1033 The link between vision loss and sleep
نویسندگان
چکیده
Abstract Introduction Non-arteritic ischemic optic neuropathy (NAION) is the most common nerve disorder among patients over age of 50. Several risk factors have been associated with NAION including systemic hypertension, diabetes mellitus, advanced age, and certain disc morphologies. A significant association between obstructive sleep apnea (OSA) has also reported. Here, we present a case middle-aged man recent diagnosis who was subsequently found to OSA. Report case(s) 53-year-old remote history head injury concussion tobacco use referred Sleep Medicine Clinic from Ophthalmology for evaluation (OSA). The patient initially presented due acute onset, painless, left-sided, inferior vision loss. otherwise healthy denied mellitus or hypertension. He did report alcohol cigar on night prior onset fevers, chills, joint jaw pain, scalp tenderness, claudication. On initial he left eye edema. Blood test revealed normal complete blood count (CBC), erythrocyte sedimentation rate (ESR), C-Reactive protein (CRP). His orbit brain magnetic resonance imaging without contrast no findings. diagnosed NAION. Further review symptoms positive snoring, dry mouth, nighttime awakenings, unrefreshing sleep, concerning OSA leading referral our Clinic. During consultation in Medicine, any other disorders. underwent home (WatchPAT) which confirmed apnea-hypopnea index (AHI) 7.9 lowest oxygen saturation 88%. Conclusion Given reported OSA, careful should be obtained screen when diagnosed. Support (if any)
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ژورنال
عنوان ژورنال: Sleep
سال: 2023
ISSN: ['0302-5128']
DOI: https://doi.org/10.1093/sleep/zsad077.1033