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阻塞性睡眠呼吸暂停综合征(obstructive sleep apnea hypopnea syndrome,OSAHS)是呼吸科及耳鼻喉科的一种常见疾病。近年来大量的临床资料显示,OSAHS患者可同时伴有多种眼部病变,包括眼睑松弛综合征(发病率为2.0%~32.6%)、非动脉炎性前部缺血性视神经病变(发病率为2.8%~71.0%)、青光眼(发病率为5.9%~57.0%)等。为了提高临床医师对OSAHS及眼部病变的认识,本文综述了与OSAHS相关的眼部病变及其关系。提示对于OSAHS患者应同时关注眼部情况,对患有以上眼部疾病的患者也应询问是否有OSAHS的病史或相关症状,以争取对OSAHS早期诊断和治疗。
Obstructive sleep apnea hypopnea syndrome (OSAHS) is a common disease in respiratory and otolaryngology. In recent years a large number of clinical data show that patients with OSAHS can be accompanied by a variety of ocular lesions, including eyelid relaxation syndrome (incidence of 2.0% to 32.6%), non-arteritic anterior ischemic optic neuropathy (incidence 2.8% ~ 71.0%), glaucoma (incidence of 5.9% ~ 57.0%) and so on. In order to enhance clinicians’ understanding of OSAHS and ocular lesions, this review summarizes the ocular lesions associated with OSAHS and their relationship. Tip OSAHS patients should also pay attention to the eye condition, patients with these eye diseases should also ask whether there is a history of OSAHS or related symptoms, in order to fight for the early diagnosis and treatment of OSAHS.