Introduction: Glaucoma, a leading cause of irreversible blindness worldwide, is strongly influenced by intraocular pressure (IOP), with recent studies suggesting that nocturnal IOP fluctuations and body position during sleep may play a critical role in disease progression. The purpose of the study was to explore the relationship between sleep position and glaucoma progression. Aim of the study: The aim of the study was to evaluate the relationship between sleep position and glaucoma progression. Methods: This cross-sectional observational study was conducted at the Department of Ophthalmology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh, over a 1-year period from mid-2023 to mid-2024. A total of 40 patients were included. Data were collected retrospectively from medical records, focusing on demographic characteristics, sleep position preferences, and intraocular pressure (IOP) measurements. Descriptive statistics, chi-square tests used for data analysis, with statistical significance set at p < 0.05. Result: Among the patients, 35.00% were aged 60-70 years, with a significant male predominance (87.50%). The most preferred sleep position was the right lateral decubitus position (LDP), chosen by 45.00% of patients, and it was associated with a mean intraocular pressure (IOP) increase of 1.8 mmHg and a 50.00% progression rate of glaucoma. Notably, patients with higher baseline IOP, representing 30.00% of the sample, experienced a mean IOP increase of 2.0 mmHg. Conclusion: The study highlights that the right lateral decubitus position is strongly associated with increased intraocular pressure and higher glaucoma progression, emphasizing the need to consider sleep position and individual risk factors in glaucoma management.
Published in | International Journal of Ophthalmology & Visual Science (Volume 9, Issue 4) |
DOI | 10.11648/j.ijovs.20240904.11 |
Page(s) | 56-61 |
Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
Copyright |
Copyright © The Author(s), 2024. Published by Science Publishing Group |
Glaucoma, Intraocular Pressure (IOP), Sleep Position, Postural IOP Changes, Glaucoma Progression
[1] | Tham Y-C, Li X, Wong TY, Quigley HA, Aung T, Cheng C-Y. Global prevalence of glaucoma and projections of glaucoma burden through 2040: a systematic review and meta-analysis. Ophthalmology. 2014; 121(11): 2081–90. |
[2] | Pascolini D, Mariotti SP. Global estimates of visual impairment: 2010. Br J Ophthalmol. 2012; 96(5): 614–8. |
[3] | The effectiveness of intraocular pressure reduction in the treatment of normal-tension glaucoma. Collaborative Normal-Tension Glaucoma Study Group. Am J Ophthalmol. 1998; 126(4): 498–505. |
[4] | Leske MC, Heijl A, Hyman L, Bengtsson B, Dong L, Yang Z, et al. Predictors of long-term progression in the early manifest glaucoma trial. Ophthalmology. 2007; 114(11): 1965–72. |
[5] | Shirakashi M, Iwata K, Sawaguchi S. Intraocular pressure-dependent progression of visual field loss in advanced primary open-angle glaucoma: a 15-year followup. Ophthalmologica. 1993; 207(1): 1–5. |
[6] | Inatani M, Iwao K, Inoue T, Awai M, Muto T, Koga T, et al. Long-term relationship between intraocular pressure and visual field loss in primary open-angle glaucoma. J Glaucoma. 2008; 17(4): 275–9. |
[7] | Wilensky JT, Gieser DK, Mori MT. Self-tonometry to manage patients with glaucoma and apparently controlled intraocular pressure. Arch Ophthalmol. 1987; 105(8): 1072–5. |
[8] | Qiu M, Ramulu PY, Boland MV. Association between sleep parameters and glaucoma in the United States population: National Health and Nutrition Examination Survey. J Glaucoma. 2019; 28: 97–104. |
[9] | Liu JHK, Zhang X, Kripke DF, Weinreb RN. Twenty-four-hour intraocular pressure pattern associated with early glaucomatous changes. Invest Ophthalmol Vis Sci. 2003; 44(4): 1586–90. |
[10] | Lee YR, Kook MS, Joe SG, Na JH, Han S, Kim S, et al. Circadian (24-hour) pattern of intraocular pressure and visual field damage in eyes with normal-tension glaucoma. Invest Ophthalmol Vis Sci. 2012; 53(2): 881–7. |
[11] | Jain MR, Marmion VJ. Rapid pneumatic and Mackey-Marg applanation tonometry to evaluate the postural effect on intraocular pressure. Br J Ophthalmol. 1976; 60(10): 687–93. |
[12] | Kiuchi T, Motoyama Y, Oshika T. Relationship of progression of visual field damage to postural changes in intraocular pressure in patients with normal-tension glaucoma. Ophthalmology. 2006; 113(12): 2150–5. |
[13] | Longo A, Geiser MH, Riva CE. Posture changes and subfoveal choroidal blood flow. Invest Ophthalmol Vis Sci. 2004; 45(2): 546–51. |
[14] | Smith TJ, Lewis J. Effect of inverted body position on intraocular pressure. Am J Ophthalmol. 1985; 99(5): 617–8. |
[15] | Carlson KH, McLaren JW, Topper JE, Brubaker RF. Effect of body position on intraocular pressure and aqueous flow. Invest Ophthalmol Vis Sci. 1987; 28(8): 1346–52. |
[16] | Liu JHK, Weinreb RN. Posture, intraocular pressure and visual function. Br J Ophthalmol. 2014; 98(3): 288–9. |
[17] | Park J-H, Yoo C, Yoo E, Kim YY. Intraocular pressure elevation during lateral body posture in side-sleeping glaucoma patients. Optom Vis Sci. 2019; 96(1): 62–70. |
[18] | Kim KN, Jeoung JW, Park KH, Kim DM, Ritch R. Relationship between preferred sleeping position and asymmetric visual field loss in open-angle glaucoma patients. Am J Ophthalmol. 2014; 157(3): 739–45. |
[19] | Fan Y-Y, Su W-W, Liu C-H, Chen HS-L, Wu S-C, Chang SHL, et al. Correlation between structural progression in glaucoma and obstructive sleep apnea. EYE. 2019; 33(9): 1459–65. |
[20] | Mannaf SMA, Islam MS, Islam MN, Rahman MM, Parvin S, Rahman S, et al. Population-based survey of the prevalence and types of glaucoma in Bangladesh. BMJ Open Ophthalmol. 2024; 9(1). |
[21] | Kaplowitz K, Blizzard S, Blizzard DJ, Nwogu E, Hamill CE, Weinreb RN, et al. Time spent in lateral sleep position and asymmetry in glaucoma. Invest Ophthalmol Vis Sci. 2015; 56(6): 3869–74. |
[22] | Tang J, Li N, Deng Y-P, Qiu L-M, Chen X-M. Effect of body position on the pathogenesis of asymmetric primary open angle glaucoma. Int J Ophthalmol. 2018; 11(1): 94–100. |
[23] | McMonnies C. An examination of the hypothesis that intraocular pressure elevation episodes can have prognostic significance in glaucoma suspects. J Optom. 2015; 8(4): 223–31. |
[24] | Anderson DR, Grant WM. The influence of position on intraocular pressure. Invest Ophthalmol. 1973; 12(3): 204–12. |
[25] | Tsukahara S, Sasaki T. Postural change of IOP in normal persons and in patients with primary wide open-angle glaucoma and low-tension glaucoma. Br J Ophthalmol. 1984; 68(6): 389–92. |
[26] | Korenfeld MS, Dueker DK. Review of external ocular compression: clinical applications of the ocular pressure estimator. Clin Ophthalmol. 2016; 10: 343–57. |
[27] | Hetland-Eriksen J. On tonometry. 5. The pressure of glaucomatous eyes measured in the sitting and the lying positions by means of the Goldmann applanation tonometer. Acta Ophthalmol (Copenh). 1966; 44(4): 515–21. |
[28] | Lee T-E, Yoo C, Hwang J-Y, Lin S, Kim YY. Comparison of intraocular pressure measurements between Icare Pro rebound tonometer and Tono-Pen XL tonometer in supine and lateral decubitus body positions. Curr Eye Res. 2015; 40(9): 923–9. |
[29] | Lee T-E, Yoo C, Lin SC, Kim YY. Effect of different head positions in lateral decubitus posture on intraocular pressure in treated patients with open-angle glaucoma. Am J Ophthalmol. 2015; 160(5): 929-936. e4. |
[30] | Lam CTY, Trope GE, Buys YM. Effect of head position and weight loss on intraocular pressure in obese subjects. J Glaucoma. 2017; 26(2): 107–12. |
APA Style
Islam, M. M., Hossian, M. S., Raina, M. Z., Jabbar, Z., Hossain, M. G. F., et al. (2024). Relationship Between Sleep Position and Glaucoma Progression. International Journal of Ophthalmology & Visual Science, 9(4), 56-61. https://doi.org/10.11648/j.ijovs.20240904.11
ACS Style
Islam, M. M.; Hossian, M. S.; Raina, M. Z.; Jabbar, Z.; Hossain, M. G. F., et al. Relationship Between Sleep Position and Glaucoma Progression. Int. J. Ophthalmol. Vis. Sci. 2024, 9(4), 56-61. doi: 10.11648/j.ijovs.20240904.11
AMA Style
Islam MM, Hossian MS, Raina MZ, Jabbar Z, Hossain MGF, et al. Relationship Between Sleep Position and Glaucoma Progression. Int J Ophthalmol Vis Sci. 2024;9(4):56-61. doi: 10.11648/j.ijovs.20240904.11
@article{10.11648/j.ijovs.20240904.11, author = {Mohammad Mazaharul Islam and Md. Sanwar Hossian and Md. Zinnu Raina and Zahida Jabbar and Md. Golam Faruk Hossain and Afzal Mahfujullah}, title = {Relationship Between Sleep Position and Glaucoma Progression }, journal = {International Journal of Ophthalmology & Visual Science}, volume = {9}, number = {4}, pages = {56-61}, doi = {10.11648/j.ijovs.20240904.11}, url = {https://doi.org/10.11648/j.ijovs.20240904.11}, eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijovs.20240904.11}, abstract = {Introduction: Glaucoma, a leading cause of irreversible blindness worldwide, is strongly influenced by intraocular pressure (IOP), with recent studies suggesting that nocturnal IOP fluctuations and body position during sleep may play a critical role in disease progression. The purpose of the study was to explore the relationship between sleep position and glaucoma progression. Aim of the study: The aim of the study was to evaluate the relationship between sleep position and glaucoma progression. Methods: This cross-sectional observational study was conducted at the Department of Ophthalmology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh, over a 1-year period from mid-2023 to mid-2024. A total of 40 patients were included. Data were collected retrospectively from medical records, focusing on demographic characteristics, sleep position preferences, and intraocular pressure (IOP) measurements. Descriptive statistics, chi-square tests used for data analysis, with statistical significance set at p Result: Among the patients, 35.00% were aged 60-70 years, with a significant male predominance (87.50%). The most preferred sleep position was the right lateral decubitus position (LDP), chosen by 45.00% of patients, and it was associated with a mean intraocular pressure (IOP) increase of 1.8 mmHg and a 50.00% progression rate of glaucoma. Notably, patients with higher baseline IOP, representing 30.00% of the sample, experienced a mean IOP increase of 2.0 mmHg. Conclusion: The study highlights that the right lateral decubitus position is strongly associated with increased intraocular pressure and higher glaucoma progression, emphasizing the need to consider sleep position and individual risk factors in glaucoma management. }, year = {2024} }
TY - JOUR T1 - Relationship Between Sleep Position and Glaucoma Progression AU - Mohammad Mazaharul Islam AU - Md. Sanwar Hossian AU - Md. Zinnu Raina AU - Zahida Jabbar AU - Md. Golam Faruk Hossain AU - Afzal Mahfujullah Y1 - 2024/11/20 PY - 2024 N1 - https://doi.org/10.11648/j.ijovs.20240904.11 DO - 10.11648/j.ijovs.20240904.11 T2 - International Journal of Ophthalmology & Visual Science JF - International Journal of Ophthalmology & Visual Science JO - International Journal of Ophthalmology & Visual Science SP - 56 EP - 61 PB - Science Publishing Group SN - 2637-3858 UR - https://doi.org/10.11648/j.ijovs.20240904.11 AB - Introduction: Glaucoma, a leading cause of irreversible blindness worldwide, is strongly influenced by intraocular pressure (IOP), with recent studies suggesting that nocturnal IOP fluctuations and body position during sleep may play a critical role in disease progression. The purpose of the study was to explore the relationship between sleep position and glaucoma progression. Aim of the study: The aim of the study was to evaluate the relationship between sleep position and glaucoma progression. Methods: This cross-sectional observational study was conducted at the Department of Ophthalmology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh, over a 1-year period from mid-2023 to mid-2024. A total of 40 patients were included. Data were collected retrospectively from medical records, focusing on demographic characteristics, sleep position preferences, and intraocular pressure (IOP) measurements. Descriptive statistics, chi-square tests used for data analysis, with statistical significance set at p Result: Among the patients, 35.00% were aged 60-70 years, with a significant male predominance (87.50%). The most preferred sleep position was the right lateral decubitus position (LDP), chosen by 45.00% of patients, and it was associated with a mean intraocular pressure (IOP) increase of 1.8 mmHg and a 50.00% progression rate of glaucoma. Notably, patients with higher baseline IOP, representing 30.00% of the sample, experienced a mean IOP increase of 2.0 mmHg. Conclusion: The study highlights that the right lateral decubitus position is strongly associated with increased intraocular pressure and higher glaucoma progression, emphasizing the need to consider sleep position and individual risk factors in glaucoma management. VL - 9 IS - 4 ER -