Keratoconus

How Sleep Apnea Affects The Eyes

Did you know that some eye conditions are associated with sleep apnea? According to the National Sleep Foundation, more than 18 million Americans have sleep apnea, and Health Canada reports similar prevalence. It’s a sleep disorder where people stop breathing — often multiple times per night — while sleeping.

If you have sleep apnea: it tends to take longer for your tears to be replenished, you’re more likely to have ocular irritation, you have a higher chance of developing floppy eyelids, and you’re at increased risk for glaucoma.

What Is Obstructive Sleep Apnea?

There are different types of sleep apnea. The most common one is obstructive sleep apnea (OSA). During OSA, your airway becomes partially blocked due to relaxed muscles in your nose and throat. This causes apnea (the absence of breathing) or hypopnea (abnormally shallow, slow breathing). It’s twice as common in men, and is more likely to affect people with obesity, hypertension, diabetes or heart disease.

What are the common symptoms of sleep apnea?

Sleep apnea occurs when the muscles in the back of your throat relax too much to allow normal breathing. These temporary breathing lapses cause lower-quality sleep and affect the body’s oxygen supply, which can lead to potentially serious health consequences.

While snoring is a common symptom, not everyone who snores has sleep apnea. Interrupted sleep can cause excessive daytime sleepiness, fatigue, irritability or depression, headaches in the morning, difficulty concentrating and thinking, and a sore throat.

Which Eye Conditions Are Associated With Sleep Apnea?

Glaucoma

Glaucoma occurs when increased pressure within the eye damages the optic nerve, which connects the eye to the brain, leading to vision loss and sometimes blindness. In some cases, it might be due to a drop in blood oxygen levels, which happens when you stop breathing. However, CPAP machines, one of the most common treatments for sleep apnea, can also cause glaucoma.

So, people with sleep apnea — even if it’s being treated — need to get their eyes checked on a regular basis for glaucoma.

Floppy Eyelid Syndrome

Floppy Eyelid Syndrome (FES) is an eye condition where a person has an unusually large and floppy upper eyelid. It can cause eye redness, irritation, discharge, or blurry vision — and over 90% of people with FES also have sleep apnea.

Non-Arteritic Anterior Ischemic Optic Neuropathy

Non-arteritic anterior ischemic optic neuropathy (NAION) is an eye condition that occurs when there is a loss of blood flow to the optic nerve. Patients typically complain of significant vision loss in one eye without any major pain. Approximately 70-80% of patients with NAION have been found to have OSA.

Retinal Vein Occlusion

Also referred to as an ‘eye stroke,’ retinal vein occlusion (RVO) is a blockage of the small veins that carry blood away from the retina. A recent study of 114 RVO patients found that sleep apnea was suspected in 74% of the patients that had previously been diagnosed with RVO.

Other Eye Health Issues Associated With Sleep Apnea

Some other ocular conditions that are more common in patients with sleep apnea include: papilledema, keratoconus, and central serous chorioretinopathy. Furthermore, in addition to glaucoma mentioned above, CPAP machines are associated with dry eye syndrome and bacterial conjunctivitis.

Talk To Your Doc

Get eye exams regularly to rule out eye disorders and prevent potential vision loss, especially if you have been diagnosed with sleep apnea. At 20/20 Vision Care in Pittsburgh we encourage you to share your medical history with us so we can better diagnose and treat any eye conditions or ocular diseases you may have, and help you keep your eyes nice and healthy.

What You Should Know About Night Blindness

Our Optometrist in Pittsburgh, explains About The Causes of Night Blindness

Our eye doctor can help diagnose, manage and treat your night blindness so that you can enjoy being out at night again.

Here are 4 things you should know about night blindness:

The inability to see well at night can be the result of a condition such as:

Vitamin A Deficiency Vitamin A helps keep your cornea, the layer at the front of your eye, clear; it’s also an important component of rhodopsin, a protein that enables you to see in low light conditions. Although uncommon in North America, deficiency of this vitamin can induce night blindness.
Cataracts
A buildup of protein clouds the eye’s lens, leading to impaired vision, especially at night and in poor lighting conditions.
Diabetic retinopathy
Damage to the eyes’ blood vessels and nerves can result in vision loss, including difficulty seeing at night.
Glaucoma
This group of eye diseases is associated with pressure build-up in the eye that damages the optic nerve. Both Glaucoma and the medications used to treat it can cause night blindness.
Myopia
Also called nearsightedness, Myopia makes distant objects appear blurry, and patients with it describe a starburst effect around lights at night.
Keratoconus
An irregularly shaped cornea causes blurred vision and may involve sensitivity to light and glare which tend to be worse at night.
Retinitis Pigmentosa (RP)
A progressive genetic eye disease which can be associated with other diseases, RP leads to night blindness and peripheral vision loss.
Usher Syndrome
This genetic condition causes both hearing loss and vision loss, including night blindness and RP, mentioned above.

Symptoms of Nyctalopia

Since night blindness is a symptom of some serious vision problems, it’s important to get your eyes checked regularly to ensure that everything is in good working order. Contact your eye doctor as soon as possible if you notice that you don’t see as well in dim light as you used to, such as when driving at night or when adjusting from being outdoors in the sunshine to being indoors.

Symptoms of Night Blindness Include:

Reduced contrast sensitivity
Difficulty seeing people outdoors at night
Difficulty seeing in places with dim lighting, like a movie theater
Trouble adapting to the dark while driving
Excessive squinting at night
Trouble adjusting from bright areas to darker ones

Treatments for Night Blindness

Your eye doctor will want to diagnose the cause of your night blindness in order to treat it. For example, in the rare case of vitamin A deficiency, it can be treated with vitamin supplements and vitamin-A rich foods; Myopia can be corrected with eyeglasses or contact lenses. Other conditions may require medications or surgery.

If night blindness is caused by a birth defect, Usher syndrome, or retinitis pigmentosa, low vision aids and devices can help you make the most of your remaining vision.

Prevention

While there is no proven way to prevent night blindness resulting from genetic conditions or birth defects, consuming healthy, nourishing foods and taking certain vitamin supplements may prevent or slow the onset of some eye conditions that cause night blindness.

If you experience poor vision at night or in dim lighting, we can help. Contact 20/20 Vision Care in Pittsburgh to schedule your appointment today.

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Frequently asked questions answered by our Eye Doctor in Pittsburgh, Pennsylvania:

What are the reasons for Cataract Removal?

Cataracts can interfere with your ability to live normally. They may make it impossible to drive, read, use a computer, watch TV, climb staircases, or identify faces. Cataracts can also get in the way of medical treatment for other eye diseases, such as macular degeneration or diabetic retinopathy because they prevent your eye doctor from inspecting the back tissues of your eye thoroughly. These are all reasons why your eye doctor may recommend cataract surgery.
Why Diabetic Eye Exams are Essential?

At present, one in 10 Americans has diabetes – and the trend is continuing upwards. While routine comprehensive eye exams are important for diagnosing the early signs of diabetes, that doesn’t mean eye exams become insignificant after diagnosis!
What is glaucoma?

Glaucoma describes a type of ocular disease that causes damage to your optic nerve and destroys your quality of vision. With no early symptoms, glaucoma can only be detected by a complete eye examination. When left untreated, glaucoma can result in detrimental vision loss. When treated early by one of our professional, knowledgeable eye doctors, we can help preserve your healthy eyesight.
What is Myopia?

Cataracts can interfere with your ability to live normally. They may make it impossible to drive, read, use a computer, watch TV, climb staircases, or identify faces. Cataracts can also get in the way of medical treatment for other eye diseases, such as macular degeneration or diabetic retinopathy because they prevent your eye doctor from inspecting the back tissues of your eye thoroughly. These are all reasons why your eye doctor may recommend cataract surgery.