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Published on: December 6, 2016
Neuro-Ophthalmological Disorders Associated with Obstructive Sleep Apnoea
Snježana Kaštelan1, Lea Kozina2, Maja Alaber3
1Department of Ophthalmology, Clinical Hospital Dubrava, School of Medicine, University of Zagreb, 10000 Zagreb, Croatia.
Obstructive sleep apnoea (OSA) significantly impacts neuro-ophthalmological health, potentially causing vision loss. Early diagnosis and treatment, like CPAP therapy, are crucial for managing these serious complications.
Area of Science:
- Ophthalmology
- Neurology
- Sleep Medicine
Background:
- Obstructive sleep apnoea (OSA) involves airway obstruction during sleep, leading to hypoxia and fragmented sleep.
- Emerging evidence links OSA to neuro-ophthalmological conditions like glaucoma, optic neuropathy, and visual field defects.
Purpose of the Study:
- To explore the mechanisms connecting OSA to neuro-ophthalmological disorders.
- To review diagnostic tools and management strategies for OSA-related neuro-ophthalmological complications.
Main Methods:
- Review of pathophysiological pathways (hypoxia, oxidative stress, inflammation, intracranial pressure).
- Discussion of diagnostic tools (OCT, polysomnography).
- Analysis of management strategies (CPAP, surgery, lifestyle modifications).
Main Results:
- Hypoxia, oxidative stress, inflammation, and intracranial pressure fluctuations contribute to ocular and neurological impairments in OSA.
- Advanced diagnostics can detect subclinical changes, enabling timely intervention.
- CPAP therapy shows efficacy in mitigating complications, alongside other interventions.
Conclusions:
- Recognizing and treating neuro-ophthalmological disorders in OSA patients is vital for preventing irreversible damage.
- Further research is needed on long-term treatment impacts and biomarkers.
- A multidisciplinary approach is essential for comprehensive care.
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