Kaluza G, Strempel I
Department of Medical Psychology, University of Marburg, Germany.
Ophthalmologica. 1995;209(3):122-8. doi: 10.1159/000310596.
In this study, the effects of a training in relaxation and visual imagery on the intra-ocular pressure (IOP) of patients with primary open-angle glaucoma were investigated. Twenty-three patients, aged 24-69 years, were assigned either to a training group or to a waiting-list control group. The intervention included a basic programme (BP) of standard autogenic relaxation exercises and an advanced programme (AP) in which special exercises in ocular relaxation and imagination of aqueous humour drainage were conducted. IOP was measured before and after each training session. Twenty-four-hour IOP profiles were ascertained, and the water drinking test to provoke maximum IOP levels was performed during clinical assessments prior to the training, between the BP and the AP and after termination of the training. Results indicate only slight short-term changes of IOP levels immediately after each training session. However, during the course of the BP as well as of the AP a relevant decrease in IOP could be measured. Twenty-four-hour IOP profiles as well as the water drinking test also showed significant reductions of IOP during time. Medication could be reduced for 56% of the initially treated patients. The findings suggest that relaxation and visual imagery techniques can be beneficial in reducing elevated IOP levels in patients with open-angle glaucoma though the conclusiveness of the data is limited due to methodological shortcomings.
在本研究中，调查了放松训练和视觉意象训练对原发性开角型青光眼患者眼压（IOP）的影响。23名年龄在24至69岁之间的患者被分为训练组或等待名单对照组。干预措施包括标准自生放松练习的基础方案（BP）和进行眼部放松及房水引流想象特殊练习的进阶方案（AP）。在每次训练前后测量眼压。确定24小时眼压曲线，并在训练前、BP与AP之间以及训练结束后的临床评估期间进行饮水试验以激发最大眼压水平。结果表明，每次训练后眼压水平仅出现轻微的短期变化。然而，在BP和AP过程中，可以测量到眼压有相关下降。24小时眼压曲线以及饮水试验也显示随着时间推移眼压显著降低。56%的初始治疗患者的药物用量可以减少。研究结果表明，放松和视觉意象技术可能有助于降低开角型青光眼患者升高的眼压水平，不过由于方法学上的缺陷，数据的结论性有限。
