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青光眼的生活方式改变与环境风险因素

Lifestyle modifications and environmental risk factors for glaucoma.

作者信息

Elhusseiny Abdelrahman M, Aref Ahmad A

机构信息

Department of Ophthalmology, Harvey and Bernice Jones Eye Institute, University of Arkansas for Medical Sciences, Little Rock, Arkansas.

Department of Ophthalmology, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts.

出版信息

Curr Opin Ophthalmol. 2025 Mar 1;36(2):115-121. doi: 10.1097/ICU.0000000000001098. Epub 2024 Oct 23.

Abstract

PURPOSE OF REVIEW

To summarize recent evidence about the association between different lifestyle modifications and environmental risk factors and glaucoma.

RECENT FINDINGS

Incorporating moderate exercise into the routine of glaucoma patients may help slow the progression of the condition. However, caution should be taken when using swim goggles, and it may be advisable to avoid certain yoga positions and heavy weight-lifting exercises, as they have been linked to intraocular pressure (IOP) spikes and potential risks for glaucoma patients. Various relaxation techniques may lower IOP. The evidence remains inconclusive about the association between vitamins intake and glaucoma. Dietary nitric oxide has been associated with a lower risk of glaucoma. Higher smoking intensity has been linked to faster visual field decline and retinal nerve fiber layer thinning. Additionally, there is currently insufficient evidence to support the use of marijuana in managing glaucoma, with side effects outweighing the proposed benefits. A significant association has been found between air pollutants and ganglion cell layer thinning, as well as a greater burden of glaucoma.

SUMMARY

Lifestyle and environmental factors are increasingly recognized as significant contributors to glaucoma development and progression. These modifications should be integrated into a comprehensive treatment approach alongside medications or surgical interventions.

摘要

综述目的

总结近期关于不同生活方式改变及环境危险因素与青光眼之间关联的证据。

近期发现

将适度运动纳入青光眼患者的日常活动中可能有助于减缓病情进展。然而,使用泳镜时应谨慎,并且可能建议避免某些瑜伽姿势和重物举重练习,因为它们与眼内压(IOP)升高以及青光眼患者的潜在风险有关。各种放松技巧可能会降低眼内压。关于维生素摄入与青光眼之间的关联,证据仍不确凿。膳食中的一氧化氮与较低的青光眼风险相关。更高的吸烟强度与更快的视野缺损和视网膜神经纤维层变薄有关。此外,目前没有足够的证据支持使用大麻来治疗青光眼,其副作用超过了所宣称的益处。已发现空气污染物与神经节细胞层变薄以及更严重的青光眼负担之间存在显著关联。

总结

生活方式和环境因素日益被认为是青光眼发生和进展的重要因素。这些改变应与药物或手术干预一起纳入综合治疗方案中。

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