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Peripheral retinal neovascularization in a patient with obstructive sleep apnea
Ravin Sajnani1,2, Elena Karapetian2, Abhinav Golla1,2
1Stein Eye Institute, University of California - Los Angeles, 100 Stein Plaza Driveway, Los Angeles, CA, 90095, USA.
American Journal of Ophthalmology Case Reports
|April 28, 2022
Summary
Obstructive sleep apnea (OSA) may contribute to peripheral retinal neovascularization in diabetic patients, even without typical diabetic retinopathy. Screening for OSA could help manage this condition by reducing retinal hypoxia.
Area of Science:
- Ophthalmology
- Sleep Medicine
- Diabetology
Background:
- Peripheral retinal neovascularization can occur in diabetic patients.
- Obstructive sleep apnea (OSA) is a common comorbidity in diabetic individuals.
Observation:
- A case report details a diabetic patient with OSA presenting with bilateral peripheral retinal neovascularization.
- The patient exhibited nocturnal hypoxia but lacked other signs of diabetic retinopathy.
Findings:
- Nocturnal hypoxia from OSA may be a significant factor in developing peripheral retinal neovascularization.
- Standard etiological investigations for retinopathy were otherwise unrevealing.
Implications:
- Vigilant OSA screening is recommended for patients with peripheral retinal neovascularization.
- Positive airway pressure therapy for OSA may alleviate retinal hypoxic burden and potentially slow neovascularization.
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