Exercise and Glaucoma: Finding the Right Balance

Patients with glaucoma frequently ask whether physical activity, particularly yoga, can affect their condition. While research is still evolving, a combination of evidence-based recommendations and common sense can help guide these discussions.

Why Exercise Matters for Glaucoma

According to the American Academy of Ophthalmology, aerobic exercise is crucial to overall good health. Dr. Robert Ritch, at New York Eye & Ear Infirmary of Mount Sinai in New York City, advises his patients, “It’s simple. If it’s good for your heart, it’s good for glaucoma. If it’s good for your brain, it’s good for glaucoma.”

How Aerobic Exercise Benefits Glaucoma

Regular aerobic exercise benefits overall health and appears to positively impact glaucoma management. Studies indicate that activities like walking, swimming, and cycling can lower intraocular pressure (IOP) and improve blood circulation to the brain and eyes.

• Engaging in brisk aerobic exercise for 30 to 45 minutes, three to four times a week, has been linked to slower rates of visual field loss in glaucoma patients.

• Patients who were previously sedentary showed the most significant reductions in IOP after beginning an exercise regimen.

Precautions for Strength Training

The impact of weightlifting on IOP remains uncertain, with studies showing mixed results.

• Some research suggests that heavy lifting can lead to temporary IOP spikes, which may be concerning for glaucoma patients.

• Patients should use moderate weights, avoid excessive strain, and ensure proper breathing techniques to prevent the Valsalva maneuver, which can sharply increase IOP.

Practicing Yoga Safely with Glaucoma

Yoga offers many health benefits, but certain poses may pose risks for individuals with glaucoma.

• Avoid headstands and inversions Research has shown that head-down positions, such as downward-facing dog and shoulder stands, can significantly raise IOP.

• Modify where possible Patients should work with their ophthalmologists and yoga instructors to develop a safer practice that limits head-below-heart positions.

• Breathe correctly Slow, controlled exhalation can help prevent IOP spikes during practice.

Essential Tips for Glaucoma Patients

The goal is to encourage physical activity while minimizing risks. Here’s what glaucoma patients should keep in mind:

• Aerobic exercise is highly recommended and can help slow disease progression.

• Strength training should be approached with caution, using moderate weights and proper breathing techniques.

• Yoga modifications are essential, particularly avoiding prolonged inverted poses.

• Consult with an eye care professional before making changes to an exercise routine.

By staying active while being mindful of potential risks, patients with glaucoma can support both their eye health and overall well-being.

Visit Your Eye Doctor!

Regular consultations with an ophthalmologist are essential to determine the best exercise routine for managing glaucoma safely.

Visit Lifeview Glaucoma Center and consult Dr. Elisabeth Aponte, a board-certified ophthalmologist and surgeon, to know the best exercise and treatment options to support your eye health.

To learn more, visit Lifeview Glaucoma Center or read the full article at the American Academy of Ophthalmology.