title: Alternative therapy in glaucoma management: is there any role?
abstract: Glaucoma is one of the leading causes of blindness worldwide. Various randomized controlled clinical trials have shown that lowering intraocular pressure (IOP) does reduce progression of primary open-angle glaucoma. However, there is lots of interest in nonpharmacological options that includes lifestyle adjustment and alternative and complementary therapy (ACT). At least 5% glaucoma population uses ACT. Various lifestyle activities like exercise and alcohol can reduce IOP by 1 to 2 mm Hg but would have small effect on glaucoma. The psychological stress can increase IOP. Hypothetically and few studies do show neuroprotective effect (or effect on ocular blood flow) of alcohol, Gingko biloba, bilberry, but the current evidence is weak for its routine use. We must also remember the side effects of 'medications' (e.g., marijuana, alcohol) before promoting as remedy for glaucoma. In current armamentarium of glaucoma management, ACT cannot substitute the conventional treatment available to lower IOP.
authors.affiliation: Shreeji Eye Clinic & Palak's Glaucoma Care Centre, Maharashtra, Mumbai, India. drparikhs@gmail.com
authors.forename: Rajul S
authors.initials: RS
authors.lastname: Parikh
authors.forename: Shefali R
authors.initials: SR
authors.lastname: Parikh
mesh_terms: D000434:Alcoholic Beverages / Q000009:adverse effects; D000975:Antioxidants / Q000008:administration & dosage; D002188:Cannabis / Q000009:adverse effects; D000529:Complementary Therapies / Q000379:methods*; D004032:Diet; D020441:Ginkgo biloba; D005901:Glaucoma / Q000503:physiopathology / Q000628:therapy*; D005902:Glaucoma, Open-Angle / Q000628:therapy; D006801:Humans; D007429:Intraocular Pressure; D008019:Life Style; D018696:Neuroprotective Agents / Q000627:therapeutic use; D029800:Vaccinium myrtillus
chemical_list: D000975:Antioxidants; D018696:Neuroprotective Agents