Relation Between Sleep Position and Intraocular Pressure in People with Glaucoma


  • Agatha Catherine University of Lampung
  • Rodiani universitas lampung
  • Risti Graharti universitas lampung



Sleep position, Intraocular Pressure, Glaucom


Glaucoma still be the second most common cause of blindness in the world. Glaucoma is a group of neuropathic diseases of the optic nerve which is characterized by the extraction of the optic disc (cupping) may causes visual disturbances. Intraocular pressure (IOP) is the most influential factor of glaucoma and affected by various factors, especially body position during sleep. Sleep composed of REM sleep and NREM sleep is related to muscle tone and psychological activity that has impact for sleep posture. The increase of intraocular pressure is directly proportional to the increase of episcleral venous pressure. The increase of IOP in prone position is probably due to an increase in choroidal vascular volume and increase of episcleral venous pressure, whereas in the lateral decubitus position the increase in IOP is caused by compression of the jugular veins when using a pillow. IOP rises when move to the lateral decubitus position in the dependent eye was 1 mmHg and in the non-dependent eye was 2 mmHg. The angle of the head to the bed has an effect on increasing IOP, in the vertical head-down position there can be an increase of 70% due to the force of gravity, whereas in patients who sleep with their head at a higher angle to the mattress, the IOP will decrease compared to the horizontal sleeping position.

Author Biographies

Agatha Catherine, University of Lampung



Rodiani, universitas lampung



Risti Graharti, universitas lampung




Flatau A, Solano F, Idrees S, Jefferys JL, Volpe P, Damion C, et al. Measured changes in limbal strain during simulated sleep in face down position using an instrumented contact lens in healthy adults and adults with glaucoma. JAMA Ophthalmol. 2016;134(4):375–82.

Rapuano CJ, Stout JT, McCannel CA. Glaucoma. In: Basic and Clinical Science Course. 2016. p. 1–23.

Wong MHY, Lai AHO, Singh M, Chew PTK. Sleeping posture and intraocular pressure. Singapore Med J. 2013;54(3):146–8.

Riordan-Eva P, Cunningham ET. Vaughan & Asbury General Ophthalmology. Vaughan & Asbury’s General Ophtalmology. 2015. 190–200 p.

PhysioMed. Help Guide: Sleeping Posture & Positions. 2021; Available from:

Lee JY, Yoo C, Jung JH, Hwang YH, Kim YY. The effect of lateral decubitus position on intraocular pressure in healthy young subjects. Acta Ophthalmol. 2012;90(1):e68–72.

Liu JHK, Bouligny RP, Kripke DF, Weinreb RN. Nocturnal elevation of intraocular pressure is detectable in the sitting position. Investig Ophthalmol Vis Sci. 2003;44(10):4439–42.

Liu JHK, Gokhale PA, Loving RT, Kripke DF, Weinreb RN. Laboratory assessment of diurnal and nocturnal ocular perfusion pressures in humans. J Ocul Pharmacol Ther. 2003;19(4):291–7.

Buys YM, Alasbali T, Jin YP, Smith M, Gouws P, Geffen N, et al. Effect of sleeping in a head-up position on intraocular pressure in patients with glaucoma. Ophthalmology [Internet]. 2010;117(7):1348–51. Available from:

Kim KN, Park KH. Relationship between preferred sleeping position and unilateral disc haemorrhage in normal-tension glaucoma patients. Acta Ophthalmol. 2015;93(4):e313–4.

Kaplowitz K, Dredge J, Honkanen R. Relationship between sleep position and glaucoma progression. Curr Opin Ophthalmol. 2019;30(6):484–90.

Cheng MA, Todorov A, Ph D, Tempelhoff R, Mchugh T, Crowder CM, et al. The Effect of Prone Positioning on Intraocular Pressure in Ansthetized Patients. 2001;(6):1–5.

Sedgewick JH, Sedgewick JA, Sedgewick BA, Ekmekci B. Effects of different sleeping positions on intraocular pressure in secondary open-angle glaucoma and glaucoma suspect patients. Clin Ophthalmol. 2018;12:1347–57.

Hwang JW, Jeon YT, Kim JH, Oh YS, Park HP. The effect of the lateral decubitus position on the intraocular pressure in anesthetized patients undergoing lung surgery. Acta Anaesthesiol Scand. 2006;50(8):988–92.

Mostafa MS, Othman TEM, Abdalla AMEA, Gabr AF. Effect of different body positions on intraocular pressure in patients with primary open angle glaucoma. Egypt J Hosp Med. 2021;83(1):1411–6.

Friberg TR, Sanborn G, Weinreb RN. Intraocular and episcleral venous pressure increase during inverted posture. Am J Ophthalmol [Internet]. 1987;103(4):523–6. Available from:

Kim HS, Park KH, Jeoung JW. Can we measure the intraocular pressure when the eyeball is against the pillow in the lateral decubitus position? Acta Ophthalmol. 2013;91(7):502–5.



How to Cite

Catherine, A., Rodiani, R., & Graharti, R. (2023). Relation Between Sleep Position and Intraocular Pressure in People with Glaucoma. Medical Profession Journal of Lampung, 13(1), 122-127.




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