Glaucoma and other ocular findings in obstructive sleep apnea syndrome


Coban D. T., EYİGÖR H., Erol M. K., Osma U., Yilmaz M. D., SELÇUK Ö. T.

Acta Medica Mediterranea, cilt.31, sa.2, ss.363-369, 2015 (SCI-Expanded, Scopus)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 31 Sayı: 2
  • Basım Tarihi: 2015
  • Dergi Adı: Acta Medica Mediterranea
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.363-369
  • Anahtar Kelimeler: Apnea-hypopnea index, floppy eyelid syndrome, glaucoma, keratoconus, Obstructive Sleep Apnea Syndrome
  • Sağlık Bilimleri Üniversitesi Adresli: Evet

Özet

Aims: This study aimed to examine the relationship between Obstructive Sleep Apnea Syndrome (OSAS) and glaucoma and other ocular findings like Floppy Eyelid Syndrome (FES) and keratoconus (KC). Materials and methods: A total of 56 patients (112 eyes) with mild (n. 18), moderate (n. 15) and severe (n. 23) Apnea Hypopnea Index (AHI) values, who were admitted due to OSAS complaint were included in the study as the patient group. Other 23 patients (46 eyes) with normal AHI were included in the study as the control group. Each patient underwent a complete eye examination for intraocular pressure, cornea thickness, optic disc, macula, and retinal nerve fiber layer thicknesses (RNFLT), FES and KC. Statistical evaluation was made in terms of intergroup comparisons of intraocular pressure, optic disc cup/disc ratio (C/D), macula and RNFLT. Results: C/D ratio was 0.46±0.27 in patient group, while it was 0.41±0.19 in control group; RNFLT was 93.87±9.02 μm in the patient group and was 98.71±9.79 μm in the control group. However, this difference was not statistically significant (p>0.05). FES and KC, which frequently accompany OSAS, were not observed in any of the patients. Only 1 (4.3%) patient in severe group was found to have normotensive glaucoma. Conclusion: In this study, we found no statistical relationship between OSAS and glaucoma, FES and KC formation. However, in terms of development and progression of glaucoma, longer follow-up would be convenient especially in severe OSAS patients with FES and KC.