PDF(Pubmed)
Abstract：
Obstructive Sleep Apnea Syndrome (OSA) is a common sleep disorder characterized by recurrent episodes of partial or complete upper airway obstruction during sleep. Floppy Eye Syndrome (FES) is a condition in which the upper eyelids easily evert with upward traction due to underlying tarsal plate laxity and is associated with chronic, reactive papillary conjunctivitis; this causes the eye to be vulnerable to discomfort and visual symptoms. A 49-year-old man with an 8-year history of snoring, sleep fragmentation, and daytime sleepiness was admitted as an outpatient in our sleep clinic. The patient had complied ocular symptoms such as burning eyes, redness, and irritative ocular symptoms in the past five years, arising upon waking up. The symptoms did not regress with the use of artificial tears and proper ointment. The patient was diagnosed with OSA and began using continuous positive airway pressure (CPAP). CPAP therapy significantly corrected the symptoms of FES associated with OSA . This would help to sensibilize ocular findings in patients with OSA and identify hidden sleeping diseases needing a more appropriate investigation and possible treatment. We must look beyond our approach to sleep clinic patients and avoid being kept to the common symptoms patients represent.
摘要：
阻塞性睡眠呼吸暂停综合征（OSA）是一种常见的睡眠障碍，其特征是在睡眠期间反复发作部分或完全上气道阻塞。松紧眼综合症（FES）是一种疾病，其中上眼睑容易由于潜在的tar板松弛而向上牵引，并与慢性，反应性乳头状结膜炎;这会导致眼睛容易出现不适和视觉症状。一个49岁有8年打鼾史的男人,睡眠碎片，白天嗜睡是我们睡眠诊所的门诊病人。患者出现眼部症状，如眼睛灼热，发红,在过去的五年中，有刺激性的眼部症状，醒来后产生的。使用人工泪液和适当的软膏，症状没有消退。患者被诊断为OSA，并开始使用持续气道正压通气（CPAP）。CPAP治疗可显着纠正与OSA相关的FES症状。这将有助于使OSA患者的眼部表现敏感，并确定隐藏的睡眠疾病，需要更适当的调查和可能的治疗。我们必须超越我们对睡眠诊所患者的方法，避免被患者所代表的常见症状所困扰。
