Can you fly if you have high eye pressure?

As an expert in the field of ophthalmology, I can provide you with a comprehensive understanding of the relationship between air travel and intraocular pressure (IOP), as well as the impact of high IOP on the ability to fly.
Firstly, it is important to understand what intraocular pressure is. Intraocular pressure is the fluid pressure within the eye, which is determined by the balance between the production and drainage of aqueous humor, a clear fluid that circulates between the cornea and the lens. Normal IOP is typically between 12 and 21 mmHg (millimeters of mercury), and it is essential for maintaining the shape of the eye and its overall health.
Now, let's address the concern about air travel and its potential effects on IOP. Commercial aircraft are designed to maintain a comfortable cabin pressure that is equivalent to an altitude of approximately 6,000 to 8,000 feet. This regulated cabin pressure is crucial for passenger comfort and safety, and it helps to minimize the impact of changes in external air pressure on the human body, including the eyes. The statement that "Air travel rarely has any effect on intraocular pressure (IOP)" is accurate because the cabin pressure is carefully controlled during ascent and descent, resulting in minimal changes to IOP.
However, it is worth noting that air travel can affect the volume of gases within the body. This is due to the principle of Boyle's Law, which states that the volume of a gas is inversely proportional to the pressure when the temperature is held constant. As the aircraft ascends and the external air pressure decreases, the volume of gases in the body, including those in the middle ear and sinuses, can expand. This can sometimes lead to discomfort or even pain, particularly for individuals with pre-existing conditions such as ear infections or sinusitis. For the eyes, the impact is generally minimal because the eye's structure and the controlled cabin environment help to mitigate these effects.
When it comes to glaucoma surgery, it is important to clarify that gas bubbles are not typically used in the context of glaucoma treatment. Glaucoma is a condition characterized by increased IOP, which can damage the optic nerve and lead to vision loss if not managed properly. Treatment for glaucoma often involves medications, laser treatments, or surgery to improve the drainage of aqueous humor and reduce IOP. The use of gas bubbles is more relevant to certain types of retinal surgery, where they may be used to help reattach the retina by providing temporary support and pressure.
Returning to the original question of whether high IOP would prevent an individual from flying, the answer is generally no. Most people with high IOP or glaucoma can fly without significant issues, as long as their condition is well-managed. It is always advisable to consult with an ophthalmologist before traveling, especially if there are concerns about the impact of air travel on one's eye health. The ophthalmologist can provide personalized recommendations based on the individual's specific condition and medical history.
In summary, while air travel can cause some changes in the body due to changes in external air pressure, the effects on IOP are typically minimal for most individuals. Proper cabin pressure regulation and the eye's structural resilience help to protect against significant changes in IOP during flight. For those with high IOP or glaucoma, flying is generally safe as long as the condition is well-managed, and it is always best to consult with a healthcare professional for personalized advice.

Air travel rarely has any effect on intraocular pressure (IOP). Because the air pressure within the cabin is carefully regulated as the plane ascends and descends, there is little change in eye pressure. Air travel does affect the volume of gases in the air. ... In contrast, gas bubbles are not used for glaucoma surgery.Oct 29, 2017