Progressive optic neuropathy in congenital glaucoma associated with the Sirsasana yoga posture

Ophthalmic Surg Lasers Imaging. 2008 Jul-Aug;39(4):339-40. doi: 10.3928/15428877-20080701-03.


The authors describe a case of progressive optic neuropathy in a patient with congenital glaucoma who had routinely practiced the Sirsasana (headstand) yoga posture for several years. Ophthalmic examination included best-corrected visual acuity, anterior segment examination, indirect ophthalmoscopy, ultrasound pachymetry for central corneal thickness, and intraocular pressure before, during, and after maintaining the Sirsasana posture for 5 minutes. Intraocular pressure increased significantly during the Sirsasana posture. Transient elevation in intraocular pressure during yoga exercises may lead to progressive glaucomatous optic neuropathy, especially in susceptible patients with congenital glaucoma.

Publication types

  • Case Reports

MeSH terms

  • Antihypertensive Agents / therapeutic use
  • Disease Progression
  • Female
  • Glaucoma / congenital*
  • Glaucoma / drug therapy
  • Humans
  • Intraocular Pressure / drug effects
  • Middle Aged
  • Optic Nerve Diseases / etiology*
  • Optic Nerve Diseases / physiopathology
  • Posture*
  • Vision Disorders / etiology
  • Vision Disorders / physiopathology
  • Visual Fields
  • Yoga*


  • Antihypertensive Agents