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Visual field defects and retinal nerve fiber imaging in patients with obstructive sleep apnea syndrome and in healthy controls.

Abstract To assess the retinal sensitivity in obstructive sleep apnea hypopnea syndrome (OSAHS) patients evaluated with standard automated perimetry (SAP). And to correlate the functional SAP results with structural parameters obtained with optical coherence tomography (OCT).
PMID
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Authors

Mayor MeshTerms

Visual Fields

Keywords

Automated perimetry exam

OSAHS

Obstructive sleep apnea syndrome

Optical coherence tomography

Visual field

Journal Title bmc ophthalmology
Publication Year Start




PMID- 29499674
OWN - NLM
STAT- MEDLINE
DCOM- 20180309
LR  - 20180309
IS  - 1471-2415 (Electronic)
IS  - 1471-2415 (Linking)
VI  - 18
IP  - 1
DP  - 2018 Mar 2
TI  - Visual field defects and retinal nerve fiber imaging in patients with obstructive
      sleep apnea syndrome and in healthy controls.
PG  - 66
LID - 10.1186/s12886-018-0728-z [doi]
AB  - BACKGROUND: To assess the retinal sensitivity in obstructive sleep apnea hypopnea
      syndrome (OSAHS) patients evaluated with standard automated perimetry (SAP). And 
      to correlate the functional SAP results with structural parameters obtained with 
      optical coherence tomography (OCT). METHODS: This prospective, observational,
      case-control study consisted of 63 eyes of 63 OSAHS patients (mean age 51.7 +/-
      12.7 years, best corrected visual acuity >/=20/25, refractive error less than
      three spherical or two cylindrical diopters, and intraocular pressure < 21 mmHg) 
      who were enrolled and compared with 38 eyes of 38 age-matched controls.
      Peripapillary retinal nerve fiber layer (RNFL) thickness was measured by Stratus 
      OCT and SAP sensitivities and indices were explored with Humphrey Field Analyzer 
      perimeter. Correlations between functional and structural parameters were
      calculated, as well as the relationship between ophthalmologic and systemic
      indices in OSAHS patients. RESULTS: OSAHS patients showed a significant reduction
      of the sensitivity for superior visual field division (p = 0.034, t-student
      test). When dividing the OSAHS group in accordance with the severity of the
      disease, nasal peripapillary RNFL thickness was significantly lower in severe
      OSAHS than that in controls and mild-moderate cases (p = 0.031 and p = 0.016
      respectively, Mann-Whitney U test). There were no differences between groups for 
      SAP parameters. We found no correlation between structural and functional
      variables. The central visual field sensitivity of the SAP revealed a poor
      Pearson correlation with the apnea-hipopnea index (0.284, p = 0.024).
      CONCLUSIONS: Retinal sensitivity show minor differences between healthy subjects 
      and OSAHS. Functional deterioration in OSAHS patients is not easy to demonstrate 
      with visual field examination.
FAU - Casas, Paula
AU  - Casas P
AUID- ORCID: http://orcid.org/0000-0002-8541-4143
AD  - Department of Ophthalmology, Hospital Clinico Universitario "Lozano Blesa", San
      Juan Bosco 15, ES-50009, Zaragoza, Spain. [email protected]
FAU - Ascaso, Francisco J
AU  - Ascaso FJ
AD  - Department of Ophthalmology, Hospital Clinico Universitario "Lozano Blesa", San
      Juan Bosco 15, ES-50009, Zaragoza, Spain.
AD  - Instituto de Investigacion Sanitaria Aragon (IIS Aragon), Zaragoza, Spain.
FAU - Vicente, Eugenio
AU  - Vicente E
AD  - Department of Otolaryngology, Hospital Universitario "Miguel Servet", Zaragoza,
      Spain.
FAU - Tejero-Garces, Gloria
AU  - Tejero-Garces G
AD  - Department of Otolaryngology, Hospital Universitario "Miguel Servet", Zaragoza,
      Spain.
FAU - Adiego, Maria I
AU  - Adiego MI
AD  - Department of Otolaryngology, Hospital Universitario "Miguel Servet", Zaragoza,
      Spain.
FAU - Cristobal, Jose A
AU  - Cristobal JA
AD  - Department of Ophthalmology, Hospital Clinico Universitario "Lozano Blesa", San
      Juan Bosco 15, ES-50009, Zaragoza, Spain.
LA  - eng
PT  - Journal Article
DEP - 20180302
PL  - England
TA  - BMC Ophthalmol
JT  - BMC ophthalmology
JID - 100967802
SB  - IM
MH  - Case-Control Studies
MH  - Female
MH  - Healthy Volunteers
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Nerve Fibers/*pathology
MH  - Optic Nerve Diseases/diagnosis/*etiology
MH  - Prospective Studies
MH  - Retinal Ganglion Cells/*pathology
MH  - Sleep Apnea, Obstructive/*complications/diagnosis
MH  - Tomography, Optical Coherence
MH  - Vision Disorders/diagnosis/*etiology
MH  - Visual Field Tests
MH  - *Visual Fields
PMC - PMC5833149
OTO - NOTNLM
OT  - Automated perimetry exam
OT  - OSAHS
OT  - Obstructive sleep apnea syndrome
OT  - Optical coherence tomography
OT  - Visual field
EDAT- 2018/03/04 06:00
MHDA- 2018/03/10 06:00
CRDT- 2018/03/04 06:00
PHST- 2017/05/09 00:00 [received]
PHST- 2018/02/21 00:00 [accepted]
PHST- 2018/03/04 06:00 [entrez]
PHST- 2018/03/04 06:00 [pubmed]
PHST- 2018/03/10 06:00 [medline]
AID - 10.1186/s12886-018-0728-z [doi]
AID - 10.1186/s12886-018-0728-z [pii]
PST - epublish
SO  - BMC Ophthalmol. 2018 Mar 2;18(1):66. doi: 10.1186/s12886-018-0728-z.