Plange N
Augenheilkunde, Universitätsklinikum Aachen.
Klin Monbl Augenheilkd. 2017 Feb;234(2):170-174. doi: 10.1055/s-0042-118462. Epub 2017 Jan 13.
Music may have multiple influences on the human organism. A possible therapeutic effect for patients with glaucoma has been postulated, aside from the known impact of music on the cardiovascular system, psychogenic effects and a short-term improvement in mental performance (Mozart effect). The higher level of mental stress in patients with glaucoma and type-A personality behaviour may be related to higher intraocular pressure in patients with glaucoma. Relaxing music may have a positive impact in these patients, related to a reduction in intraocular pressure or its fluctuations. However, only limited data exist on the effects of music on intraocular pressure. No clinical studies have yet been performed to investigate the effect of music or music therapy on glaucoma progression. The music of Mozart may influence visual field examinations, possibly due to a positive short term effect on mental performance. This factor needs to be addressed in studies dealing with the effect of music in glaucoma. The relevance of intraocular pressure increases in professional wind instrument players is controversial. An increased level of care might be advisable in patients with advanced glaucoma. The influences of music on humans, altered personality profiles in patients with glaucoma and the studies showing some effect of stress on intraocular pressure stress the relevance of psychological support for glaucoma patients, who are confronted with a disease with a high longterm risk of blindness.
音乐可能对人体有多种影响。除了音乐对心血管系统、心理效应以及心理表现的短期改善（莫扎特效应）等已知影响外，人们还推测音乐对青光眼患者可能有治疗作用。青光眼患者和A型人格行为者较高的心理压力水平可能与青光眼患者较高的眼压有关。舒缓的音乐可能对这些患者产生积极影响，这与眼压降低或其波动减少有关。然而，关于音乐对眼压影响的数据有限。目前尚未进行临床研究来调查音乐或音乐疗法对青光眼病情发展的影响。莫扎特的音乐可能会影响视野检查，这可能是由于其对心理表现有短期积极影响。在研究音乐对青光眼的影响时，需要考虑这一因素。职业管乐器演奏者眼压升高的相关性存在争议。对于晚期青光眼患者，可能建议加强护理。音乐对人类的影响、青光眼患者人格特征的改变以及一些研究表明压力对眼压有影响，这些都凸显了对青光眼患者心理支持的重要性，因为青光眼患者面临着一种长期失明风险很高的疾病。
