GLAUCOMA PROGRESSION AND SLEEPING POSTURE : ARE THEY ASSOCIATED?

GLAUCOMA PROGRESSION AND SLEEPING POSTURE : ARE THEY ASSOCIATED?


A team of South Korean and also American scientists have checked out the connection in between favoured sleeping placement and also unsymmetrical [i.e., not the same in both eyes] visual field loss in subjects with glaucoma. Their results recommend that the rest position constantly favoured by the study participants i.e., lying on the very same side of the body as the eye with the higher visual field loss could be an aspect that adds to glaucoma progression.

Khanna Institute Of Lasik
Khanna Institute Of Lasik



As a matter of fact, please keep in mind: The researchers did not figure out that sleep setting created crooked field loss; they only identified that rest position was a factor that needed better investigation. For future research studies, the researchers also recommend video clips recording during sleep to supplement surveys, in order to collect much more specific information.

The research study, entitled Partnership in between Preferred Resting Setting and Crooked Visual-field Loss in Open-angle Glaucoma patients, was published online “ahead of print” on December 16, 2013 in the American Journal of Ophthalmology.


Los Angeles California Glaucoma and Lasik Eye Surgery – Dr. Khanna

About the Body and Rest Placement

The term “decubitus” is frequently utilized in medication to mean “relaxing.” It is originated from the Latin verb decumbere, or “to rest.” When physicians use the term decubitus to explain the position of a person, they initially specify the part of the body on which the person is relaxing, followed by the word decubitus. Right here are 

Some examples:
Lateral: on the side
Right lateral decubitus: lying on the right side
Left lateral decubitus: lying on the left side
Supine: Flat on the back or backside up

Little more concerning the Rest Placement Research Study

It is being noticed that, “During rest, body setting ranges the supine setting and also the lateral decubitus setting, typically more on one side than the various other sides. Hence, intraocular, or within the eye stress elevation pertaining to the lateral decubitus placement may play a role in glaucoma progression.”.

The researchers discovered that of the enrolled individuals, 430 subjects or 62.1% had uneven visual field loss in between their eyes.

Amongst the 309 normal-tension glaucoma clients with crooked area loss, 100 were chosen to sleep on their side, as well as 66 of those people picked to sleep with their worse eye downward.

Amongst the 121 high-tension glaucoma people with asymmetric field loss, 32 favoured to sleep on their side, and 23 of those individuals chose to copulate on their even worse eye downward.

” These results suggest that the sleep placement repeatedly liked by glaucoma individuals might be related to higher visual field loss,” the authors concluded.

High-Tension and also Normal-Tension Glaucoma.

The term “glaucoma” defines a group of eye conditions that harm the optic nerve. It is one of the leading sources of vision loss and also blindness.

Normal-tension glaucoma, likewise called low-tension glaucoma, is a sort of glaucoma in which people with the illness experience optic nerve damage and succeeding vision loss, in spite of having normal intraocular stress (IOP).

A lot of eye treatment specialists specify the variety of normal IOP as between 10 and 21 mm Hg i.e., millimetres of mercury, which is a pressure dimension. A lot of persons with glaucoma have an IOP dimension of more than 21 mm Hg; individuals with normal-tension glaucoma, nonetheless, have an IOP measurement within the typical range.


Below are more details concerning normal-tension glaucoma from WebMD:
By definition of this type of glaucoma, people with normal-tension glaucoma have open, normal-appearing angles. In fact, the features of normal-tension glaucoma resemble or are very similar to primary open-angle glaucoma (POAG), one of the most typical kinds of glaucoma.

Although the incidence of normal-tension glaucoma differs worldwide, it is really common in Japan. In the USA, as much as 15-25% of people with open-angle glaucoma experience normal-tension glaucoma. Normal-tension glaucoma is much more usual in ladies than in guys, as well as in adults aged 60+.

Although its cause is not entirely recognized, normal-tension glaucoma is generally thought to take place either because of an unusually delicate optic nerve that can be harmed regardless of a normal stress inside the eye, or as a result of reduced blood circulation to the optic nerve.

A Research Recap from the Journal of Ophthalmology
Connection in between Preferred Sleeping Placement as well as Crooked Visual-field Loss in Open-angle Glaucoma Sufferers:

Approaches: 

692 people with reciprocal normal-tension glaucoma or high-tension glaucoma were back to back signed up. A set of questions to establish the preferred sleeping placement was carried out in every individual. Asymmetric visual field loss was defined as a difference in mean deviation in between both eyes at the very least 2 dB. According to these values, the far better eye and also worse eye were defined. Amongst the individuals with uneven visual field loss, the numbers preferring the worse-eye-dependent side decubitus placement as well as the better-eye-dependent lateral decubitus setting were contrasted.


Results: 

Amongst the registered clients, 309 (60.6%) with normal-tension glaucoma and also 121 (66.5%) with high-tension glaucoma had crooked visual fields between the two eyes.

Amongst the 309 normal-tension glaucoma patients, 100 (32.4%) preferred the side decubitus position. Of these, 66 (66.0%) liked the worse-eye-dependent side decubitus position.

Amongst the 121 high-tension glaucoma patients, 32 (26.4%) chose the side decubitus setting, and also of these, 23 (71.9%) liked the worse-eye-dependent lateral decubitus setting.

Conclusion: 

Our results suggest that the sleep placement constantly favoured by glaucoma people might be associated with greater visual field loss.

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