Effect of prolonged supine position on the intraocular pressure in patients with obstructive sleep apnea syndrome
Purpose Obstructive sleep apnea syndrome (OSAS) patients are at risk of glaucoma but the risk increases if they have higher intraocular pressure (IOP) while sleeping. We aim to evaluate the postural effect of upright and prolong supine positions on IOP in these patients. Methods This is a cross-sect...
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| Veröffentlicht in: | Graefe's archive for clinical and experimental ophthalmology 2018-04, Vol.256 (4), p.783-790 |
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| creator | Fang, Sin Yee Wan Abdul Halim, Wan Haslina Mat Baki, Marina Din, Norshamsiah Md |
| description | Purpose
Obstructive sleep apnea syndrome (OSAS) patients are at risk of glaucoma but the risk increases if they have higher intraocular pressure (IOP) while sleeping. We aim to evaluate the postural effect of upright and prolong supine positions on IOP in these patients.
Methods
This is a cross-sectional study involving 27 patients with symptoms of OSAS seen at a tertiary institutional center and 25 normal controls performed between June 2015 and June 2016. All patients and controls underwent a polysomnography (PSG) test and were diagnosed with OSAS based on the apnea-hypopnea index (AHI). Patients are those with OSAS symptoms and had AHI > 5, whereas controls are staffs from the ophthalmology clinic without clinical criteria for OSAS and had PSG result of AHI |
| doi_str_mv | 10.1007/s00417-018-3919-7 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2009568330</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2009234352</sourcerecordid><originalsourceid>FETCH-LOGICAL-c372t-67b135e71683d15573f911bbb5570e5aaa8a64949b7934240d294cd36dfa9c3c3</originalsourceid><addsrcrecordid>eNp1kc1q3TAQhUVJaW7SPkA2RZBNNm71Y1v2soSkDQS6aSE7IcvjRsFXcjRyQt6-c3uTFgoBgYT0zRmdOYydSPFJCmE-oxC1NJWQXaV72VfmDdvIWjeVEermgG2EUbLqtLo5ZEeId4Jw3ch37FD1da_artuw-4tpAl94mviS05ziLxg5rkuIwJeEoYQUOa1yCzzEkl3y6-wywYC45t0lX1wJEAvyx1BueRqw5NWX8AAcZ4CFuyWC4_gUx5y28J69ndyM8OF5P2Y_Ly9-nH-rrr9_vTr_cl15bVSpWjNI3YCRbadH2TRGT72UwzDQUUDjnOtcW5OPwfS6VrUYyZQfdTtOrvfa62N2ttclX_crYLHbgB7m2UVIK1olRN-QuBaEnv6H3qU1R_rdH0ppGpsiSu4pnxNihskuOWxdfrJS2F0edp-HpTzsLg9rqObjs_I6bGH8W_ESAAFqDyA90fDzv9avq_4GKuGW2Q</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2009234352</pqid></control><display><type>article</type><title>Effect of prolonged supine position on the intraocular pressure in patients with obstructive sleep apnea syndrome</title><source>SpringerLink Journals - AutoHoldings</source><creator>Fang, Sin Yee ; Wan Abdul Halim, Wan Haslina ; Mat Baki, Marina ; Din, Norshamsiah Md</creator><creatorcontrib>Fang, Sin Yee ; Wan Abdul Halim, Wan Haslina ; Mat Baki, Marina ; Din, Norshamsiah Md</creatorcontrib><description>Purpose
Obstructive sleep apnea syndrome (OSAS) patients are at risk of glaucoma but the risk increases if they have higher intraocular pressure (IOP) while sleeping. We aim to evaluate the postural effect of upright and prolong supine positions on IOP in these patients.
Methods
This is a cross-sectional study involving 27 patients with symptoms of OSAS seen at a tertiary institutional center and 25 normal controls performed between June 2015 and June 2016. All patients and controls underwent a polysomnography (PSG) test and were diagnosed with OSAS based on the apnea-hypopnea index (AHI). Patients are those with OSAS symptoms and had AHI > 5, whereas controls are staffs from the ophthalmology clinic without clinical criteria for OSAS and had PSG result of AHI < 5. IOP was measured 10 min after sitting, immediately and at 30 min on supine position and immediately after resuming sitting position. The main outcome measures were the changes in mean IOP in different positions.
Results
The increase in mean IOP when changing from sitting to supine position was significantly higher in OSAS patients in both the right eye (RE) (1.01 ± 1.14 vs 0.44 ± 0.41 mmHg,
p
= 0.033) and left eye (LE) (1.20 ± 1.26 vs 0.48 ± 0.62 mmHg,
p
= 0.044). After 30 min supine, the IOP in OSAS patients showed a further increase in IOP than controls (RE 1.20 ± 1.79 vs 0.12 ± 0.66 mmHg,
p
= 0.001 and LE 0.59 ± 2.00 vs 0.15 ± 0.78 mmHg,
p
= 0.246). Higher IOP when sitting post supine is associated with higher IOP on supine position.
Conclusion
IOP increase is significantly more in OSAS patients on prolong supine position.</description><identifier>ISSN: 0721-832X</identifier><identifier>EISSN: 1435-702X</identifier><identifier>DOI: 10.1007/s00417-018-3919-7</identifier><identifier>PMID: 29492688</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Apnea ; Glaucoma ; Medicine ; Medicine & Public Health ; Ophthalmology ; Posture ; Pressure ; Sleep ; Sleep apnea ; Sleep disorders</subject><ispartof>Graefe's archive for clinical and experimental ophthalmology, 2018-04, Vol.256 (4), p.783-790</ispartof><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2018</rights><rights>Graefe's Archive for Clinical and Experimental Ophthalmology is a copyright of Springer, (2018). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-67b135e71683d15573f911bbb5570e5aaa8a64949b7934240d294cd36dfa9c3c3</citedby><cites>FETCH-LOGICAL-c372t-67b135e71683d15573f911bbb5570e5aaa8a64949b7934240d294cd36dfa9c3c3</cites><orcidid>0000-0002-5137-1632</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00417-018-3919-7$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00417-018-3919-7$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>315,781,785,27929,27930,41493,42562,51324</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29492688$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fang, Sin Yee</creatorcontrib><creatorcontrib>Wan Abdul Halim, Wan Haslina</creatorcontrib><creatorcontrib>Mat Baki, Marina</creatorcontrib><creatorcontrib>Din, Norshamsiah Md</creatorcontrib><title>Effect of prolonged supine position on the intraocular pressure in patients with obstructive sleep apnea syndrome</title><title>Graefe's archive for clinical and experimental ophthalmology</title><addtitle>Graefes Arch Clin Exp Ophthalmol</addtitle><addtitle>Graefes Arch Clin Exp Ophthalmol</addtitle><description>Purpose
Obstructive sleep apnea syndrome (OSAS) patients are at risk of glaucoma but the risk increases if they have higher intraocular pressure (IOP) while sleeping. We aim to evaluate the postural effect of upright and prolong supine positions on IOP in these patients.
Methods
This is a cross-sectional study involving 27 patients with symptoms of OSAS seen at a tertiary institutional center and 25 normal controls performed between June 2015 and June 2016. All patients and controls underwent a polysomnography (PSG) test and were diagnosed with OSAS based on the apnea-hypopnea index (AHI). Patients are those with OSAS symptoms and had AHI > 5, whereas controls are staffs from the ophthalmology clinic without clinical criteria for OSAS and had PSG result of AHI < 5. IOP was measured 10 min after sitting, immediately and at 30 min on supine position and immediately after resuming sitting position. The main outcome measures were the changes in mean IOP in different positions.
Results
The increase in mean IOP when changing from sitting to supine position was significantly higher in OSAS patients in both the right eye (RE) (1.01 ± 1.14 vs 0.44 ± 0.41 mmHg,
p
= 0.033) and left eye (LE) (1.20 ± 1.26 vs 0.48 ± 0.62 mmHg,
p
= 0.044). After 30 min supine, the IOP in OSAS patients showed a further increase in IOP than controls (RE 1.20 ± 1.79 vs 0.12 ± 0.66 mmHg,
p
= 0.001 and LE 0.59 ± 2.00 vs 0.15 ± 0.78 mmHg,
p
= 0.246). Higher IOP when sitting post supine is associated with higher IOP on supine position.
Conclusion
IOP increase is significantly more in OSAS patients on prolong supine position.</description><subject>Apnea</subject><subject>Glaucoma</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Ophthalmology</subject><subject>Posture</subject><subject>Pressure</subject><subject>Sleep</subject><subject>Sleep apnea</subject><subject>Sleep disorders</subject><issn>0721-832X</issn><issn>1435-702X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kc1q3TAQhUVJaW7SPkA2RZBNNm71Y1v2soSkDQS6aSE7IcvjRsFXcjRyQt6-c3uTFgoBgYT0zRmdOYydSPFJCmE-oxC1NJWQXaV72VfmDdvIWjeVEermgG2EUbLqtLo5ZEeId4Jw3ch37FD1da_artuw-4tpAl94mviS05ziLxg5rkuIwJeEoYQUOa1yCzzEkl3y6-wywYC45t0lX1wJEAvyx1BueRqw5NWX8AAcZ4CFuyWC4_gUx5y28J69ndyM8OF5P2Y_Ly9-nH-rrr9_vTr_cl15bVSpWjNI3YCRbadH2TRGT72UwzDQUUDjnOtcW5OPwfS6VrUYyZQfdTtOrvfa62N2ttclX_crYLHbgB7m2UVIK1olRN-QuBaEnv6H3qU1R_rdH0ppGpsiSu4pnxNihskuOWxdfrJS2F0edp-HpTzsLg9rqObjs_I6bGH8W_ESAAFqDyA90fDzv9avq_4GKuGW2Q</recordid><startdate>20180401</startdate><enddate>20180401</enddate><creator>Fang, Sin Yee</creator><creator>Wan Abdul Halim, Wan Haslina</creator><creator>Mat Baki, Marina</creator><creator>Din, Norshamsiah Md</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-5137-1632</orcidid></search><sort><creationdate>20180401</creationdate><title>Effect of prolonged supine position on the intraocular pressure in patients with obstructive sleep apnea syndrome</title><author>Fang, Sin Yee ; Wan Abdul Halim, Wan Haslina ; Mat Baki, Marina ; Din, Norshamsiah Md</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-67b135e71683d15573f911bbb5570e5aaa8a64949b7934240d294cd36dfa9c3c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Apnea</topic><topic>Glaucoma</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Ophthalmology</topic><topic>Posture</topic><topic>Pressure</topic><topic>Sleep</topic><topic>Sleep apnea</topic><topic>Sleep disorders</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fang, Sin Yee</creatorcontrib><creatorcontrib>Wan Abdul Halim, Wan Haslina</creatorcontrib><creatorcontrib>Mat Baki, Marina</creatorcontrib><creatorcontrib>Din, Norshamsiah Md</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health and Medical</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Graefe's archive for clinical and experimental ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fang, Sin Yee</au><au>Wan Abdul Halim, Wan Haslina</au><au>Mat Baki, Marina</au><au>Din, Norshamsiah Md</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of prolonged supine position on the intraocular pressure in patients with obstructive sleep apnea syndrome</atitle><jtitle>Graefe's archive for clinical and experimental ophthalmology</jtitle><stitle>Graefes Arch Clin Exp Ophthalmol</stitle><addtitle>Graefes Arch Clin Exp Ophthalmol</addtitle><date>2018-04-01</date><risdate>2018</risdate><volume>256</volume><issue>4</issue><spage>783</spage><epage>790</epage><pages>783-790</pages><issn>0721-832X</issn><eissn>1435-702X</eissn><abstract>Purpose
Obstructive sleep apnea syndrome (OSAS) patients are at risk of glaucoma but the risk increases if they have higher intraocular pressure (IOP) while sleeping. We aim to evaluate the postural effect of upright and prolong supine positions on IOP in these patients.
Methods
This is a cross-sectional study involving 27 patients with symptoms of OSAS seen at a tertiary institutional center and 25 normal controls performed between June 2015 and June 2016. All patients and controls underwent a polysomnography (PSG) test and were diagnosed with OSAS based on the apnea-hypopnea index (AHI). Patients are those with OSAS symptoms and had AHI > 5, whereas controls are staffs from the ophthalmology clinic without clinical criteria for OSAS and had PSG result of AHI < 5. IOP was measured 10 min after sitting, immediately and at 30 min on supine position and immediately after resuming sitting position. The main outcome measures were the changes in mean IOP in different positions.
Results
The increase in mean IOP when changing from sitting to supine position was significantly higher in OSAS patients in both the right eye (RE) (1.01 ± 1.14 vs 0.44 ± 0.41 mmHg,
p
= 0.033) and left eye (LE) (1.20 ± 1.26 vs 0.48 ± 0.62 mmHg,
p
= 0.044). After 30 min supine, the IOP in OSAS patients showed a further increase in IOP than controls (RE 1.20 ± 1.79 vs 0.12 ± 0.66 mmHg,
p
= 0.001 and LE 0.59 ± 2.00 vs 0.15 ± 0.78 mmHg,
p
= 0.246). Higher IOP when sitting post supine is associated with higher IOP on supine position.
Conclusion
IOP increase is significantly more in OSAS patients on prolong supine position.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>29492688</pmid><doi>10.1007/s00417-018-3919-7</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-5137-1632</orcidid></addata></record> |
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| language | eng |
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| source | SpringerLink Journals - AutoHoldings |
| subjects | Apnea Glaucoma Medicine Medicine & Public Health Ophthalmology Posture Pressure Sleep Sleep apnea Sleep disorders |
| title | Effect of prolonged supine position on the intraocular pressure in patients with obstructive sleep apnea syndrome |
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