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This article has been peer reviewed. It is the authors' final version prior to publication in Ophthalmic Surgery Lasers and Imaging Volume 39, Issue 4, July 2008, Pages 339-340. The published version is available at DOI: 10.3928/15428877-20080701-03. Copyright © International Society for Imaging in the Eye


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 oplithalmoscopy, 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.

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