PDF(Pubmed)
Abstract：
Obstructive sleep apnea (OSA) affects neurobehavioral, cognitive, and cardiovascular aspects, particularly in children, by obstructing the upper airways during sleep. While its impact in adult ocular health is recognized, there is ongoing debate about OSA\'s relevance in pediatrics. This review explores the relationship between OSA and ocular health in children, focusing on the effects and potential improvements through treatment. A systematic search found 287 articles through PubMeD/MEDLINE, Scopus, Web of Science, and ScienceDirect; 94.4% were excluded. After careful selection, six English articles were included, addressing the effects of OSA on children\'s eyes. Three studies examined choroidal alterations, three explored retinal and optic nerve changes, and two analyzed ocular changes following otorhinolaryngological intervention. The immediate correlation in children is inconclusive, but age may be a contributing factor. Pediatric OSA patients exhibit corneal anomalies and increased optic nerve thickness, possibly due to intermittent hypoxia. OSA influences retinal vascular density in children, with increased density after treatment and reduced choroidal thickness in cases of adenotonsillar hypertrophy. This review emphasized OSA\'s significant impact on children\'s ocular health, revealing alterations in the optic nerve, choroid, retina, and cornea. While the direct correlation with the optic nerve is not always evident, OSA raises intraocular pressure and induces structural changes. Treatment holds promise, highlighting the need for regular monitoring to promptly address childhood OSA.
摘要：
阻塞性睡眠呼吸暂停（OSA）影响神经行为，认知，和心血管方面，特别是在儿童中，在睡眠期间阻塞上呼吸道。虽然它对成人眼部健康的影响是公认的，关于OSA在儿科中的相关性正在进行辩论。本文就OSA与儿童眼部健康的关系作一综述。关注通过治疗的效果和潜在的改善。系统搜索通过PubMeD/MEDLINE找到287篇文章，Scopus,WebofScience,和ScienceDirect；94.4%被排除在外。经过精心挑选,包括六篇英语文章，解决OSA对儿童眼睛的影响。三项研究检查了脉络膜改变，三个人探索了视网膜和视神经的变化，两位分析了耳鼻咽喉科干预后的眼部变化。儿童的直接相关性尚无定论，但是年龄可能是一个促成因素。儿童OSA患者表现出角膜异常和视神经厚度增加，可能是间歇性缺氧造成的.OSA影响儿童视网膜血管密度，在腺样体扁桃体肥大的情况下，治疗后密度增加，脉络膜厚度减少。这篇综述强调了OSA对儿童眼部健康的显著影响，揭示视神经的改变，脉络膜,视网膜,和角膜。虽然与视神经的直接相关性并不总是明显的，OSA升高眼内压并诱导结构变化。治疗有希望，强调需要定期监测以及时解决儿童OSA问题。
