Peripheral retinal neovascularization in a patient with obstructive sleep apnea
Purpose: To describe a case of peripheral retinal neovascularization and its possible etiological connection to comorbid obstructive sleep apnea. Observations: In this case report we describe a diabetic patient with obstructive sleep apnea who presented with bilateral peripheral retinal neovasculari...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-06-01
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| Series: | American Journal of Ophthalmology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2451993622002444 |
| _version_ | 1818211822416691200 |
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| author | Ravin Sajnani Elena Karapetian Abhinav Golla Irena Tsui David Sarraf |
| author_facet | Ravin Sajnani Elena Karapetian Abhinav Golla Irena Tsui David Sarraf |
| author_sort | Ravin Sajnani |
| collection | DOAJ |
| description | Purpose: To describe a case of peripheral retinal neovascularization and its possible etiological connection to comorbid obstructive sleep apnea. Observations: In this case report we describe a diabetic patient with obstructive sleep apnea who presented with bilateral peripheral retinal neovascularization but in the absence of any other evidence of diabetic retinopathy. Aside from confirmed nocturnal hypoxia and reasonably controlled diabetes mellitus, etiological investigation was otherwise unrevealing. Conclusions and Importance: In the absence of typical findings for diabetic retinopathy, nocturnal hypoxia due to obstructive sleep apnea may be a contributing factor in the development of peripheral retinal neovascularization. There may be a role for more vigilant OSA screening in patients with peripheral retinal neovascularization as treatment with positive airway pressure devices may reduce the retinal hypoxic burden. |
| first_indexed | 2024-12-12T05:38:36Z |
| format | Article |
| id | doaj.art-e91b083786ee4816a3a5a3fc67683592 |
| institution | Directory Open Access Journal |
| issn | 2451-9936 |
| language | English |
| last_indexed | 2024-12-12T05:38:36Z |
| publishDate | 2022-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | American Journal of Ophthalmology Case Reports |
| spelling | doaj.art-e91b083786ee4816a3a5a3fc676835922022-12-22T00:36:01ZengElsevierAmerican Journal of Ophthalmology Case Reports2451-99362022-06-0126101498Peripheral retinal neovascularization in a patient with obstructive sleep apneaRavin Sajnani0Elena Karapetian1Abhinav Golla2Irena Tsui3David Sarraf4Stein Eye Institute, University of California - Los Angeles, 100 Stein Plaza Driveway, Los Angeles, CA, 90095, USA; Greater Los Angeles VA Healthcare Center, West Los Angeles Veterans Affairs Hospital, Department of Ophthalmology, 11301 Wilshire Boulevard, Los Angeles, CA, 90073, USAGreater Los Angeles VA Healthcare Center, West Los Angeles Veterans Affairs Hospital, Department of Ophthalmology, 11301 Wilshire Boulevard, Los Angeles, CA, 90073, USAStein Eye Institute, University of California - Los Angeles, 100 Stein Plaza Driveway, Los Angeles, CA, 90095, USA; Greater Los Angeles VA Healthcare Center, West Los Angeles Veterans Affairs Hospital, Department of Ophthalmology, 11301 Wilshire Boulevard, Los Angeles, CA, 90073, USAStein Eye Institute, University of California - Los Angeles, 100 Stein Plaza Driveway, Los Angeles, CA, 90095, USA; Greater Los Angeles VA Healthcare Center, West Los Angeles Veterans Affairs Hospital, Department of Ophthalmology, 11301 Wilshire Boulevard, Los Angeles, CA, 90073, USAStein Eye Institute, University of California - Los Angeles, 100 Stein Plaza Driveway, Los Angeles, CA, 90095, USA; Greater Los Angeles VA Healthcare Center, West Los Angeles Veterans Affairs Hospital, Department of Ophthalmology, 11301 Wilshire Boulevard, Los Angeles, CA, 90073, USA; Corresponding author. Stein Eye Institute, 100 Stein Plaza Driveway, Los Angeles, CA, 90095, USA.Purpose: To describe a case of peripheral retinal neovascularization and its possible etiological connection to comorbid obstructive sleep apnea. Observations: In this case report we describe a diabetic patient with obstructive sleep apnea who presented with bilateral peripheral retinal neovascularization but in the absence of any other evidence of diabetic retinopathy. Aside from confirmed nocturnal hypoxia and reasonably controlled diabetes mellitus, etiological investigation was otherwise unrevealing. Conclusions and Importance: In the absence of typical findings for diabetic retinopathy, nocturnal hypoxia due to obstructive sleep apnea may be a contributing factor in the development of peripheral retinal neovascularization. There may be a role for more vigilant OSA screening in patients with peripheral retinal neovascularization as treatment with positive airway pressure devices may reduce the retinal hypoxic burden.http://www.sciencedirect.com/science/article/pii/S2451993622002444Diabetic retinopathyHypoxiaIschemiaNonperfusionObstructive sleep apneaPeripheral retinal neovascularization |
| spellingShingle | Ravin Sajnani Elena Karapetian Abhinav Golla Irena Tsui David Sarraf Peripheral retinal neovascularization in a patient with obstructive sleep apnea American Journal of Ophthalmology Case Reports Diabetic retinopathy Hypoxia Ischemia Nonperfusion Obstructive sleep apnea Peripheral retinal neovascularization |
| title | Peripheral retinal neovascularization in a patient with obstructive sleep apnea |
| title_full | Peripheral retinal neovascularization in a patient with obstructive sleep apnea |
| title_fullStr | Peripheral retinal neovascularization in a patient with obstructive sleep apnea |
| title_full_unstemmed | Peripheral retinal neovascularization in a patient with obstructive sleep apnea |
| title_short | Peripheral retinal neovascularization in a patient with obstructive sleep apnea |
| title_sort | peripheral retinal neovascularization in a patient with obstructive sleep apnea |
| topic | Diabetic retinopathy Hypoxia Ischemia Nonperfusion Obstructive sleep apnea Peripheral retinal neovascularization |
| url | http://www.sciencedirect.com/science/article/pii/S2451993622002444 |
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