Effect of Near Work on Intraocular Pressure in Emmetropes

Objective. To determine whether accommodation induced by reading alters intraocular pressure (IOP) in healthy, young, emmetropic adults and to document the duration and magnitude of this effect. Design. Cross-sectional study. Participants. Fifteen healthy, emmetropic young adults. Methods. Subjects...

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Main Authors: Aaron Z. Priluck, Aidan B. Hoie, Robin R. High, Vikas Gulati, Deepta A. Ghate
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2020/1352434
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author Aaron Z. Priluck
Aidan B. Hoie
Robin R. High
Vikas Gulati
Deepta A. Ghate
author_facet Aaron Z. Priluck
Aidan B. Hoie
Robin R. High
Vikas Gulati
Deepta A. Ghate
author_sort Aaron Z. Priluck
collection DOAJ
description Objective. To determine whether accommodation induced by reading alters intraocular pressure (IOP) in healthy, young, emmetropic adults and to document the duration and magnitude of this effect. Design. Cross-sectional study. Participants. Fifteen healthy, emmetropic young adults. Methods. Subjects performed 20 minutes of near work (reading at 33 cm) followed by 20 minutes of far work (reading at 520 cm) while IOP was measured using an iCare tonometer at baseline and every 5 minutes thereafter. Statistical analysis was performed using repeated measures ANOVA. Main Outcome Measures. Intraocular pressure. Results. IOP decreased significantly compared to baseline IOP after 10 minutes of near work (average change of −1.60 ± 2.2 (SD) mm Hg, p<0.05). IOP remained lower than baseline IOP throughout all subsequent near and far work. The difference in IOP at the end of experimentation compared to baseline IOP was −1.87 ± 1.81 mm Hg (p<0.05). The minimum IOP reached during experimentation compared to baseline was on average −3.8 ± 2.2 (SD) mm Hg (range: 0 to −8.0 mm Hg). 13 of 15 subjects (87%) and 9 of 15 subjects (60%) had at least one IOP measurement of at least 2 mm Hg and 4 mm Hg less than their baseline IOPs, respectively. Conclusions. Near work decreases IOP in healthy emmetropes, and this effect is sustained for at least 20 minutes after discontinuing prolonged near work. Providers may need to consider this effect when measuring IOP in clinical practice.
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spelling doaj-art-0f92b2384ce44ff29db23205296fcb0a2025-02-03T06:04:38ZengWileyJournal of Ophthalmology2090-004X2090-00582020-01-01202010.1155/2020/13524341352434Effect of Near Work on Intraocular Pressure in EmmetropesAaron Z. Priluck0Aidan B. Hoie1Robin R. High2Vikas Gulati3Deepta A. Ghate4University of Nebraska Medical Center, College of Medicine, Omaha, NE, USAUniversity of Nebraska Medical Center, College of Medicine, Omaha, NE, USAUniversity of Nebraska Medical Center, College of Public Health, Omaha, NE, USAUniversity of Nebraska Medical Center, Stanley M. Truhlsen Eye Institute, Omaha, NE, USAUniversity of Nebraska Medical Center, Stanley M. Truhlsen Eye Institute, Omaha, NE, USAObjective. To determine whether accommodation induced by reading alters intraocular pressure (IOP) in healthy, young, emmetropic adults and to document the duration and magnitude of this effect. Design. Cross-sectional study. Participants. Fifteen healthy, emmetropic young adults. Methods. Subjects performed 20 minutes of near work (reading at 33 cm) followed by 20 minutes of far work (reading at 520 cm) while IOP was measured using an iCare tonometer at baseline and every 5 minutes thereafter. Statistical analysis was performed using repeated measures ANOVA. Main Outcome Measures. Intraocular pressure. Results. IOP decreased significantly compared to baseline IOP after 10 minutes of near work (average change of −1.60 ± 2.2 (SD) mm Hg, p<0.05). IOP remained lower than baseline IOP throughout all subsequent near and far work. The difference in IOP at the end of experimentation compared to baseline IOP was −1.87 ± 1.81 mm Hg (p<0.05). The minimum IOP reached during experimentation compared to baseline was on average −3.8 ± 2.2 (SD) mm Hg (range: 0 to −8.0 mm Hg). 13 of 15 subjects (87%) and 9 of 15 subjects (60%) had at least one IOP measurement of at least 2 mm Hg and 4 mm Hg less than their baseline IOPs, respectively. Conclusions. Near work decreases IOP in healthy emmetropes, and this effect is sustained for at least 20 minutes after discontinuing prolonged near work. Providers may need to consider this effect when measuring IOP in clinical practice.http://dx.doi.org/10.1155/2020/1352434
spellingShingle Aaron Z. Priluck
Aidan B. Hoie
Robin R. High
Vikas Gulati
Deepta A. Ghate
Effect of Near Work on Intraocular Pressure in Emmetropes
Journal of Ophthalmology
title Effect of Near Work on Intraocular Pressure in Emmetropes
title_full Effect of Near Work on Intraocular Pressure in Emmetropes
title_fullStr Effect of Near Work on Intraocular Pressure in Emmetropes
title_full_unstemmed Effect of Near Work on Intraocular Pressure in Emmetropes
title_short Effect of Near Work on Intraocular Pressure in Emmetropes
title_sort effect of near work on intraocular pressure in emmetropes
url http://dx.doi.org/10.1155/2020/1352434
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