98th Annual Meeting DOG 2000

V 828

Tradition and break-through at millenium - even in conventional glaucoma therapy?
Receptive music therapy for IOP-reduction - new technologies and psychophysiological reactions

I. Strempel, P. Eschstruth

Background: In former studies we could already prove the effektivness of autogenic relaxation (AT) or hypnosis on IOP in patients with open angle glaucoma. We now created a special music therapeutic programm (CD) consisting of relaxation music and sentences underlied with subliminal binaural beats and combinded with guided visual imagery. Following effects were measured: IOP, muscle relaxation, heart rate, galvanic skin response, EEG-alterations and subjektive mental state (POMS-test).

Patients and methods: Glaucoma patients came on 10 following days at the same time of the day to listen the CD in combination with measurements of the psycho-physiological parameters. Before the study after 10 days and 4 months later a general ophthalmological check-up was performed.

Results: 24 out of 27 patients could consequently be checked. Glaucoma therapie was maintained. Mean IOP of the first day was 16,5 mm Hg and 14,1 at the 10th day. Reduction after listening was 13,3 mm Hg first day and 13,0 at 10th day. 4 months later the IOP was still reduced 2,3 mm Hg (mean). EEG showed increased a -wafes 0,2 µV and Theta-wafes 0,3 µV and reduction of b -wafes of 0,4 µV.

EMG-reduction of 0,5 µV, heart rate 0,3 Bm, galvanic skin response 0,2 µm. Visual acuity and visual field were slightly better after the study. All items of POMS showed better values concerning personal state of mind.

Conclusion: This study proves IOP reduction and general relaxation by receptive music therapy consisting of music with binaural beats, relaxation texts and guided special visual imagery for glaucoma patients. Hypothetic way of psycho-neuroendocrine reactions are discussed.

Augenklinik, Philipps-Universität, Robert-Koch-Str. 4, D-35037 Marburg/Lahn