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Hydration Habits: Water-Drinking Spikes and How to Sip SafelyStaying properly hydrated is crucial for overall health – but surprisingly, the way we drink water can affect our eyes. In ophthalmology, a water-drinking test (WDT) has long been used to provoke and study intraocular pressure (IOP) changes in glaucoma patients. In this test, patients drink a large volume of water quickly (often ~1 liter in about 5 minutes) and doctors measure the eye pressure over the next hour. This “stress-test” for the eye reveals that chugging water causes a transient IOP spike. In fact, studies show IOP climbs within 15 minutes of rapid water intake and stays elevated for about 30–45 minutes () (). For example, Brucculeri et al. found that healthy young adults given ~1 L of water experienced a significant IOP rise by 15 minutes, lasting approximately 45 minutes (). Similarly, a glaucoma patient who drank a large water “bolus” for a medical procedure had a sudden pressure jump (5–8 mmHg above baseline) and symptoms of headache and blurred vision (). This shows that even in healthy eyes, gulping a large volume quickly can temporarily overfill the eye’s fluid system.The reason has to do with eye fluid dynamics. Our eyes continuously produce a clear fluid (aqueous humor) that drains through a meshwork in the front of the eye. When you drink a lot of water at once, the body’s fluid balance shifts. Early theories suggested water might create an osmotic gradient, but research indicates that’s not the case () (). Instead, the excess blood volume from quick drinking seems to briefly overwhelm the eye’s drainage, so the outgoing fluid flow lags behind, and pressure inside the eye rises. In practical terms, a big drink is like adding extra water to a balloon faster than it can safely leak out – the pressure inside goes up for a short time. Why Large Drinks Raise Eye Pressure Temporary IOP spike: Drinking ~1 L of water in a few minutes can raise IOP by several mmHg. In one study of glaucoma patients, IOP jumped on average from about 12 mmHg up to ~16 mmHg (a 4 mmHg rise) 30 minutes after a 1-liter challenge (). These pressure hikes are transient – normalizing in under an hour – but they reveal how quickly Drastic drinking can pressurize the eye. Dose matters: Even smaller amounts cause rises. Glaucoma research shows that both 500 mL and 1000 mL water challenges significantly increase IOP for up to 45 minutes after drinking (). In other words, it’s not just “megajuice” – even half a liter downed very quickly will push eye pressure upward. Not due to water moving into the eye: The spike isn’t direct water filling the eye. Classic experiments found no change in blood osmolarity or hematocrit after drinking, ruling out simple “dilution” effects (). Instead, the body’s fluid redistribution must transiently hamper the eye’s drainage. (So the fix isn’t osmotic – it’s about pacing fluid outflow.) Symptoms of overhydration: If you do gulp water quickly, you might feel it. One report described a patient who drank a large water bolus and soon had a headache and eye discomfort; his exam showed significantly increased IOP (). In an extreme case, a person who drank 5 liters in a few hours (on a doctor’s advice during a fever) suffered sudden bilateral angle-closure glaucoma with eye pain, nausea and vision loss – their IOP soared above 50 mmHg (). These are dramatic examples, but they underline the warning: “too much too fast” can truly hurt. Daily Hydration Tips: Sip and Space Your Water The big t