOP increase in both healthy and glaucoma eyes.
- Head-down positions, particularly "down face dog," resulted in the highest IOP elevations, exceeding 31 mmHg.
- No statistically significant difference in IOP response or recovery was observed between healthy and glaucoma groups.
Conclusions:
- Common yoga poses can acutely elevate IOP in healthy and glaucoma eyes, with head-down poses posing a higher risk.
- Glaucoma patients are advised to carefully select yoga exercises due to potential IOP spikes.
- Further research is needed to determine if yoga practice contributes to glaucoma progression.
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Prepare for the Procedure:
Special considerations while measuring blood pressure
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.

