Mayo Clinic

The Role of IOP Fluctuations with Arthur Sit, M.D., MS V2

In this episode, glaucoma specialist and ocular dynamics researcher Arthur Sit, MD, MS, explores the hidden world of intraocular pressure fluctuations, why body position, sleep, and daily activities can influence eye pressure, and whether these changes contribute to glaucoma progression. Join us for a fascinating discussion on the future of continuous eye pressure monitoring and what it may reveal about protecting vision. Subscribe to the podcast: https://MayoClinicOphthalmology.podbean.com Follow and reach out to us on X and IG: @mayocliniceye 0:00 Introduction to the Ophthalmology Podcast 0:48 Understanding Normal Eye Pressure Fluctuations 2:54 The History and Value of Diurnal Tracking 3:53 How Body and Sleeping Positions Affect IOP 5:40 The Interaction of Systemic Pressures in Glaucoma 8:24 Ocular Biomechanics and Fluid Flow Dynamics 11:25 Exploring the Modified Goldman Equation 14:02 Understanding Episcleral Venous Pressure Dynamics 16:41 Assessing Optic Nerve Susceptibility and Risks 18:00 Circadian Rhythms and Nighttime Pressure Changes 19:52 Best Dosing Practices for Glaucoma Eye Drops 22:38 Glaucoma Risks in Vitrectomy vs. Scleral Buckle 25:54 Long-Term Surveillance Post-Vitreoretinal Surgery 27:36 High Myopia and Increased Structural Stress 29:32 Stiffness Variations in Normal Tension Glaucoma 31:57 The Impact of Wind Instruments on Pressure 33:38 The Future of Home IOP Monitoring Devices