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Sleep Apnea  & the Eye Rick Trevino, OD VA Outpatient Clinic Evansville, IN [email_address]
Sleep Apnea & the Eye ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Online Resources ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Sleep Cycle
Sleep Cycle ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Sleep Cycle Polysomnogram
Sleep Disorders ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],OSA is the “most physiologically disruptive and dangerous  of the sleep-related disorders.”
Obstructive Sleep Apnea
Obstructive Sleep Apnea Any Condition that Causes or Contributes to Upper Airway Narrowing is a Risk Factor for OSA Obesity Enlarged Tonsils Anatomical Malformations Neoplasms Edema of the pharynx Lymphoid Hypertrophy Pharyngeal Muscle Weakness Dyscoordination of Respiratory Muscles
Obstructive Sleep Apnea ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Clinical Characteristics
Obstructive Sleep Apnea ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Obstructive Sleep Apnea ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Clinical   Consequences
Obstructive Sleep Apnea
Obstructive Sleep Apnea ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Clinical Evaluation
Obstructive Sleep Apnea ,[object Object],How likely are you to doze off or fall asleep in the following situations? 0 = No chance,  1 = Slight chance,  2 = Moderate chance,  3 = High Chance 1. Sitting and reading 2. Watching TV 3. Sitting inactive in a public place (theater, meeting) 4. As a passenger in a car for an hour without a break 5. Lying down to rest in the afternoon when  circumstances permit 6. Sitting and talking to someone 7. Sitting quietly after a lunch without alcohol 8. In a car, while stopped for a few minutes in traffic
Obstructive Sleep Apnea ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
OSA & the Eye ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Asthenopia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Asthenopia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Asthenopia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Asthenopia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
OSA & the Eye ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CPAP-associated Red Eye ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
OSA & the Eye ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Floppy Eyelid Syndrome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Floppy Eyelid Syndrome ,[object Object],[object Object],[object Object],[object Object],[object Object]
Floppy Eyelid Syndrome
Floppy Eyelid Syndrome ,[object Object],[object Object],[object Object],[object Object]
Floppy Eyelid Syndrome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Floppy Eyelid Syndrome ,[object Object],[object Object],[object Object],[object Object],[object Object]
OSA & the Eye ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
NAION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
NAION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],NAION
NAION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
NAION ,[object Object]
NAION ,[object Object],[object Object],[object Object],[object Object],[object Object]
NAION ,[object Object],[object Object],[object Object],[object Object]
NAION ,[object Object],[object Object],[object Object],[object Object]
NAION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
NAION ,[object Object],[object Object],[object Object],[object Object],[object Object]
OSA & the Eye ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Papilledema ,[object Object],[object Object],[object Object],[object Object]
Papilledema ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Papilledema ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
OSA & the Eye ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Normal Tension Glaucoma ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Normal Tension Glaucoma ,[object Object],[object Object],[object Object],[object Object],[object Object]
Normal Tension Glaucoma ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Normal Tension Glaucoma ,[object Object],10% (NTG), 3% (POAG) Karakuck (2008) 27% Bendel (2007) 6% (NTG) Sergi (2007) 2% Geyer (2003) Mojon (1999) Mojon (2002) Marcus (2001) Mojon (2000) 7% OSA Patients with Glaucoma  (5-10% OSA pts have NTG) 50-60% (NTG, varies with age) 57% (NTG) 20% (POAG) Glaucoma Patients with OSA  (50-60% NTG pts have OSA)
Normal Tension Glaucoma ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Normal Tension Glaucoma ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
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Sleep Apnea and the Eye - 2008

Notas do Editor

  1. Being a political year, let me first say: My name is Rick Trevino and I approve that message. SLEEP APNEA IS A NEWLY DISCOVERED DISEASE (1966) - Most prevalent disease discovered in the 20 th century – 20% of adult population in Western countries THE MOST COMMON “MEDICAL” SLEEP DISORDER - excluding shift-work and self-induced sleepiness (late night partying) IT IS NOT ONLY THE MOST COMMON SLEEP DISORDER, BUT ALSO THE MOST PHYSIOLOGICALLY DISRUPTIVE AND DANGEROUS SLEEP DISORDER - Life threatening disease: A recently published longitudinal study found pts with severe OSA had 3-4x the death rate of persons without OSA. - Wide spread effects throughout the body – As we shall see, not even the somewhat remote and esoteric world of eye care is immune from the influences of this devastating disease