J Korean Ophthalmol Soc > Volume 51(12); 2010 > Article
Journal of the Korean Ophthalmological Society 2010;51(12):1598-1605.
DOI: https://doi.org/10.3341/jkos.2010.51.12.1598    Published online December 15, 2010.
The Changes of Intraocular Pressure, Optic Nerve and Visual Field in SCUBA Diving.
Sang Moon Jeoung, Sung Gil Kim, Jeong Do Kwon
1Department of Ophthalmology, Wallace Memorial Baptist Hospital1, Busan, Korea. kjdeye@naver.com
2Department of Ocean Physical Education, Korea Maritime University, Busan, Korea.
스쿠버 잠수활동과 안압, 시신경 및 시야의 변화
정상문1ㆍ김성길2ㆍ권정도1
Department of Ophthalmology, Wallace Memorial Baptist Hospital1, Busan, Korea Department of Ocean Physical Education, Korea Maritime University2, Busan, Korea
Abstract
PURPOSE
To examine how SCUBA diving activities in high-pressure underwater environment affect their intraocular pressure (IOP), visual field (VF), retinal nerve fiber layer (RNFL), and the shape of optic disc. METHODS: We performed visual acuity and refractory test, IOP test, VF test, RNFL photography, optical coherent tomography, and 3D optic disc photography for a group of 32 people and a control group of 32 non-divers, and analyzed the differences between the two groups. For the diver group, we conducted a questionnaire survey on the patterns of diving and diving experience, and analyzed their correlation with results of test. RESULTS: Compared to the Control, the diver group showed significant difference in the mean IOP (diver group: 15.71 +/- 2.54 mmHg, control group: 14.23 +/-2.15 mmHg, p = 0.019), and abnormal visual field (diver group: 7 eyes (11.3%), control group: 0 eye (0%), p = 0.006). 85.7% of abnormal visual field belonged to early defect. The diver group did not showed significant difference in the shape of optic disc (p = 0.546), but the optic nerve atrophy in shape of optic disc test field (diver group: 8 eyes (12.9%), control group: 2 eyes (3.1%), p = 0.042) was significantly different. CONCLUSIONS: Divers who did SCUBA diving activities need to have a glaucoma test regularly. Additional research and large cross or longitudinal study are needed to evaluate causes that scuba diving activities affect.
Key Words: Intraocular pressure;Optic nerve;SCUBA diving;Visual field


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