Eye Pressure: Common Concerns and Expert Answers - Ophthalmology

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I would like to inquire about issues related to intraocular pressure?


Hello, doctor.
May I ask a few questions regarding intraocular pressure?
1.
If I sleep face down without using my eyes, just resting my forehead on my hands, will this cause an increase in intraocular pressure?
2.
When getting a spa massage and lying face down, can I avoid increasing intraocular pressure by not letting my eyes directly press against the pillow?
3.
Does sleeping on my side lead to high intraocular pressure? I am concerned because I cannot be sure if I will change positions after falling asleep.
4.
I have measured my right eye's intraocular pressure at 20 during several visits to the hospital.
Is a pressure of 20 considered dangerous? I have dry eye syndrome, floaters, and visual fatigue, with my right eye having -5.75 diopters of myopia and -3.75 diopters of astigmatism.
Which of these factors could contribute to higher intraocular pressure? Thank you, doctor!

Andy, 20~29 year old female. Ask Date: 2024/02/07

Dr. He Jianxian reply Ophthalmology


Dear Mr.
Andy,
1.
Sleeping on your stomach can theoretically cause a slight increase in intraocular pressure, but for it to pose a real threat, it must be accompanied by structural characteristics (such as a narrow anterior chamber angle).
2.
Even if you are not directly pressing on your eyes while sleeping face down, there is still a possibility of a temporary increase in intraocular pressure.
3.
Sleeping on your side should be fine and generally has minimal impact on the eyes.
4.
Your intraocular pressure is within the normal range, and the issues you listed do not significantly affect intraocular pressure.
Sincerely,
Director He Jianxian, Ophthalmology, Nantou Hospital

Reply Date: 2024/02/07

More Info


Understanding eye pressure and its implications is crucial, especially for individuals with pre-existing conditions such as high myopia, dry eye syndrome, and visual fatigue. Let's address your questions one by one.

1. Does sleeping face down with your forehead resting on your hands increase eye pressure?
Yes, sleeping in a position where your forehead is pressed against a surface can potentially increase eye pressure. This is due to the mechanical pressure exerted on the eyes, which can temporarily elevate intraocular pressure (IOP). However, the extent of this increase can vary based on individual anatomy and the duration of pressure applied. It’s advisable to maintain a neutral head position while sleeping to minimize any potential impact on eye pressure.

2. When getting a massage, can I avoid increasing eye pressure by not letting my eyes rest directly on the pillow?
Correct, avoiding direct pressure on the eyes during a massage can help prevent any temporary increase in eye pressure. If you are lying face down, try to position your head so that it is not resting directly on a surface that could exert pressure on your eyes. Using a specially designed face cradle or pillow that allows for a more neutral position can help alleviate any undue pressure.

3. Does sleeping on my side lead to high eye pressure?
Side sleeping can potentially affect eye pressure, especially if the side of your face is pressed against a pillow. Similar to the previous points, the pressure can lead to a temporary increase in IOP. However, most people change positions during sleep, which may mitigate prolonged pressure on one eye. If you have concerns about your eye pressure, consider using a softer pillow or adjusting your sleeping position to reduce direct pressure on your eyes.

4. Is an eye pressure reading of 20 mmHg dangerous?
An eye pressure of 20 mmHg is considered to be at the upper limit of normal. While it is not immediately dangerous, it is essential to monitor it, especially if you have risk factors for glaucoma or other ocular conditions. Regular check-ups with your eye care professional are crucial to ensure that your eye pressure remains stable and to assess any potential risks associated with your other conditions, such as dry eye syndrome and myopia.

5. How do dry eye syndrome, floaters, and visual fatigue relate to eye pressure?
Dry eye syndrome can lead to discomfort and may cause individuals to rub their eyes, which can temporarily increase eye pressure. Floaters themselves do not directly affect eye pressure but can be a sign of changes in the vitreous gel of the eye, which may be associated with other ocular conditions. Visual fatigue, often resulting from prolonged screen time or inadequate lighting, can lead to symptoms that may mimic those of increased eye pressure, such as discomfort or headaches. However, visual fatigue does not inherently cause an increase in IOP.

In summary, while certain positions and activities can influence eye pressure, the effects are often temporary. It is essential to maintain regular check-ups with your eye care provider, especially given your existing conditions. They can provide personalized advice and monitor your eye health effectively. If you experience any sudden changes in vision or increased discomfort, do not hesitate to seek immediate medical attention.

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