Does Sustained Eye Pressure from Forcefully Closing Eyes Lead to Glaucoma? - Ophthalmology

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Curious about whether sustained pressure from tightly closing the eyes can lead to an increase in intraocular pressure?


Doctor, excuse me, I would like to ask a question.
When we tightly close our eyes, the intraocular pressure increases.
If we continue to tightly close our eyes, will the intraocular pressure continue to rise? And could this sustained increase in intraocular pressure lead to glaucoma? Thank you, doctor.

Zheng, 30~39 year old female. Ask Date: 2022/03/08

Dr. Cai Wenyuan reply Ophthalmology


Not necessarily.

Reply Date: 2022/03/08

More Info


When you forcefully close your eyes, it is true that the intraocular pressure (IOP) can temporarily increase. This is due to the mechanical pressure exerted on the eyeball, which can lead to a momentary rise in pressure. However, this increase is typically transient and not sustained. The eye has mechanisms to regulate pressure, and any temporary spikes during activities like forceful eye closure usually return to baseline levels shortly after the action ceases.

To address your question about whether sustained eye pressure from forcefully closing the eyes could lead to glaucoma, it is important to understand how glaucoma develops. Glaucoma is primarily characterized by damage to the optic nerve, often associated with elevated intraocular pressure over time. However, the causes of glaucoma are multifactorial and can include genetic predisposition, age, and other risk factors such as high eye pressure, but not typically from short-term activities like closing the eyes.

In general, the eye can tolerate brief increases in pressure without causing harm. Chronic elevated IOP, which is consistently above the normal range (typically defined as above 21 mmHg), is what poses a risk for developing glaucoma. It is the sustained elevation of pressure, not the temporary spikes, that can lead to optic nerve damage over time.

If you are concerned about your eye health or the risk of glaucoma, it is advisable to have regular eye examinations. These exams typically include measuring your IOP, assessing the optic nerve, and conducting visual field tests. Early detection is crucial for managing any potential issues effectively.

In summary, while forcefully closing your eyes can lead to a temporary increase in eye pressure, it is unlikely to cause sustained high pressure that would result in glaucoma. If you have ongoing concerns about your eye pressure or any symptoms such as vision changes, it is best to consult with an eye care professional for a thorough evaluation. Regular monitoring and preventive care are key to maintaining eye health and preventing conditions like glaucoma.

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