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Prevalence of normal tension glaucoma in obstructive sleep apnea syndrome patients.
Sergi, Margherita; Salerno, Daniela Eva; Rizzi, Maurizio; Blini, Mirella; Andreoli, Arnaldo; Messenio, Dario; Pecis, Marica; Bertoni, Giancarlo.
Afiliación
  • Sergi M; Unità Operativa di Fisiopatologia Respiratoria, Ospedale Luigi Sacco, Milano. fisiopatologia@hsacco.it
J Glaucoma ; 16(1): 42-6, 2007 Jan.
Article en En | MEDLINE | ID: mdl-17224748
PURPOSE: To explore the prevalence of normal tension glaucoma (NTG) among patients with obstructive sleep apnea syndrome (OSAS) and to examine OSAS as a risk factor of NTG. PATIENTS AND METHODS: Fifty-one consecutive white patients with OSAS were compared with 40 healthy subjects. All the study subjects underwent blood gas analysis, polysomnography, oxyhemoglobin saturation, and an ophthalmologic examination including visual field, visually evoked potential (VEP), and pattern electroretinography (PERG) and disc analysis with the Heidelberg Retina Tomograph II. RESULTS: Three of 51 OSAS patients (5.9%) had NTG. No patient in the control group had OSAS or NTG. The severity of OSAS correlated with intraocular pressure, the mean deviation of the visual field, the cup/disk ratio and the mean of the retinal nerve fiber layer thickness (P<0.01 to 0.001). Apnea hypopnea index and intraocular pressure were significantly greater in OSAS patients with abnormal VEP and PERG, compared to those with normal PERG and VEP. CONCLUSIONS: The present study suggests that the prevalence of NTG in our OSAS patients is higher than expected in a white population of the same age and that OSAS may be an important risk factor for NTG. Our data underline the importance of taking an accurate sleep history from patients with NTG and referring patients with sleep disturbance for polysomnography.
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Glaucoma de Ángulo Abierto / Apnea Obstructiva del Sueño Tipo de estudio: Diagnostic_studies / Etiology_studies / Prevalence_studies / Risk_factors_studies Límite: Female / Humans / Male / Middle aged Idioma: En Revista: J Glaucoma Asunto de la revista: OFTALMOLOGIA Año: 2007 Tipo del documento: Article Pais de publicación: Estados Unidos
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Glaucoma de Ángulo Abierto / Apnea Obstructiva del Sueño Tipo de estudio: Diagnostic_studies / Etiology_studies / Prevalence_studies / Risk_factors_studies Límite: Female / Humans / Male / Middle aged Idioma: En Revista: J Glaucoma Asunto de la revista: OFTALMOLOGIA Año: 2007 Tipo del documento: Article Pais de publicación: Estados Unidos