Primary open angle glaucoma and snoring: Prevalence of OSAS - 19/11/10

Doi : 10.1016/j.anorl.2010.07.003

E. Blumen Ohana ^a, M.B. Blumen ^b,^⁎,^c , E. Bluwol ^a, M. Derri ^b, F. Chabolle ^c, J.P. Nordmann ^a
^a Centre du Glaucome, CHNO des Quinze-Vingts, 28, rue de Charenton, 75012 Paris, France
^b Centre médical veille sommeil, 59, avenue de Villiers, 75017 Paris, France
^c Service ORL et chirurgie cervico faciale, hôpital Foch, 40, rue Worth, 92150 Suresnes, France

Corresponding author.

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Summary

Introduction

Obstructive sleep apnea syndrome (OSAS) may be suspected at interview, notably in case of snoring. Various studies suggested a link between primary open angle glaucoma (POAG) and OSAS. The present study sought to determine OSAS prevalence in POAG associated with snoring.

Material and methods

Thirty-one snoring glaucomatous patients prospectively underwent simplified polysomnography. Ophthalmologic examination ruled out secondary glaucoma and assessed the glaucomatous neuropathy.

Results

49% of the patients included were diagnosed with OSAS. Ophthalmologically, glaucoma showed no specific characteristics.

Conclusion

Given the high-prevalence of OSAS in patients with POAG, presence of snoring should be explored at interview. Conversely, patients who snore should be asked whether they have POAG, and if so, should undergo all-night sleep recording to explore for OSAS.

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Keywords : Glaucoma, Snoring, Sleep apnea, Risk factor