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Klin Monbl Augenheilkd 2017; 234(02): 175-178
DOI: 10.1055/s-0042-119448
Übersicht
Georg Thieme Verlag KG Stuttgart · New York

Sport und Glaukom

Sport and Glaucoma
F. Rüfer
Augenheilkunde, Nordblick Augenklinik Bellevue, Kiel
› Institutsangaben
Weitere Informationen

Publikationsverlauf

eingereicht 29. September 2016

akzeptiert 17. Oktober 2016

Publikationsdatum:
13. Januar 2017 (online)

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Zusammenfassung

Traumatische Kammerwinkelveränderungen, z. B. durch Ballsportarten, können zu einem Sekundärglaukom führen. Bei Kraftsport mit hoher Intensität oder bei Yogaübungen, wie z. B. Kopfstand, kann es zu IOD-Steigerungen kommen, für die in Einzelfällen Gesichtsfeldverschlechterungen bzw. akute Glaukomanfälle beschrieben worden sind. Bei der Glaukomtherapie von Profisportlern können Steroide, Carboanhydrasehemmer und Betablocker zu positiven Dopingtests führen. Bei bereits bestehendem Glaukom ist eine moderate Ausdauerbelastung durch eine Senkung des IOD, durch eine Verbesserung der retinalen Perfusion und durch eine Reduktion von oxidativem Stress wahrscheinlich therapeutisch von Nutzen.

Abstract

Traumatic changes in the iridocorneal angle, e.g. in ball sports, can lead to secondary glaucoma. High intensity resistance exercise or yoga exercises – such as the headstand – can increase IOP, and deterioration in the visual field and acute narrow angle glaucoma attacks have been described in some case reports. Glaucoma therapy of professional athletes with steroids, carbonic anhydrase inhibitors and beta-blockers can result in positive doping tests. In manifest glaucoma, moderate aerobic exercise is presumably of use because of the IOP lowering effect, improved retinal perfusion and reduction in oxidative stress.

Schlüsselwörter

Sport - Glaukom - Risiken - Therapie - Doping

Key words

sports - glaucoma - risks - therapy - doping
 

  • Literatur

  • 1 Yulish M, Reshef N, Lerner A. et al. Sport-related eye injury in northern Israel. Isr Med Assoc J 2013; 15: 763-765
    PubMedGoogle Scholar
  • 2 Vieira GM, Oliveira HB, de Andrade DT. et al. Intraocular pressure variation during weight lifting. Arch Ophthalmol 2006; 124: 1251-1254
    CrossrefPubMedGoogle Scholar
  • 3 Dickerman RD, Smith GH, Langham-Roof L. et al. Intra-ocular pressure changes during maximal isometric contraction: does this reflect intra-cranial pressure or retinal venous pressure?. Neurol Res 1999; 21: 243-246
    PubMedGoogle Scholar
  • 4 Krist D, Cursiefen C, Jünemann A. Transitorische intrathorakale und -abdominale Druckerhöhung in der Anamnese von 64 Patienten mit Normaldruckglaukomen. Klin Monatsbl Augenheilkd 2001; 218: 209-213
    Artikel in Thieme ConnectPubMedGoogle Scholar
  • 5 Rüfer F, Schiller J, Klettner A. et al. Comparison of the influence of aerobic and resistance exercise of the upper and lower limb on intraocular pressure. Acta Ophthalmol 2014; 92: 249-252
    CrossrefPubMedGoogle Scholar
  • 6 Franchina M, Yazar S, Booth L. et al. Swimming goggle wear is not associated with an increased prevalence of glaucoma. Br J Ophthalmol 2015; 99: 255-257
    CrossrefPubMedGoogle Scholar
  • 7 Ma KT, Chung WS, Seo KY. et al. The effect of swimming goggles on intraocular pressure and blood flow within the optic nerve head. Yonsei Med J 2007; 48: 807-809
    CrossrefPubMedGoogle Scholar
  • 8 Wakely LA, Reeves G, Ashraff N. et al. Swimming goggles suck. Br J Ophthalmol 2004; 88: 1600-1601
    CrossrefPubMedGoogle Scholar
  • 9 Baskaran M, Raman K, Ramani KK. et al. Intraocular pressure changes and ocular biometry during Sirsasana (headstand posture) in yoga practitioners. Ophthalmology 2006; 113: 1327-1332
    CrossrefPubMedGoogle Scholar
  • 10 Cramer H, Krucoff C, Dobos G. Adverse events associated with yoga: a systematic review of published case reports and case series. PLoS One 2013; 8: e75515
    CrossrefPubMedGoogle Scholar
  • 11 Jasien JV, Jonas JB, De Moraes CG. et al. Intraocular pressure rise in subjects with and without glaucoma during four common yoga positions. PLoS One 2015; 10: e0144505
    CrossrefPubMedGoogle Scholar
  • 12 Seif Barghi T, Kobarfard F, Hashemian A. et al. Long term and intensive use of ophthalmic topical corticosteroids and the risk of positive doping test in athletes: a case report. Asian J Sports Med 2015; 6: e24621
    PubMedGoogle Scholar
  • 13 Nicholson RG, Thomas GP, Potter MJ. et al. 2012: prescribing for athletes in ophthalmology. Eye (Lond) 2012; 26: 1036-1038
    CrossrefPubMedGoogle Scholar
  • 14 Ashkenazi I, Melamed S, Blumenthal M. The effect of continuous strenuous exercise on intraocular pressure. Invest Ophthalmol Vis Sci 1992; 33: 2874-2877
    PubMedGoogle Scholar
  • 15 Karabatakis VE, Natsis KI, Chatzibalis TE. et al. Correlating intraocular pressure, blood pressure, and heart rate changes after jogging. Eur J Ophthalmol 2004; 14: 117-122
    PubMedGoogle Scholar
  • 16 Krejci RC, Gordon RB, Moran CT. et al. Changes in intraocular pressure during acute exercise. Am J Optom Physiol Opt 1981; 58: 144-148
    CrossrefPubMedGoogle Scholar
  • 17 Wylęgała A. The effects of physical exercises on ocular physiology: a review. J Glaucoma 2016; 25: e843-e849
    CrossrefPubMedGoogle Scholar
  • 18 Harris A, Malinovsky V, Martin B. Correlates of acute exercise-induced ocular hypotension. Invest Ophthalmol Vis Sci 1994; 35: 3852-3857
    PubMedGoogle Scholar
  • 19 Passo MS, Elliot DL, Goldberg L. Long-term effects of exercise conditioning on intraocular pressure in glaucoma suspects. J Glaucoma 1992; 1: 39-41
    CrossrefPubMedGoogle Scholar
  • 20 Qureshi IA, Wu XD, Xi XR. et al. Resting intraocular pressure of steel factory workers is related to their physical fitness. Ind Health 1997; 35: 259-263
    CrossrefPubMedGoogle Scholar
  • 21 Wang YL, Hayashi M, Yablonski ME. et al. Effects of multiple dosing of epinephrine on aqueous humor dynamics in human eyes. J Ocul Pharmacol Ther 2002; 18: 53-63
    CrossrefPubMedGoogle Scholar
  • 22 Moura MA, Rodrigues LO, Waisberg Y. et al. Effects of submaximal exercise with water ingestion on intraocular pressure in healthy human males. Braz J Med Biol Res 2002; 35: 121-125
    CrossrefPubMedGoogle Scholar
  • 23 Risner D, Ehrlich R, Kheradiya NS. et al. Effects of exercise on intraocular pressure and ocular blood flow: a review. J Glaucoma 2009; 18: 429-436
    CrossrefPubMedGoogle Scholar
  • 24 Williams PT. Relationship of incident glaucoma versus physical activity and fitness in male runners. Med Sci Sports Exerc 2009; 41: 1566-1572
    CrossrefPubMedGoogle Scholar
  • 25 Ramulu P. Glaucoma and disability: which tasks are affected, and at what stage of disease?. Curr Opin Ophthalmol 2009; 20: 92-98
    CrossrefPubMedGoogle Scholar
  • 26 Kawashima M, Uchino M, Yokoi N. et al. The association between dry eye disease and physical activity as well as sedentary behavior: results from the Osaka Study. J Ophthalmol 2014; 2014: 943786
    PubMedGoogle Scholar
  • 27 Saarela V, Ahvenvaara E, Tuulonen A. Variability of Heidelberg Retina Tomograph parameters during exercise. Acta Ophthalmol 2013; 91: 32-36
    CrossrefPubMedGoogle Scholar
  • 28 Kim CS, Park S, Chun Y. et al. Treadmill exercise attenuates retinal oxidative stress in naturally-aged mice: an immunohistochemical study. Int J Mol Sci 2015; 16: 21008-21020
    CrossrefPubMedGoogle Scholar
  • 29 Williams PT. Prospective study of incident age-related macular degeneration in relation to vigorous physical activity during a 7-year follow-up. Invest Ophthalmol Vis Sci 2009; 50: 101-106
    CrossrefPubMedGoogle Scholar
  • 30 Williams PT. Walking and running are associated with similar reductions in cataract risk. Med Sci Sports Exerc 2013; 45: 1089-1096
    CrossrefPubMedGoogle Scholar
  • 31 Shah P, Whittaker KW, Wells AP. et al. Exercise-induced visual loss associated with advanced glaucoma in young adults. Eye (Lond) 2001; 15: 616-620
    CrossrefPubMedGoogle Scholar