Evaluation of subclinical papilledema in patients with obstructive sleep apnea syndrome
Yükleniyor...
Tarih
2019
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Yüzüncü Yıl Üniversitesi Tip Fakültesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
The aim of this study is to analyze optic nerve head total retinal thickness (TRT) in Obstructive Sleep Apnea Syndrome
(OSAS) and demonstrate a possible subclinical papilledema
Thirty-six patients with suspected OSAS underwent standard overnight polysomnography and were grouped into mild,
moderate and severe. Seventy eyes of thirty six OSAS patients and seventy -two eyes of healthy controls were included.
Retinal nerve fiber layer thicknesses (RNLF) and TRT s were measured by optic coherence tomography.
RNFL segment values showed no difference between OSAS and control groups. RNFL superior segment and inferonasal
segments of the mild OSAS subgroup were found to be thinner than the moderate and severe OSAS subgroups (p=0.034,
p=0.025, respectively). RNFL point values also showed no difference between the two groups. The RNFL inferior point of
the mild OSAS subgroup was found to be thinner than the moderate and severe subgroups (p=0.036). OSAS TRTs were
thinner than the controls at inferior and temporal points (p=0.005, p=0.033, respectively). The TRT inferior point of the
mild OSAS subgroup was found to be thinner than the moderate and severe subgroups (p=0.006). At all points RNFL
values were subtracted from the TRT values and compared. At the temporal point the OSAS group’s TRT-RNFL was
thinner than that of the control groups (p=0.029).
TRT measurements could not demonstrate a possible subclinical papilledema. Thinning of RNFL thickness and TRT in
OSAS patients could be the result of hypoxemia related chronic atrophy.
Açıklama
Anahtar Kelimeler
Obstructive sleep apnea syndrome, Papilledema, Total retinal thickness, Optical coherence tomography, Retinal nerve fiber layer
Kaynak
Eastern Journal of Medicine
WoS Q Değeri
Scopus Q Değeri
Q4
Cilt
24
Sayı
1
Künye
Özkurt, Z. G., Demir, M., Yıldırım, Y., Balsak, S. ve Karaalp, Ü. (2019). Evaluation of subclinical papilledema in patients with obstructive sleep apnea syndrome. Eastern Journal of Medicine, 24(1), 74-79.
