Association between obstructive sleep apnea and optic neuropathy: a Taiwanese population-based cohort study.

Autor: Sun MH; Department of Ophthalmology, Chang Gung Memorial Hospital Linkou Medical Center, Chang Gung University, Taoyuan, Taiwan., Liao YJ; Department of Ophthalmology, Stanford University, Stanford, CA, USA., Lin CC; Management Office for Health Data, China Medical University Hospital, Taichung, Taiwan.; College of Medicine, China Medical University, Taichung, Taiwan.; Healthcare Service Research Center (HSRC), Taichung Veterans General Hospital, Taichung, Taiwan., Chiang RP; Department of Otolaryngology, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan.; Department of Nursing, University of Kang Ning, Taipei, Taiwan., Wei JC; Division of Allergy, Immunology and Rheumatology, Chung Shan Medical University Hospital; Institute of Medicine, Chung Shan Medical University, Taichung, Taiwan. wei3228@gmail.com.; Graduate Institute of Integrated Medicine, China Medical University, Taichung, Taiwan. wei3228@gmail.com.
Jazyk: angličtina
Zdroj: Eye (London, England) [Eye (Lond)] 2018 Aug; Vol. 32 (8), pp. 1353-1358. Date of Electronic Publication: 2018 Apr 26.
DOI: 10.1038/s41433-018-0088-1
Abstrakt: Purpose: Obstructive sleep apnea (OSA) is associated with many systemic diseases including diabetes, hypertension, stroke, and cardiovascular disease. The aim of our study was to investigate the association between OSA and optic neuropathy (ON), and to evaluate the efficacy of treatment for OSA on the risk of ON.
Methods: We used the data from the Longitudinal Health Insurance Database, which involved one million insurants from Taiwan National Health Insurance program (Taiwan NHI).
Results: OSA patients had a 1.95-fold higher risk of ON compared with non-OSA patients in all age group. The risk was significantly higher (adjusted hazard ratio: 4.21) in the group aged <45 years and male individuals (adjusted hazard ratio: 1.93). Meanwhile, sleep apnea was associated with ON regardless of the existence of comorbidity or not. OSA patients treated with continuous positive airway pressure (CPAP) had an adjusted 2.31-fold higher hazard of developing ON compared to controls, and those without any treatment had an adjusted 1.82-fold higher hazard of developing ON compared to controls. Moreover, ON patients had a 1.45-fold higher risk of OSA, and those aged between 45 and 64 years (hazard ratio: 1.76) and male individuals (hazard ratio: 1.55) had highest risk.
Conclusions: Our study showed that OSA increased the risk of developing ON after controlling the comorbidities; however, treatment with CPAP did not reduce the risk of ON. Further large population study accessing to medical records about the severity of OSA and treatment for OSA is needed to clarify the efficacy of treatment for OSA in reducing the risk of ON.
Databáze: MEDLINE
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