Ege University Faculty of Medicine, Department of Ophthalmology, İzmir, Turkey.
Ege University Faculty of Medicine, Department of Chest Diseases, İzmir, Turkey.
Turk J Ophthalmol. 2020 Dec 29;50(6):356-361. doi: 10.4274/tjo.galenos.2020.35033.
To evaluate periorbital tissue alterations including eyelid laxity and eyelash ptosis in patients with obstructive sleep apnea syndrome (OSAS).
Based on polysomnography, 96 eyes of 48 patients with moderate/severe OSAS (Group 1) and 44 eyes of 22 patients with simple snoring (Group 2) were enrolled. Comprehensive eye examination along with eyelid laxity measurements including vertical and anterior distraction, presence of dermatochalasis, interpalpebral distance, and levator function were assessed. The presence and severity of eyelash ptosis were also noted.
The mean ages of Group 1 and Group 2 were 49.9±11.4 (range: 26-67) and 50.6±8.9 (range: 27-69) years, respectively (p=0.557). The mean vertical and anterior distraction distances in Group 1 (13.3±4.1 [range, 6-27] mm and 7.4±2.1 [range, 3-13.5] mm, respectively) were significantly higher than in Group 2 (p<0.05). Dermatochalasis and eyelash ptosis were found to be significantly more frequent in Group 1 (52.1% and 81.3%, respectively). The severity of eyelash ptosis was also higher in OSAS (p<0.05). No significant difference in interpalpebral distance or levator muscle function was detected.
In patients with severe OSAS, eyelid laxity was more prominent and eyelash ptosis was more frequent and severe.
评估阻塞性睡眠呼吸暂停综合征（OSAS）患者的眶周组织改变，包括眼睑松弛和睫毛下垂。
根据多导睡眠图，纳入 48 例中重度 OSAS 患者（1 组）的 96 只眼和 22 例单纯打鼾患者（2 组）的 44 只眼。评估全面的眼部检查以及眼睑松弛度测量，包括垂直和前向分离、皮肤松弛、睑裂宽度和提上睑肌功能。还记录了睫毛下垂的存在和严重程度。
1 组和 2 组的平均年龄分别为 49.9±11.4（范围：26-67）和 50.6±8.9（范围：27-69）岁（p=0.557）。1 组的平均垂直和前向分离距离（13.3±4.1 [范围：6-27] mm 和 7.4±2.1 [范围：3-13.5] mm）显著高于 2 组（p<0.05）。1 组的皮肤松弛和睫毛下垂的发生率明显更高（分别为 52.1%和 81.3%）。OSAS 患者的睫毛下垂严重程度也更高（p<0.05）。未检测到睑裂宽度或提上睑肌功能的显著差异。
在重度 OSAS 患者中，眼睑松弛更为明显，睫毛下垂更为频繁和严重。
