Comparison of obstructive sleep apnea syndrome and keratoconus patients on elevation maps

Karaca, Umut; Akıncıoğlu, Dorukcan; Ayyıldız, Önder; Doğan, Deniz; Özge, Gökhan; Usta, Gülşah; Mutlu, Fatih Mehmet

doi:10.1007/s10792-021-02074-8

Cited by 6 publications

(4 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Based on a recently introduced theory, ectasia is the thinning and protrusion of a localized biomechanically weak corneal area under IOP load over time, which gradually develops to surrounding areas (18) . An association between keratoconus and conditions such as floppy eyelid, obstructive sleep apnea, and ocular allergy has been reported in some studies (19)(20)(21) but our patient did not have any of these conditions. However, eye rubbing and sleeping with eyes squeezed against the pillow should be recognized as two probable causes of ectasia over time.…”

Section: Discussionsupporting

confidence: 38%

Corneal ectasia following photorefractive keratectomy: a confocal microscopic case report and literature review

Alvani¹,

Hashemi²,

Pakravan³

et al. 2023

ABO

View full text Add to dashboard Cite

The occurrence of corneal ectasia after photorefractive keratectomy is a rare but serious complication of refractive surgery. Possible risk factors are not well assessed, but a probable reason is the failure to detect keratoconus preoperatively. In this report, we describe a case of corneal ectasia after photorefractive keratectomy in a patient who presented a suspicious tomography pattern preoperatively but had no degenerative alterations associated with pathologic keratoconus, as revealed by in vivo corneal confocal microscopy. We also review eligible case reports of post-photorefractive keratectomy ectasia to find similar characteristics.

show abstract

Section: Discussionsupporting

confidence: 38%

Corneal ectasia following photorefractive keratectomy: a confocal microscopic case report and literature review

Alvani¹,

Hashemi²,

Pakravan³

et al. 2023

ABO

View full text Add to dashboard Cite

show abstract

“…[6][7][8][9] Clinical therapeutic options for KC are limited to corrections with spectacles and contact lenses to improve vision and the use of contact lenses to prevent rubbing or pressing the eyes and thus avoid the progression of the disease. [10][11][12] Surgical interventions include corneal crosslinking to avoid progression and other procedures to improve irregular astigmatism, opacities, and vision. These procedures include intrastromal corneal ring segment (ICRS) implantation, topography-guided photorefractive keratectomy (PRK), and corneal transplantation.…”

mentioning

confidence: 99%

“…6–9 Clinical therapeutic options for KC are limited to corrections with spectacles and contact lenses to improve vision and the use of contact lenses to prevent rubbing or pressing the eyes and thus avoid the progression of the disease. 10–12…”

mentioning

confidence: 99%

Vision-Related Quality of Life in Patients With Keratoconus With Enantiomorphic Topography After Bilateral Intrastromal Corneal Ring Implantation

Rodrigues

Moscovici

Hirai

et al. 2023

Cornea

View full text Add to dashboard Cite

show abstract

“…[4][5][6] Furthermore, in addition to ocular conditions, such as keratoconus, glaucoma, a link with meibomian gland dysfunction (MGD) has been established. [7][8][9][10][11][12][13][14][15] Cystic degeneration, squamous metaplasia, and abnormal keratinization of the meibomian glands in excised tarsus in patients with FES have been previously described. 15 MGD can induce early curling of the tarsus in the absence of manifest marginal entropion and lash ptosis, known as meibomian gland inversion (MGI).…”

mentioning

confidence: 99%

The Importance of Identifying Meibomian Gland Inversion in Patients With Floppy Eyelid Syndrome

Yvon¹,

Hunt²,

Malhotra³

2022

Ophthalmic Plastic &Amp; Reconstructive Surgery

View full text Add to dashboard Cite

Background: Floppy eyelid syndrome (FES) is a common and underdiagnosed condition characterized by eyelid hyperlaxity with reactive palpebral conjunctivitis that can cause ocular irritation. It may be associated with meibomian gland dysfunction (MGD) and secondary tarsal curling, resulting in upper eyelid meibomian gland inversion (MGI) in the absence of obvious marginal entropion.Purpose: To highlight the possible significance of MGI in patients with FES and report findings and outcomes in patients with concomitant MGI and FES undergoing correction of MGI with or without upper eyelid horizontal tightening.Methods: Retrospective, 5-year, noncomparative, singlecenter study of patients with FES and MGI, treated with MGI correction, with or without upper eyelid horizontal tightening, under the supervision of a single surgeon. Preoperative symptoms, surgical outcomes, complication rates, and postoperative symptoms were recorded.Results: A total of 13 eyes of 9 patients were treated with MGI surgery over the study period. Seven were male. Mean age at the surgery was 63 (range 42-81) years. Two OSs, 3 ODs, and 4 OUs were treated. All patients were "cotton-tip test" positive, and 77% (10/13) had MGI-related superior corneal fluorescein staining. Three patients (33%) had previous standard tightening procedures with recurrence of symptoms within 5 to 24 (mean 16) months. Repeat horizontal tightening had been considered in all these cases before referral to our unit. Mean follow-up was 20 months. Eight patients (88.9%) had improvement of symptoms (n = 3, full resolution; n = 5, partial resolution). All patients demonstrated restoration of the normal anatomical position of the meibomian glands. Superior punctate staining resolved in all eyes. Conclusion:This study provides a proof of concept that upper eyelid MGI can be present and symptomatic in patients with FES. It may help explain cases where symptoms persist or recur early following standard upper eyelid horizontal tightening. Where superior corneal punctate staining and a positive cotton-tip test exist, surgical correction of MGI, alongside horizontal tightening, may provide better, and longerlasting symptomatic relief. This study provides evidence for the need for a prospective study to evaluate the contribution of MGI in patients with FES.

show abstract

Comparison of obstructive sleep apnea syndrome and keratoconus patients on elevation maps

Cited by 6 publications

References 28 publications

Corneal ectasia following photorefractive keratectomy: a confocal microscopic case report and literature review

Corneal ectasia following photorefractive keratectomy: a confocal microscopic case report and literature review

Vision-Related Quality of Life in Patients With Keratoconus With Enantiomorphic Topography After Bilateral Intrastromal Corneal Ring Implantation

The Importance of Identifying Meibomian Gland Inversion in Patients With Floppy Eyelid Syndrome

Contact Info

Product

Resources

About