Short-term effects of relaxation music on patients suffering from primary open-angle glaucoma

Bertelmann, Thomas; Strempel, I

doi:10.2147/opth.s88732

Cited by 16 publications

(27 citation statements)

References 45 publications

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“…Despite of these evidence, it is still unclear if and how these matabolic changes can affect ophthalmic physiology. Several small studies suggest a mild but statistically significant IOP-increasing effect of stress [16] and, conversely, anecdotal data can be found in the litterature, suggesting that relaxation may have the opposite effect [17].…”

Section: Introductionmentioning

confidence: 99%

Acute emotional stress as a trigger for intraocular pressure elevation in Glaucoma

Gillmann¹,

Hoskens²,

Mansouri

2019

BMC Ophthalmol

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Background Stress-induced activation of the sympathetic nervous system leads to a cascade of metabolic reactions. Emotional stress is a more specific form of stress in which the stressor is a psychological response to a situation subjectively perceived as traumatic. Stress hormones can have a wide range of effects on the body, however, it is still unclear if and how it can affect ophthalmic physiology. This report presents a case of severe ocular hypertension in which emotional stress was the only cause elicited, and explores potential aggravating factors. Case presentation A 78-year-old, personality type A, lady with a history of pseudo-exfoliative glaucoma presented with an acute asymmetrical raise in intraocular pressure (IOP) immediately following a family breakdown. Her IOP had previously remained stable following a deep sclerectomy in the right eye and an Ex-PRESS shunt in the left eye. Her examination was entirely normal otherwise, with a patent filtration and diffuse bleb as confirmed with anterior segment OCT imaging. Near-normalisation of her IOP was observed within 24 h, concomitantly with the reduction of her stress levels. No other cause for the transient acute hypertensive episode were found. Conclusions This case report suggests that acute emotional stress could severely affect IOP in patients suffering from glaucoma. This could be important when looking after glaucoma patients. It would also suggest that the personnality types, and the emotional and social context are more factors to take into account in glaucoma studies. These observations are based on a single case report and would need to be verified on a larger scale.

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Section: Introductionmentioning

confidence: 99%

Acute emotional stress as a trigger for intraocular pressure elevation in Glaucoma

Gillmann¹,

Hoskens²,

Mansouri

2019

BMC Ophthalmol

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“… 28 , 29 Exercise-induced SC expansion and IOP reduction, 28 and acute emotional stress elevated IOP in patients with glaucoma, 29 , 30 whereas relaxation had the opposite effect. 31 Moreover, ES of SCG could increase IOP. 20 These findings revealed that local excitation of SCG could increase IOP, whereas systemic excitation of sympathetic nerves could increase or decrease IOP.…”

Section: Discussionmentioning

confidence: 99%

Effect of Electrical Stimulation of Cervical Sympathetic Ganglia on Intraocular Pressure Regulation According to Different Circadian Rhythms in Rats

Luo

Meng

et al. 2020

Invest. Ophthalmol. Vis. Sci.

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The purpose of this study was to investigate the relationship between circadian rhythm and intraocular pressure (IOP), and to explore whether electrical stimulation of cervical sympathetic ganglia (SCG) can regulate IOP via neurotransmitter distribution around the Schlemm's canal (SC) in rats. METHODS. Sprague Dawley rats were housed under normal (N-normal), constant dark (N-dark), and constant light (N-light) rhythms (n = 6 per group). Electrical stimulation (intermittent wave [20 hertz {Hz}, 2 mA, 10 minutes]) was used to stimulate the SCG. Atropine sulfate eye gel was applied three times a day. DiI was injected into the SCG and anterior chamber. The cross-sectional area and circumference of SC were evaluated using hematoxylin-eosin staining. Immunofluorescence staining was used to evaluate dopamine-β-hydroxylase (DβH) expression in SC endothelial (SCE) cells. RESULTS. N-Dark increased the IOP, decreased the cross-sectional area of SC, and increased DβH levels in SCE cells. Nerve projection between SC and SCG was detected, and electrical stimulation of SCG upregulated DβH expression in SCE cells. Under normal and constant light rhythms, electrical stimulation of SCG increased DβH and decreased the cross-sectional area and circumference of SC, while simultaneously increasing IOP and decreasing IOP fluctuations. After paralyzing the ciliary muscles, electrical stimulation of SCG decreased the cross-sectional area and circumference of SC under normal and constant light rhythms. CONCLUSIONS. N-Dark increased DβH in SCE cells, reduced the cross-sectional area of SC, and increased IOP. Under the normal and light rhythms, electrical stimulation of SCG increased DβH in SCE cells, reduced the cross-sectional area and circumference of SC, and in turn elevated IOP and decreased IOP fluctuations.

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“…Über den gesamten untersuchten Zeitraum konnten jedoch keine signifikanten Effekte auf den Augendruck, das Gesichtsfeld oder die verschiedenen psychologischen Scores nachgewiesen werden. Die Autoren unterstreichen dennoch die Bedeutung des positiven kurzfristigen Effekts der Entspannungsmusik auf Augendruck und psychologischen Status [17]. In einem Kommentar wurde darauf hingewiesen, dass möglicherwiese der Effekt bei verschiedenen Persönlichkeitsstrukturen der Patienten mit Glaukom unterschiedlich sein könnte [18].…”

Section: Musik Und Glaukomunclassified

“…Es gibt jedoch keine belastbare Evidenz, die einen mög-lichen positiven Effekt von Entspannungstherapien auf die glaukomatöse Optikusneuropathie nachweisen könnten. Ein kurzzeitiger augendrucksenkender Effekt einer Musiktherapie [17] reicht nicht aus, um eine generelle Empfehlung zu formulieren. Dies muss aber letztendlich unabhängig von einem möglichen positiven Effekt von Entspannungstherapien auf die Lebensqualität der Glaukompatienten bewertet werden.…”

Section: Musik Und Glaukomunclassified

Musik und Glaukom

Plange

2017

Klin Monatsbl Augenheilkd

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Music may have multiple influences on the human organism. A possible therapeutic effect for patients with glaucoma has been postulated, aside from the known impact of music on the cardiovascular system, psychogenic effects and a short-term improvement in mental performance (Mozart effect). The higher level of mental stress in patients with glaucoma and type-A personality behaviour may be related to higher intraocular pressure in patients with glaucoma. Relaxing music may have a positive impact in these patients, related to a reduction in intraocular pressure or its fluctuations. However, only limited data exist on the effects of music on intraocular pressure. No clinical studies have yet been performed to investigate the effect of music or music therapy on glaucoma progression. The music of Mozart may influence visual field examinations, possibly due to a positive short term effect on mental performance. This factor needs to be addressed in studies dealing with the effect of music in glaucoma. The relevance of intraocular pressure increases in professional wind instrument players is controversial. An increased level of care might be advisable in patients with advanced glaucoma. The influences of music on humans, altered personality profiles in patients with glaucoma and the studies showing some effect of stress on intraocular pressure stress the relevance of psychological support for glaucoma patients, who are confronted with a disease with a high longterm risk of blindness.

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Short-term effects of relaxation music on patients suffering from primary open-angle glaucoma

Cited by 16 publications

References 45 publications

Acute emotional stress as a trigger for intraocular pressure elevation in Glaucoma

Acute emotional stress as a trigger for intraocular pressure elevation in Glaucoma

Effect of Electrical Stimulation of Cervical Sympathetic Ganglia on Intraocular Pressure Regulation According to Different Circadian Rhythms in Rats

Musik und Glaukom

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