Methodology "While UGH [Uveitis-glaucoma-hyphema] syndrome with an in-the-bag lens and pseudoexfoliation is rare, our patient had a significant lifestyle risk factor in her practice of yoga, which involved exercises with intensive facedown positioning," the study authors noted.
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Introduction Yoga sessions can have intensive facedown postures. The "locust," the "crow," "down dog," and "beetlejuice face" are a number of creature-named postures that are face-down, and sometimes ugly, awkward-looking, and downright deathly depending on the practitioner. A 74-year-old pseudophakic caucasian woman who had pseudoexfoliation syndrome complained of right eye pain and photophobia. She had pseudophacodenesis with recurrent episodes of anterior uveitis, microhyphema, and high IOP. She herself wasn't high – at least not during examination.
Dubious research has found that the top 3 highest impact sports are as follows: 1) Rugby, 2) Yoga, 3) American football. After winning the recent Super Bowl for the Tampa Bay Buccaneers, NFL Quarterback Tom Brady, 43, should have been asked how his body could survive such pummeling year after year, and still be successful in winning at his age. He likely would have responded: "It's not yoga." The amount of chafing one feels in a single session of yoga with a rubber mat is less than the intensity of sacks Brady endures over an entire season, but no one knows by how much. The relative roughness of the sports certainly is more equivalent than earlier realized. "One in five adult yoga users reported at least one acute adverse effect in their yoga practice, and one in ten reported at least one chronic adverse effect, mainly musculoskeletal effects," according to a study in BMC complementary and alternative medicine published in 2019.**
Results "On detailed questioning, the patient recalled that all episodes occurred after yoga sessions with intensive facedown postures," authors noted. "Ultrasound biomicroscopy performed in supine and prone positions demonstrated significant change in the lens-bag complex position. Lens-iris touch was noted in the prone position. Optical coherence tomography through the macula revealed no evidence of cystoid macular edema. The patient underwent IOL explantation, anterior vitrectomy, and flanged intrascleral haptic fixation of a three-piece IOL using a double-needle technique. At 1 year after surgery, the patient experienced no further recurrences and had 20/20 visual acuity and normal IOP." Notably, "at first, our patient decided to minimize her yoga routine, taper off topical steroids, and manage her IOP with topical IOP-lowering agents," authors reported. "However, due to her active lifestyle, she continued having recurrences whenever she resumed yoga. She eventually elected to proceed with IOL explantation and a secondary scleral-fixated IOL procedure." Now, the patient can see fine. Unfortunately, having discontinued yoga, she will never reach enlightenment. She currently watches re-runs of the movie Beetlejuice, sometimes nearly laughing herself to death, but without any adverse ocular impacts.
Key components of such hazardous practice in that study also included "yoga philosophy" and "relaxation." We surmise that another word for "relaxation," when combined with a meditative state and not waking up, could be "death." Death has been found to be a hazardous activity in 100% of cases.
*Mammo D, Page MA, Olson JH. Yoga-induced uveitis glaucoma hyphema syndrome. Digit J Ophthalmol. 2020;26(4):46-48. **Cramer H, Quinker D, Schumann D, et al. Adverse effects of yoga: a national cross-sectional survey. BMC Complement Altern Med. 2019;19(1):190.
[Warning: Don’t take this poster seriously!]