Study on 24 hours IOP study and glaucoma frequency in patients with obstructive sleep apnea syndrome
Autor(a) principal: | |
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Data de Publicação: | 2009 |
Outros Autores: | |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1590/s0034-72802009000600004 http://hdl.handle.net/11449/225908 |
Resumo: | Purpose: To determine the frequency of glaucoma and evaluate the behavior of 24-hour intraocular pressure in patients with the obstructive sleep apnea syndrome (OSAS). Methods: Eleven consecutive patients with OSAS, diagnosed by polysonography, were avaliated in a cross -sectional study. Demographic data were analyzed: age, sex, race/color, weight, height and associated diseases. The patients were submitted to complete ophthalmologic examination, including the visual field, as well as to 24- hour intra-ocular pressure (IOP) evaluation by an applanation tonometer at 9h, 12h, 15h, 18h, 24h and 6h in the lying and sitting positions. The diagnostic criterion for glaucoma was alteration of the visual field (VF) compatible with glaucoma and one or more of the following alterations: cup-disc ratio ≥ 0.7, hemorrhage, wedge-shaped defect, bayonet-shaped vessels, Hoyt's sign, asymmetry > than 0.2 between cup/disc ratio of the eyes. The angle should be opened without alterations. Results: 9 (82%) of 11 patients showed glaucoma or were suspected to have glaucoma, 9% of which exhibited normal tension glaucoma and 73% were suspected to have glaucoma for presenting alterations in the optic nerve or ocular hypertension. The mean for the IOP values of the 11 patients was observed to be the highest at 6 o'clock, when they were lying down. Variations of IOP ≥ 5 mmHg occurred in 7 (64%) of the patients, and variations of up to 14 mmHg and IOP peaks of up to 32 mmHg were observed. Conclusion: OSAS may be an important risk factor for the development of glaucoma, particularly that of normal tension glaucoma. Patients with OSAS must be referred to an ophthalmologist and those professionals must be attentive to the association of sleep disorders in patients with open-angle glaucoma. |
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Study on 24 hours IOP study and glaucoma frequency in patients with obstructive sleep apnea syndromeEstudo do comportamento da PIO de 24 horas e frequência de glaucoma em pacientes com síndrome da apnéia obstrutiva do sonoDiagnostic techniquesGlaucomaIntraocular pressureObstructiveOpen-angleOphthalmologicalSleep apneaPurpose: To determine the frequency of glaucoma and evaluate the behavior of 24-hour intraocular pressure in patients with the obstructive sleep apnea syndrome (OSAS). Methods: Eleven consecutive patients with OSAS, diagnosed by polysonography, were avaliated in a cross -sectional study. Demographic data were analyzed: age, sex, race/color, weight, height and associated diseases. The patients were submitted to complete ophthalmologic examination, including the visual field, as well as to 24- hour intra-ocular pressure (IOP) evaluation by an applanation tonometer at 9h, 12h, 15h, 18h, 24h and 6h in the lying and sitting positions. The diagnostic criterion for glaucoma was alteration of the visual field (VF) compatible with glaucoma and one or more of the following alterations: cup-disc ratio ≥ 0.7, hemorrhage, wedge-shaped defect, bayonet-shaped vessels, Hoyt's sign, asymmetry > than 0.2 between cup/disc ratio of the eyes. The angle should be opened without alterations. Results: 9 (82%) of 11 patients showed glaucoma or were suspected to have glaucoma, 9% of which exhibited normal tension glaucoma and 73% were suspected to have glaucoma for presenting alterations in the optic nerve or ocular hypertension. The mean for the IOP values of the 11 patients was observed to be the highest at 6 o'clock, when they were lying down. Variations of IOP ≥ 5 mmHg occurred in 7 (64%) of the patients, and variations of up to 14 mmHg and IOP peaks of up to 32 mmHg were observed. Conclusion: OSAS may be an important risk factor for the development of glaucoma, particularly that of normal tension glaucoma. Patients with OSAS must be referred to an ophthalmologist and those professionals must be attentive to the association of sleep disorders in patients with open-angle glaucoma.Departamento de Oftalmologia Otorrinolaringologia e Cirurgia de Cabeça Pescoço da Faculdade de Medicina de Botucatu da Universidade Estadual Julio de Mesquita Filho - UNESP, Botucatu (SP)Departamento de Oftalmologia Pescoço da Faculdade de Medicina de Botucatu da Universidade Estadual Julio de Mesquita Filho - UNESP Otorrinolaringologia e Cirurgia de Cabeça, Botucatu (SP)Departamento de Oftalmologia Otorrinolaringologia e Cirurgia de Cabeça Pescoço da Faculdade de Medicina de Botucatu da Universidade Estadual Julio de Mesquita Filho - UNESP, Botucatu (SP)Departamento de Oftalmologia Pescoço da Faculdade de Medicina de Botucatu da Universidade Estadual Julio de Mesquita Filho - UNESP Otorrinolaringologia e Cirurgia de Cabeça, Botucatu (SP)Universidade Estadual Paulista (UNESP)de Moraes Silva, Maria Rosa Bet [UNESP]Theresa Weber, Silke Anna [UNESP]2022-04-28T21:01:59Z2022-04-28T21:01:59Z2009-01-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article338-343http://dx.doi.org/10.1590/s0034-72802009000600004Revista Brasileira de Oftalmologia, v. 68, n. 6, p. 338-343, 2009.1982-85510034-7280http://hdl.handle.net/11449/22590810.1590/s0034-728020090006000042-s2.0-77953890741Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPporRevista Brasileira de Oftalmologiainfo:eu-repo/semantics/openAccess2024-08-16T18:44:05Zoai:repositorio.unesp.br:11449/225908Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-16T18:44:05Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Study on 24 hours IOP study and glaucoma frequency in patients with obstructive sleep apnea syndrome Estudo do comportamento da PIO de 24 horas e frequência de glaucoma em pacientes com síndrome da apnéia obstrutiva do sono |
title |
Study on 24 hours IOP study and glaucoma frequency in patients with obstructive sleep apnea syndrome |
spellingShingle |
Study on 24 hours IOP study and glaucoma frequency in patients with obstructive sleep apnea syndrome de Moraes Silva, Maria Rosa Bet [UNESP] Diagnostic techniques Glaucoma Intraocular pressure Obstructive Open-angle Ophthalmological Sleep apnea |
title_short |
Study on 24 hours IOP study and glaucoma frequency in patients with obstructive sleep apnea syndrome |
title_full |
Study on 24 hours IOP study and glaucoma frequency in patients with obstructive sleep apnea syndrome |
title_fullStr |
Study on 24 hours IOP study and glaucoma frequency in patients with obstructive sleep apnea syndrome |
title_full_unstemmed |
Study on 24 hours IOP study and glaucoma frequency in patients with obstructive sleep apnea syndrome |
title_sort |
Study on 24 hours IOP study and glaucoma frequency in patients with obstructive sleep apnea syndrome |
author |
de Moraes Silva, Maria Rosa Bet [UNESP] |
author_facet |
de Moraes Silva, Maria Rosa Bet [UNESP] Theresa Weber, Silke Anna [UNESP] |
author_role |
author |
author2 |
Theresa Weber, Silke Anna [UNESP] |
author2_role |
author |
dc.contributor.none.fl_str_mv |
Universidade Estadual Paulista (UNESP) |
dc.contributor.author.fl_str_mv |
de Moraes Silva, Maria Rosa Bet [UNESP] Theresa Weber, Silke Anna [UNESP] |
dc.subject.por.fl_str_mv |
Diagnostic techniques Glaucoma Intraocular pressure Obstructive Open-angle Ophthalmological Sleep apnea |
topic |
Diagnostic techniques Glaucoma Intraocular pressure Obstructive Open-angle Ophthalmological Sleep apnea |
description |
Purpose: To determine the frequency of glaucoma and evaluate the behavior of 24-hour intraocular pressure in patients with the obstructive sleep apnea syndrome (OSAS). Methods: Eleven consecutive patients with OSAS, diagnosed by polysonography, were avaliated in a cross -sectional study. Demographic data were analyzed: age, sex, race/color, weight, height and associated diseases. The patients were submitted to complete ophthalmologic examination, including the visual field, as well as to 24- hour intra-ocular pressure (IOP) evaluation by an applanation tonometer at 9h, 12h, 15h, 18h, 24h and 6h in the lying and sitting positions. The diagnostic criterion for glaucoma was alteration of the visual field (VF) compatible with glaucoma and one or more of the following alterations: cup-disc ratio ≥ 0.7, hemorrhage, wedge-shaped defect, bayonet-shaped vessels, Hoyt's sign, asymmetry > than 0.2 between cup/disc ratio of the eyes. The angle should be opened without alterations. Results: 9 (82%) of 11 patients showed glaucoma or were suspected to have glaucoma, 9% of which exhibited normal tension glaucoma and 73% were suspected to have glaucoma for presenting alterations in the optic nerve or ocular hypertension. The mean for the IOP values of the 11 patients was observed to be the highest at 6 o'clock, when they were lying down. Variations of IOP ≥ 5 mmHg occurred in 7 (64%) of the patients, and variations of up to 14 mmHg and IOP peaks of up to 32 mmHg were observed. Conclusion: OSAS may be an important risk factor for the development of glaucoma, particularly that of normal tension glaucoma. Patients with OSAS must be referred to an ophthalmologist and those professionals must be attentive to the association of sleep disorders in patients with open-angle glaucoma. |
publishDate |
2009 |
dc.date.none.fl_str_mv |
2009-01-01 2022-04-28T21:01:59Z 2022-04-28T21:01:59Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1590/s0034-72802009000600004 Revista Brasileira de Oftalmologia, v. 68, n. 6, p. 338-343, 2009. 1982-8551 0034-7280 http://hdl.handle.net/11449/225908 10.1590/s0034-72802009000600004 2-s2.0-77953890741 |
url |
http://dx.doi.org/10.1590/s0034-72802009000600004 http://hdl.handle.net/11449/225908 |
identifier_str_mv |
Revista Brasileira de Oftalmologia, v. 68, n. 6, p. 338-343, 2009. 1982-8551 0034-7280 10.1590/s0034-72802009000600004 2-s2.0-77953890741 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
Revista Brasileira de Oftalmologia |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
338-343 |
dc.source.none.fl_str_mv |
Scopus reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
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1808128152540545024 |