Physical Activity and Visual Field Loss in Glaucoma | Driving with Dr. David Richardson Ep 09
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- Опубліковано 9 лип 2024
- Dr. David Richardson, Glaucoma and Cataract surgeon in Southern California shares his review of a recent study showing correlation between Physical Activity and Visual Field Loss in patients who either had glaucoma or were glaucoma suspects.
Full Transcript here: new-glaucoma-treatments.com/ph...
00:00 Introduction
00:46 Greater physical activity associated with slower visual field loss
01:21 Details of research study
01:51 Method of study
03:05 Findings of research
05:08 Greater visual field loss is associated with reduced activity
05:31 Vision loss and restriction of activity
05:46 Exercise may benefit neurologic disorders
07:12 Simply spending less time on the couch could be beneficial
07:59 My recommendations
DRIVING WITH DR. DAVID RICHARDSON
Holistic Approach to Glaucoma Series 1#
Episode 1: Cardiovascular Health and Glaucoma
• Holistic Approach to G...
Episode 2: Blood Pressure and Glaucoma
• Blood Pressure and Gla...
Episode 3: Sleep Apnea and Glaucoma
• Sleep Apnea and Glauco...
Episode 4: Exercise and Glaucoma
• Exercise and Glaucoma ...
Episode 5: Diet, Nutrition and Glaucoma
• Diet, Nutrition and Gl...
Episode 9: Physical Activity and Visual Field Loss in Glaucoma
• Physical Activity and ...
Learn More About Glaucoma Series #
Episode 6: Light Adaptation and Glaucoma
• Light Adaptation and G...
Episode 7: Trabeculotomy and Goniotomy - Just Defer It
• Video
Episode 8: What is Narrow Angle Glaucoma?
• What is Narrow Angle G...
Visual Field Testing Series 2#
Episode #1: Visual Field Testing - Why We Do It
Other Videos #
Bimatoprost SR Glaucoma Drug Implant
• What's Exciting About ...
Hydrus™ vs iStent® Trabecular MicroBypass | Which Performed Better?
• Hydrus™ vs iStent® Tr...
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About Dr. Richardson:
David Richardson, M.D. is widely recognized as one of the top #cataract and #glaucoma surgeons in the US and is among an elite group of glaucoma surgeons in the country performing the highly specialized canaloplasty procedure. Many patients have traveled from around the world to have canaloplasty by Dr. Richardson. Moreover, Dr. Richardson is one of only a few surgeons in the greater Los Angeles area that performs Micropulse® Cyclophotocoagulation (MP3) glaucoma laser surgery. Dr. Richardson graduated Magna Cum Laude from University of Southern California and earned his Medical Degree from Harvard Medical School. He completed his ophthalmology residency at the LAC+USC Medical Center/ Doheny Institute.
To learn more about Dr. David Richardson, please visit david-richardson-md.com.
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We Listen. You'll See!℠
David D. Richardson, M.D.
Patient-Focused Ophthalmologist
San Marino Eye
2020 Huntington Drive
San Marino, CA 91108
Phone: (626) 289-7856
Email: david@new-glaucoma-treatments.com
Patient-Focused Websites:
New-Glaucoma-Treatments.com
About-Eyes.com
Please continuebupdating us on new glaucoma research.
You can be sure I will!
I am keeping my glaucoma at bay! Here's how: I take 6-7 chlorella pills every single day, and I use an infrared heat lamp on my CLOSED eyes at 5" for 5 minutes, am & pm. CHLORELLA: www.amazon.com/gp/product/B01FMWFG86/ref=ppx_yo_dt_b_search_asin_title?ie=UTF8&psc=1 LAMP: www.amazon.com/Therapy-Wolezek-Infrared-Device-Relief/dp/B07TDP67LR/ref=sr_1_6?dchild=1&keywords=infrared+bulb&qid=1605966901&sr=8-6
I just finished watching the first six 'driving with' videos and have learned a great deal from you. I have subscribed and will continue watching. The time and effort you've taken in producing and publishing these videos are much appreciated. Thank you.
Thanks so much for sharing this report. I’ve been fighting Glaucoma for 8 years now with significant vision loss. Five surgeries later I’m doing pretty well. I run my dog 3-4 times a week and also have an elliptical here at home. I truly believe diet and exercise are the key to good overall health. And as what you say, good overall health is probably good for Glaucoma. At 62, I’ve got a lot more to do and I’m taking steps (literally!) to keep going! Thanks again!
Well done Pat! I’m still trying (though frequently failing) to get in a work out 3-4 times a week so you’re besting my efforts.
I am keeping my glaucoma at bay! Here's how: I take 6-7 chlorella pills every single day, and I use an infrared heat lamp on my CLOSED eyes at 5" for 5 minutes, am & pm. CHLORELLA: www.amazon.com/gp/product/B01FMWFG86/ref=ppx_yo_dt_b_search_asin_title?ie=UTF8&psc=1 LAMP: www.amazon.com/Therapy-Wolezek-Infrared-Device-Relief/dp/B07TDP67LR/ref=sr_1_6?dchild=1&keywords=infrared+bulb&qid=1605966901&sr=8-6
I know this is 3 years ago ...
But riding around with the driver not paying paramount attention to the road is very unnerving for me.
You are too valuable to take such risks.
Thank you for the hope I recieved about eye issues. I'll walk more .And I am glad I didn't take Bata blockers. Thank you so much .Odd to feel like I went for a car ride. though haven't been in a car for a decade .Thank You, all the best from Vancouver BC Canada
I feel so sorry moving to Florida and having to find another ophthalmologist. I found one, but there is no comparison to the care Dr. Richardson provided to me. Dr. Richardson, you do an amazing job and your videos are very helpful as to understand, in a clear and simple way, what this glaucoma thing is all about and what to do to better co-exist with it. Congrats and keep your videos running!
Much appreciated Airton! More videos on the way.
I hope you had found a great ophthalmologist they're very good ones in Florida . just have to do your research
thank you for this video ! :)
Thank you Dr.
Thank you so much. I know you dont have a lot of views but please keep them coming much appreciated
mike fox Thanks Mike. I’m not worried about the number of views. If it helps even a few with this condition I’ll consider it worthy of my time and effort.
I am keeping my glaucoma at bay! Here's how: I take 6-7 chlorella pills every single day, and I use an infrared heat lamp on my CLOSED eyes at 5" for 5 minutes, am & pm. CHLORELLA: www.amazon.com/gp/product/B01FMWFG86/ref=ppx_yo_dt_b_search_asin_title?ie=UTF8&psc=1 LAMP: www.amazon.com/Therapy-Wolezek-Infrared-Device-Relief/dp/B07TDP67LR/ref=sr_1_6?dchild=1&keywords=infrared+bulb&qid=1605966901&sr=8-6
Such useful update, great to know the correlation between physical activities and my optic nerve. Thanks, Dr Richardson.
Thank you Dr Richardson; great information.
Muchos gracias mi amigo....Hasta la vista.🙏🙏🙏
Excellent videos, thank you Doctor. These videos will definitely help my husband with his glaucoma for 15 years. Thanks again!
Thanks for all the great info in this video and on this channel! I notice on days I feel eye pain that it is difficult to go biking because my eye hurts. I have had a stabbing pain in my left eye since 2013 which always happens in the mornings and goes away when I eat fruit , a granola bar, something with sugar. I notice the stabbing pain to be more of an issue in the winter time but it has occurred in the spring and summer time, mostly when the weather changes, like a day or two before it rains or snows. I will make sure to add more leafy greens into my diet.
Keep moving people!
Excellent'
Thanks for the video. I'm a Glaucoma patient undergoing treatment for the past almost 10 yrs. I've watched a no. of videos on this subject suggesting various natural treatments to compliment the allopathic eye drops prescribed by eye specialists. I'm at a loss to understand why there's no cure found for this disease till date. Man has stepped on the Moon, now planning to colonise Mars; in doing so they spend billions of dollars. Can't they spend a fraction of the amount they spend on space exploration to find a cure for the most basic of man's need?
I
Hi David; just let you know that I am suffering Glaucoma and cataracts for over 35 years, and at all times I was gym doing all kinds of Crossfit workout for all most 6 days workout a week. In fact, I was able to control both without drug and surgery having perfect eyes sight 20/20 and eyes Pressure about 19 WITHOUT ANY DRUGS. However in 2017 I made mistake and I allowed Cataract Surgery by BEST Professor of University of Toronto; As result in last three years I lost more than %50 of my eye sight and now using 7 drops and tables to control Glaucoma that its pressure between 25 to 35! and said I would become blind. Thus, I honestly believe to workout to control Glaucoma and cataracts
That's very unusual for IOP to elevate after cataract surgery (usually the opposite occurs). As for working out, cardiovascular fitness is important for the health of the optic nerve. It's primarily heavy lifting that is the issue with transient elevation in IOP. I have also been crossfit training for the last decade and feel it is a great choice of exercise for most.
I am keeping my glaucoma at bay! Here's how: I take 6-7 chlorella pills every single day, and I use an infrared heat lamp on my CLOSED eyes at 5" for 5 minutes, am & pm. CHLORELLA: www.amazon.com/gp/product/B01FMWFG86/ref=ppx_yo_dt_b_search_asin_title?ie=UTF8&psc=1 LAMP: www.amazon.com/Therapy-Wolezek-Infrared-Device-Relief/dp/B07TDP67LR/ref=sr_1_6?dchild=1&keywords=infrared+bulb&qid=1605966901&sr=8-6
Love the picture Dr Stevens I have glaucoma overnight the FDA for driving in the UK stop me from driving a minibus and a special needs children for adults that is after a visual field test which I had a eye problem and any problem which is stressed out everyone gets stressed out soon as it comes to a visual field test regardless anyway I have glaucoma I've have adjusted myself to be safe f2b awareness to adapt and also when I'm doing the bus driving when I come home I have about 2-hours res that eases after pressure and I feel much better feeling forage had I known that you need to do exercise or laser treatment I would have done that in my early stages of this situation but unfortunately the the hospital did not tell me this and now I am not driving at all because of the FDA has stopped me surely it should be not just analysing the paperwork but doing a background check on individual drivers to see how good they drive on the road if they can do a CRB check on a person then it should allow that person to drive back on the road and there is another question in the UK fitness to drive means absolutely nothing when I go and see my GP or anyone profession they don't know what I'm talking about
iPhones have an accelerometer built in. The iPhone by default tracks steps that is accessible via the "Activity" app.
If you have an Apple watch, that tracks exercise even better.
The Activity app shows history of activity during the day, days of the week etc. so you can monitor trends.
Apple watch tries to encourage activity. Tracks heart rate etc.
Android has equivalent features although typically not from a single vendor.
Any fitness tracker will tracks steps and many will track other forms of exercise such as swimming. Including Garmin, Fitbit, Polar, etc. YMMV.
I have my own tonometer. I've continued to notice that moderate exercise seems to lower my short term pressure in my eye. Not clear if it stays low, but the lowering effect during and immediately after is pretty clear in my eye.
Do you lift weights? Which exercises do you prefer
@@deepu-zv3iv I think the prevailing theories are that weight lifting is strenuous exertion and is assumed to cause a pressure spike during exertion. I would presume most ophthalmologists would advise against high exertion, straining weight lifting. Although I would expect that for moderate weight training the benefits outweigh risks.
I tend to prefer mild to moderate aerobic activity for eye benefits. Walking, running, swimming. Anything that doesn't involve high exertion.
@truthjunkie3 You are correct. I discuss various forms of exercise and the effect on IOP in more detail here: ua-cam.com/video/HPrZv5A2bHU/v-deo.html
@@truthjunkie3 thank you for the information
Dr. Richardson, Thank you so much for these videos, I just love them. I have mild pigmentary glaucoma (had iridotomies done in both eyes a couple months ago and my iris is 'much flatter'). I have no field loss and hope to never have field loss of course. I know with pigmentary glaucoma they always say that exercise can induce a pigment storm. Should I stick to walking or swimming then? Thank your for your time. I know you must be a busy man
Hello Samantha. Although there is a risk of “pigment storm” with strenuous exercise, this must be balanced with the need to maintain good cardiovascular fitness. As such I generally advocate a regular aerobic fitness routine including such activities as swimming, brisk walking, elliptical trainers, biking, etc.
@@eyemdla Thank you, Dr. Richardson! It's good to know that exercise isn't off the table. I've felt very restricted with what I can and can't do after being diagnosed for fear of releasing a pigment storm. Knowing that I don't have to cut out most exercise is a big relief! Thank you again :)
I am keeping my glaucoma at bay! Here's how: I take 6-7 chlorella pills every single day, and I use an infrared heat lamp on my CLOSED eyes at 5" for 5 minutes, am & pm. CHLORELLA: www.amazon.com/gp/product/B01FMWFG86/ref=ppx_yo_dt_b_search_asin_title?ie=UTF8&psc=1 LAMP: www.amazon.com/Therapy-Wolezek-Infrared-Device-Relief/dp/B07TDP67LR/ref=sr_1_6?dchild=1&keywords=infrared+bulb&qid=1605966901&sr=8-6
Thank you so much Dr. Richardson. Yours advice are very useful. My age is 45 and Glaucoma Patient for the past three years. Can you tell me Smoking is harmful for Glaucoma ?
I’ve always been physically active, especially performing cardio exercises and weight lifting. When I was diagnosed with glaucoma I’ve avoided ab routines( to my detriment) because I had heard they can raise eye pressure. Is this true? I always forget to ask my specialist because the appointments are traumatizing to me and I just want to get the heck out of his office. Thanks
Do cannibis gummys work to lower eye pressure
Thank you. I appreciate these videos so much. I was devastated once my doctor told me I had glaucoma. And now I’m and disappointed and a little angry that my doctors (I have been treated by 3 different ones within my HMO) have not shared any valuable information with me about this disease. I have questioned them about a lot and the answers they give me are so intentionally vague I barely even want to discuss anything with them anymore. Like why didnt they tell me about the rffects of yoga (downward positions) and the different sleeping positions on ocular pressure? Those seem like simple things to tell a patient.
I’m in my early 30s and I got lasik in 2007. No eye doctor ever told me anything about having an enlarge cup to disk ratio prior to my lasik. I’m believe that surgery had something to do with me developing glaucoma. My pressure is also low. It has to my knowledge not been above 16. Have there been any notable articles about the correlation between lasik and glaucoma? If so, could you please do a video on it? It would be much appreciated.
Thank you for the topic suggestion for a future video. I agree that it would be worthy of discussion.
With regard to the unsatisfactory communication from your prior doctors, you are in good company. HMOs tend to work their doctors so hard by scheduling so many patients and demanding so much paperwork that the doctors hardly have any time to actually care for their patients. That's one of the reasons I dropped all HMOs and other insurance plans years ago. Now I am able to spend the time necessary with each of my patients to explain their conditions and address their concerns.
Yeah those kid of doctors suck. If you don't ask questions they don't say anything. Self education is very necessary, with reg visits of course.
I am keeping my glaucoma at bay! Here's how: I take 6-7 chlorella pills every single day, and I use an infrared heat lamp on my CLOSED eyes at 5" for 5 minutes, am & pm. CHLORELLA: www.amazon.com/gp/product/B01FMWFG86/ref=ppx_yo_dt_b_search_asin_title?ie=UTF8&psc=1 LAMP: www.amazon.com/Therapy-Wolezek-Infrared-Device-Relief/dp/B07TDP67LR/ref=sr_1_6?dchild=1&keywords=infrared+bulb&qid=1605966901&sr=8-6
I’m in the same exact position as you only I’m 30.
I am 41yrs found out today I have glaucoma in both eyes will be needed laser surgery. I have been going to doctor for regular check he never mention anything new dr came in she told me then I changed doctor, New dr told me I have in both eyes my breath almost stopped I was freaking out.
I have large optic nerve . I did all the test it was good. So my eye doctors say it doesn't look like galcoma
I have pigmentary glaucoma and high myope. I am 61.
Can I squat with 30-40 kg weight,is pull ups to be avoided?
Hello dr.david richardson thanks for the information.please continue this series..i would be grateful if you cover topic on which is better sleeping position for glaucoma patients and pregnancy with glaucoma..if the mother is having glaucoma with visual loss in one eye and on drops medication at time of pregnancy did the child also will be born with glaucoma at the time of birth? please give me answer.
Hello Minnu. Current research suggests that sleeping with the head elevated 15-30 degrees is ideal (assuming one is sleeping on the back). Congenital glaucoma is very different than adult glaucoma. Treating one should not contribute to the other.
@@eyemdla sir but if mother is taken glaucoma medication then it effects fetus in initial stages in formation of baby organs
Many medications can have an effect on fetal development. However, the amount of glaucoma eye drops absorbed into the bloodstream is quite small (especially with proper technique). It is true that some glaucoma medication are not generally prescribed during pregnancy. That being said, there is no convincing evidence that treating a mother’s glaucoma would result in glaucoma in an infant.
@@eyemdla thank you for your reply dr.
@@eyemdla for how many years we can sustain with remaining eye sight after trabeculectomy .after trabeculectomy are we eligible for canaloplasty..
Any thoughts on rebounding on a mini-trampoline for eye health?
It sounds like fun, but I can’t think of any reason it would be good for the eye unless it acts as an aerobic workout.
@@DrDavidDRichardsonMDSanMarino Yes. I use the rebounder for an aerobic workout.
Might have to get myself one then as I dread the treadmill.
What about Nocturnal dippers when walking or jogging 🏃♀️ the blood pressure goes down at night and Perfusion pressure
I’m sorry, but I don’t understand your question. Would you mind rephrasing it?
@@DrDavidDRichardsonMDSanMarinoIt's so kind of u my question is when I do exercise more I get dehydrated and my blood pressure dips at night like 100/55 and next morning my eyes get worse sharp lights are blurry I am a gluacoma suspect age 33 IOP 21 n 22 with out medications with Xalatan.. can I go for SLT plz suggest and biggest issue is I think Dry eyes do dry eyes medication drops blood pressure down at night thanks 🙏
Although I cannot make specific recommendations for your condition, I am an advocate of offering SLT early on rather than just going straight to IOP-lowering eye drops.
@@DrDavidDRichardsonMDSanMarino you are such great person truely working to help patients and getting more knowledge about this disease my question is in general I should go to SLT as a suspect or wait until I get glaucoma early onn bcz SLT doesn't last long so no point now bcz if there is no change in OCT it's same
What about biking? Or using elliptical bike machine?
Biking and use of an eliptical or stairmaster are probably the best choice of aerobic exercises for those with glaucoma as they involve very little Valsalva (which is known to elevate IOP).
I am keeping my glaucoma at bay! Here's how: I take 6-7 chlorella pills every single day, and I use an infrared heat lamp on my CLOSED eyes at 5" for 5 minutes, am & pm. CHLORELLA: www.amazon.com/gp/product/B01FMWFG86/ref=ppx_yo_dt_b_search_asin_title?ie=UTF8&psc=1 LAMP: www.amazon.com/Therapy-Wolezek-Infrared-Device-Relief/dp/B07TDP67LR/ref=sr_1_6?dchild=1&keywords=infrared+bulb&qid=1605966901&sr=8-6
What I have repeatedly read is that moderately intense physical activity, such as brisk walks for two hours a day, lowered intraocular pressure. can that be true?
I have an at home tonometer - when I walk not only do I feel good and relaxed but when I test my iop afterwards the pressures have dropped compared with before the walk.
@@stephbush-brown7931 I am a glaucoma patient. I have tried to get a machine to test my own iop at home. However, it's either hard to find or super expensive. Do you have machine to test iop at home? Could you recommend one or tell me which brand you are using? thanks.
@@ashleychen307 Hi Ashley! I got the ICARE2, there are places you can get it and it is about $3000. I used HSA health $ to pay for it. I know it is expensive. But, I am only 54 and do so many things that require vision and had unexplained loss despite being treated with drops and slt. It has turned out to be super easy for me to use. It is pretty fool proof and will not take a measurement if you don't have it perfectly set up. And, I am a baby when it comes to things in my eye and it has been not even a concern at all! I take 6 measurements per day and no irritation etc. Easy peasy! Now that I have it, I have discovered that when I wake up in the AM my pressures are way up over target. I feel like I am young (54 ha!!) and I am going to have this the rest of my life and I had damage that occurred even though I was being treated with drops and SLT. I am panicking that I will lose my vision, so, getting it I feel more control - I have higher pressures at certain times of day and I can take drops when I need to take them. Because of the data I got about my pressures overnight, I am returning to doctors early(they wanted to wait 3 months) to potentially get SLT asap in the "good" eye because the pressures in that eye are crazy higher than we thought. If you want more specific info. or want to talk let me know!! I also have no ties to tonometer sellers ha!! PS - you can also "rent" tonometers for a week or so This would also be a more inexpensive route to go - I feel like I have gained a lot of info. in the 2 weeks I have had it. However, I feel like it will help me in future like after SLT to see if it worked, see if I could take fewer drops etc. Sorry this is so long :)
@@stephbush-brown7931 Hi Steph, thank you for such detailed info. I was diagnosed as high risk glaucoma suspect in 2021. Last year, I went to the other doctor. She confirmed I have glaucoma. None of my family members had glaucoma. And my iop was 17, 16 last time I checked in doctor office. I tried eye drop but with serious reaction and stop. Currently I have no clue how to proceed this. I know I don’t want to lose my vision for sure. I thought I can get a tonometer at home and observe. After finding the price, another heart broken, too expensive. Thanks to you, now I know there is a good one to buy if I decide to get one.
Good luck with SLT!! Sure, I know I have more glaucoma questions to ask you. But how?
Sorry, mine reply might be longer than yours. Btw, how do you do reply and hide it? Normally, I only view and rarely put any comments. Not good at this thing. It’s a shame as a programmer, but way behind this kind of tech, hehe…
I do 2-3 hrs with weights , pull ups, sit-ups etc and akso run 40 miles per week ie I thought my workouts triggered my glaucoma ...ie I have normal tension glaucoma but thought excercise increasing ocular pressure ?
I am keeping my glaucoma at bay! Here's how: I take 6-7 chlorella pills every single day, and I use an infrared heat lamp on my CLOSED eyes at 5" for 5 minutes, am & pm. CHLORELLA: www.amazon.com/gp/product/B01FMWFG86/ref=ppx_yo_dt_b_search_asin_title?ie=UTF8&psc=1 LAMP: www.amazon.com/Therapy-Wolezek-Infrared-Device-Relief/dp/B07TDP67LR/ref=sr_1_6?dchild=1&keywords=infrared+bulb&qid=1605966901&sr=8-6
Hey update
Did glaucoma get triggered by workouts?
We Brits pronounce is glawcoma.