The prevalence of glaucoma in patients with sleep apnea syndrome: same as in the general population

Geyer, Orna; Cohen, Nahum; Segev, Eitan; Rath, Eitan Z.; Melamud, Lina; Peled, Ron; Lavie, Peretz

doi:10.1016/s0002-9394(03)00709-8

Cited by 106 publications

(80 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…34 Similarly, the prevalence of glaucoma in our study was low (3/89, 3.4%) and no higher than the expected prevalence in the population (1.7-3%), P ¼ 0.429. 35 Our observations were similar to those made by Geyer et al 36 and Pearson. 37 The low prevalence in ours and Geyer et al's studies could be the effect of CPAP treatment.…”

Section: Discussionsupporting

confidence: 90%

“…The authors, however, have not mentioned the treatment status of the OSAHS patients in their report. 36 Further reasons for a variable prevalence being reported can be the definitions used for glaucoma and study populations. We did not find our diagnostic criteria to vary significantly to earlier reports, and we consider our cohort of patients with significant OSAHS to be a relevant group for reporting prevalence of any associated pathology attributed to the sleep disorder.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Ocular findings in sleep apnoea patients using continuous positive airway pressure

Kadyan

Asghar²,

Dowson

et al. 2009

Eye

107

View full text Add to dashboard Cite

Purpose To describe ocular findings in patients with established obstructive sleep apnoea hypopnoea syndrome (OSAHS) using continuous positive airway pressure (CPAP). Methods One hundred and fifteen referrals investigated for OSAHS were included. Patients with OSAHS were compared with those with normal sleep study controls. Subgroup analysis for CPAP users and nonusers was also carried out. Results OSAHS patients (n ¼ 89) compared with the controls (n ¼ 26) had higher ocular irritation symptoms (Po0.001), abnormal tear break-up time (Po0.05) with increased upper (Po0.001) and lower (Po0.001) lid laxity. Floppy eyelid syndrome (FES) was noted in 31.5% (28/89) OSAHS patients vs 3.8% (1/26) controls (P ¼ 0.005). Open angle glaucoma prevalence in OSAHS patients (3/89, 3.4%) was similar to the controls (1/26, 3.8%) (P ¼ 0.92). Sixty-seven (75.3%) OSAHS patients were using CPAP (average duration: 19.6 ± 15.3 months). All CPAP users maintained a supine sleep posture to prevent mask edge leaks. A fifth of CPAP users (14/67) had experienced earlier episodes of conjunctivitis secondary to leaks. CPAP users had similar upper and lower lid laxity (P ¼ 0.746 and 0.633) to non-CPAP users, but a better tear film (P ¼ 0.029) and less ocular irritation (P ¼ 0.134). Conclusion OSAHS patients showed increased ocular irritation, abnormal tear film, lid laxity, and FES. The prevalence of glaucoma in our series was similar to normal population data of 2%, P ¼ 0.429, and may relate to use of CPAP in majority of the patients. More stable tear film in CPAP users was probably secondary to the supine sleep postures necessarily adopted with CPAP use.

show abstract

Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Ocular findings in sleep apnoea patients using continuous positive airway pressure

Kadyan

Asghar²,

Dowson

et al. 2009

Eye

107

View full text Add to dashboard Cite

show abstract

“…17 Two studies in the literature have not shown sleep apnoea to be a risk factor for glaucoma. The first was published by Geyer et al 12 and found a prevalence of glaucoma of only 2% among 228 patients with sleep apnoea, not significantly different from that of the general Caucasian population. In that study, patients previously studied and found to have sleep apnoea were recalled to participate in the study.…”

Section: Discussionmentioning

confidence: 97%

Prevalence of glaucoma in patients with obstructive sleep apnoea—a cross-sectional case-series

Kaplan

Heckman

et al. 2007

Eye

View full text Add to dashboard Cite

Aim To determine the prevalence of glaucoma in patients with obstructive sleep apnoea. Design Cross-sectional case series. Participants One hundred patients with moderate to severe obstructive sleep apnoea.Testing Within 48 h of the polysomnographic diagnosis of obstructive sleep apnoea, patients underwent the following tests: intraocular pressure, gonioscopy, automated perimetry, stereoscopic biomicroscopy, and fundascopic assessment for the presence of glaucomatous optic nerve changes. Main outcome measures The prevalence of glaucoma in patients with obstructive sleep apnoea and the associations between patient characteristics and both glaucoma and intraocular pressure. Results Glaucoma was diagnosed in 27 of 100 patients yielding an estimated prevalence of 27% (95% CI 19-37%). The presence of glaucoma did not correlate with sex, body mass index (BMI), or AHI, but did appear to be associated with age (P ¼ 0.014). There was no evidence of a relationship between intraocular pressure and either the apnoea plus hypopnoea index or age. Conclusion The prevalence of glaucoma in patients with obstructive sleep apnoea is an estimated 27%. Sex, age, body mass index or apnoea plus hypopnoea index are not factors influencing the presence of glaucoma in this population of patients.

show abstract

“…1 However, they can occur some considerable time after surgery. 2 A 36-year-old Caucasian male presented with complete lower eyelid retraction 3 years after silicone sheet orbital floor implant. The implant extruded spontaneously 3 days prior to eyelid reconstructive surgery and was not replaced.…”

Section: Commentmentioning

confidence: 99%

Treating obstructive sleep apnoea syndrome: does it improve visual field changes?

Sebastian

Johns

Gibson

2005

Eye

View full text Add to dashboard Cite

The prevalence of glaucoma in patients with sleep apnea syndrome: same as in the general population

Cited by 106 publications

References 22 publications

Ocular findings in sleep apnoea patients using continuous positive airway pressure

Ocular findings in sleep apnoea patients using continuous positive airway pressure

Prevalence of glaucoma in patients with obstructive sleep apnoea—a cross-sectional case-series

Treating obstructive sleep apnoea syndrome: does it improve visual field changes?

Contact Info

Product

Resources

About