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Curbside Consultation in Neuro-Ophthalmology

Case Reports

Progressive Optic Neuropathy in Congenital Glaucoma Associated With the Sirsasana Yoga Posture

Ophthalmic Surgery, Lasers and Imaging   Vol. 39   No. 4   July/August 2008
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Daniela S. Monteiro de Barros, MD; Sheila Bazzaz, MD; Moataz E. Gheith, MD; Ghada A. Siam, MD and Marlene R. Moster, MD

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ABSTRACT

The authors describe a case of progressive optic neuropathy in a patient with congenital glaucoma who had routinely practiced the Sirsasana (headstand) yoga posture for several years. Ophthalmic examination included best-corrected visual acuity, anterior segment examination, indirect ophthalmoscopy, ultrasound pachymetry for central corneal thickness, and intraocular pressure before, during, and after maintaining the Sirsasana posture for 5 minutes. Intraocular pressure increased significantly during the Sirsasana posture. Transient elevation in intraocular pressure during yoga exercises may lead to progressive glaucomatous optic neuropathy, especially in susceptible patients with congenital glaucoma. [Ophthalmic Surg Lasers Imaging 2008;39:339-340.]

AUTHORS

From the William and Anna Goldberg Glaucoma Service and Research Center, Wills Eye Institute, Jefferson Medical College, Philadelphia, Pennsylvania.

Accepted for publication January 12, 2008.

Address correspondence to Daniela S. Monteiro de Barros, MD, William and Anna Goldberg Glaucoma Service and Research Center, Wills Eye Institute, Jefferson Medical College, 840 Walnut Street, Suite 1150, Philadelphia, PA 19107.

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