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Eyelid hyperlaxity and obstructive sleep apnea (O.S.A.) syndrome
P Y Robert1, J P Adenis, P Tapie
1Service d'Ophtalmologie, C.H.R.U. Duputyren, France.
European Journal of Ophthalmology
|July 1, 1997
Summary
This study found a link between obstructive sleep apnea (OSA) and increased eyelid hyperlaxity in patients with sleep disorders. While floppy eyelid syndrome was rare, eyelid laxity was a common finding.
Area of Science:
- Ophthalmology
- Sleep Medicine
- Pulmonology
Background:
- Obstructive sleep apnea (OSA) is a common sleep disorder.
- An association between floppy eyelid syndrome and OSA has been previously suggested.
- Eyelid tissue elasticity in sleep disorder patients requires further investigation.
Purpose of the Study:
- To investigate eyelid tissue elasticity in patients with sleep disorders.
- To examine ophthalmologic findings in relation to obstructive sleep apnea.
- To determine the prevalence of floppy eyelid syndrome in OSA patients.
Main Methods:
- Evaluated 69 patients diagnosed with sleep disorders.
- Performed slit lamp examinations and eyelid measurements.
- Administered the Schirmer test to assess tear production.
Main Results:
- Increased eyelid hyperlaxity was observed in patients with OSA.
- Floppy eyelid syndrome and associated conjunctivitis were infrequent.
- Corneal lesions were rare; most patients were asymptomatic.
- Ocular irritation was sometimes linked to nasal CPAP air leaks.
- A notable percentage of patients needed treatment for primary open-angle glaucoma.
Conclusions:
- Confirmed an association between obstructive sleep apnea and eyelid hyperlaxity.
- Eyelid hyperlaxity is a significant finding in OSA patients.
- Further research into ocular manifestations of OSA is warranted.