Sleep Apnea and the Eye

Sleep Apnea & the Eye Rick Trevino, OD VA Outpatient Clinic Evansville, IN

Disclosures: None Interested influence peddlers please see me afterward.

OSA and the Eye ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Obstructive Sleep Apnea ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Obstructive Sleep Apnea Polysomnography (PSG)

Obstructive Sleep Apnea Any Condition that Causes or Contributes to Upper Airway Narrowing is a Risk Factor for OSA Obesity Enlarged Tonsils Anatomical Malformations Neoplasms Edema of the pharynx Lymphoid Hypertrophy Pharyngeal Muscle Weakness Dyscoordination of Respiratory Muscles

Obstructive Sleep Apnea ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Obstructive Sleep Apnea ,[object Object],1 = Never (strongly disagree) 2 = Rarely (disagree) 3 = Sometimes (Not sure) 4 = Usually (agree) 5 = Always (strongly agree) Validated with PSG - Men: >36 Women: >32 Lower cut-off improves sensitivity in NAION - Men: >29 Women: >26 Body mass index (Five categories) How old are you now? (Five categories) How many years were you a smoker? (Five categories) What is your current weight? (Five categories) My snoring problem is much worse if I fall asleep right after drinking alcohol My snoring or my breathing problem is much worse if I sleep on my back I have a problem with my nose blocking up when I am trying to sleep I have high blood pressure (or once had it) I sweat a great deal at night I awake suddenly gasping for breath, unable to breathe I am told I stop breathing (“hold my breath”) in sleep I am told I snore loudly and bother others

Obstructive Sleep Apnea ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Obstructive Sleep Apnea ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Floppy Eyelid Syndrome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Floppy Eyelid Syndrome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Floppy Eyelid Syndrome MH: OSA, HTN, DM HT: 6FT WT: 289 LBS BMI: 40 (kg/m 2 )

Floppy Eyelid Syndrome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

NAION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

NAION ,[object Object],[object Object],[object Object],[object Object]

NAION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

NAION Trigger Event: Failure of Autoregulation?

Glaucoma ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Sleep Apnea and the Eye

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Sleep Apnea and the Eye