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¹Palandöken Devlet Hastanesi, Göz Hastalıkları Kliniği, Erzurum, Uz. Dr.
²Cumhuriyet Üniversitesi Tıp Fakültesi, Göz Hastalıkları Anabilim Dalı, Sivas, Prof. Dr.
³Cumhuriyet Üniversitesi Tıp Fakültesi, Göğüs Hastalıkları Anabilim Dalı, Sivas, Yrd. Doç. Dr.
⁴Cumhuriyet Üniversitesi Tıp Fakültesi, Göz Hastalıkları Anabilim Dalı, Sivas, Yrd. Doç. Dr.
⁵Cumhuriyet Üniversitesi Tıp Fakültesi, Göz Hastalıkları Anabilim Dalı, Sivas, Doç. Dr. Purpose: The aim of this study was to determine prevalence of glaucoma in patients with obstructive sleep apnea syndrome (OSAS).
Materials and Method: In this sectional study, 186 eyes of 93 patients with OSAS were included. OSAS was diagnosed by polysomnography (PSG). There were 72 males and 21 females. The mean age of patients was 50.86±0.10. They were classified according to apnea hypopnea index (AHI) after PSG as mild, moderate and severe OSAS. We performed a complete ophthalmologic examination including the measurement on visual acuty with Snellen, slit lamp, intraocular pressure (IOP) with applanation, measurement with pacymetric of central cornea, gonioscopy, c/d ratio, and evaluation of fundus in all the patients with OSAS. We recorded body mass index of the study population. The visual field examination was applied using central 30-2 SITA SAP with Humprey. The topographic parameters of optic nerve head was evaluated by HRT.
Results: The prevalence of glaucoma on patients with OSAS found %3.22. There were two primary open angle glaucoma, and one normotensive glaucoma among three patients with glaucoma. We found no significant association between OSAS severity and presence of glaucoma, IOP, and HRT parameters, and visual field indices (p>0.05), however there was significant association between OSAS severity and BMI (p<0.05)
Conclusions: Because of the high prevalence of glaucoma in patients with OSAS than normal population, regular screening of patients with OSAS for the presence of glaucoma needs to be performed for its early diagnosis and management. Keywords : Obstructive sleep apnea syndrome, glaucoma, apnea hipopne index, polisomnography