Therapeutic and preventive eff ect of physical exercises in primary open-angle glaucoma

• Published in: Acta biomedica scientifica Vol. 6; no. 6-1; pp. 82 - 95
• Main Authors: Kozina, E. V., Kokh, I. A., Toropov, A. V., Kadomtseva, E. M., Mozheyko, E. Yu
• Format: Journal Article
• Language: English; Russian
• Published: Scientific Сentre for Family Health and Human Reproduction Problems 28.12.2021
• Subjects: physical activity; physical exercises; primary open-angle glaucoma
• ISSN: 2541-9420; 2587-9596
• DOI: 10.29413/ABS.2021-6.6-1.10

The review assesses physical exercises as an additional non-pharmacological mean of combating the progression of primary open-angle glaucoma. The ophthalmic hypotensive effect is determined by the type of exercise, its duration and intensity. Moderate aerobic activity is preferred. Among dynamic exercises, jogging has the greatest hypotensive effect. Upper body isometric resistance training provides a more lasting decrease in ophthalmotonus. The decrease in intraocular pressure (IOP) in patients with glaucoma is several times more pronounced in comparison with healthy people and occurs regardless of the nature of the local drug antihypertensive therapy. After the termination of classes IOP returns to the previous level on average within a month. An increase in ocular perfusion pressure associated with physical activity dictates the appropriateness of physical exercise for patients with pseudo-normal pressure glaucoma. The combination of hypotensive, vascular, neuroprotective effects of physical activity with a high level of physical fi tness does not exclude a decrease in the risk of development and progression of primary open-angle glaucoma. The development of indications for the use of physical activity by patients with advanced glaucoma, including those who have undergone hypotensive surgery, remains relevant. The type, intensity, dosage and mode of performing the recommended physical exercises require an individual choice.