Evaluation of choroidal thickness measurements in pediatric obstructive sleep apnea syndrome patients
1Department of Otolaryngology, Head and Neck Surgery, Adıyaman University Research and Training Hospital, Adıyaman, Turkey.
Insights
Pediatric obstructive sleep apnea syndrome (OSAS) is linked to thinner choroidal measurements, potentially indicating early eye disorder development. This finding highlights the need for collaborative care to prevent future vision complications in children.
Area of Science:
- Ophthalmology
- Pediatrics
- Sleep Medicine
Background:
- Obstructive sleep apnea syndrome (OSAS) is associated with choroidal vascular impairment in adults.
- Limited research exists on choroidal thickness in pediatric OSAS patients.
- Early childhood is a peak incidence period for OSAS due to adenotonsillar enlargement.
Purpose of the Study:
- To investigate choroidal thickness in children with OSAS.
- To explore the relationship between OSAS and choroidal measurements in early childhood.
- To identify potential early indicators of OSAS-related eye disorders in pediatric populations.
Main Methods:
- Study included 109 pediatric OSAS patients and 42 controls.
- OSAS diagnosis confirmed via nocturnal pulse oximetry.
- Comprehensive ophthalmologic examinations, including choroidal thickness measurements, were performed.
Main Results:
- Significantly lower nasal choroidal measurements (1,000 μm and 1,500 μm) were observed in the OSAS patient group (p < 0.05).
- A weak inverse correlation was found between body-mass index (BMI) and foveal center measurements in patients.
- Choroidal alterations may suggest early stages of OSAS-related eye conditions.
Conclusions:
- Reduced choroidal thickness in pediatric OSAS patients may signal initial impairment.
- These findings could relate to known OSAS-associated eye disorders like glaucoma and optic neuropathy.
- Multidisciplinary collaboration among ophthalmologists, otolaryngologists, and pediatricians is crucial for preventing pediatric eye diseases.
Abstract:
Bayraktar C, Şimşek A. Evaluation of choroidal thickness measurements in pediatric obstructive sleep apnea syndrome patients. Turk J Pediatr 2017; 59: 62-67. Choroidal vascular impairment and obstructive sleep apnea syndrome (OSAS) related disorders have been shown in adults, but there have been no investigations with regard to the choroidal thickness measurements in children with OSAS. Our aim was to investigate this relationship in the early childhood period, which correlates with OSAS peak incidence due to adenotonsillar enlargement. One-hundred and nine pediatric OSAS patients and 42 age-sex matched controls were enrolled in this study. Nocturnal pulse oximetry was used to define the OSAS patients. Demographic data like age, sex and body-mass index were recorded. All of the subjects underwent complete otolaryngologic and ophthalmologic examination including visual acuity, intraocular pressure, central corneal thickness, axial length and choroidal thickness measurements. Overall, the 1,000 μm and 1,500 μm nasal choroid measurements were found to be significantly lower in the patient group (p < 0.05). However, only a poor inverse correlation emerged between the body-mass index (BMI) and the foveal center measurements in the patients. Observed alterations in the choroid may signify the initial impairment of known OSAS-related eye disorders, like glaucoma, floppy eyelid syndrome, and non-arteritic ischemic optic neuropathy. Ophthalmologists, otolaryngologists and pediatricians working together as a team may be able to prevent future eye diseases.
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