Perioperative considerations and anesthesia management in patients with obstructive sleep apnea undergoing ophthalmic surgery

Oya Y. Cok, Edwin Seet, Chandra M. Kumar, Girish P. Joshi

Research output: Contribution to journalReview article

Abstract

Obstructive sleep apnea (OSA) is a disorder characterized by breathing cessation caused by obstruction of the upper airway during sleep. It is associated with multiorgan comorbidities such as obesity, hypertension, heart failure, arrhythmias, diabetes mellitus, and stroke. Patients with OSA have an increased prevalence of ophthalmic disorders such as cataract, glaucoma, central serous retinopathy (detachment of retina, macular hole), eyelid laxity, keratoconus, and nonarteritic anterior ischemic optic neuropathy; and some might require surgery. Given that OSA is associated with a high incidence of perioperative complications and more than 80% of surgical patients with OSA are unrecognized, all surgical patients should be screened for OSA (eg, STOP-Bang questionnaire) with comorbidities identified. Patients suspected or diagnosed with OSA scheduled for ophthalmic surgery should have their comorbid conditions optimized. This article includes a review of the literature and highlights best perioperative anesthesia practices in the management of ophthalmic surgical patients with OSA.

Original languageEnglish (US)
Pages (from-to)1026-1031
Number of pages6
JournalJournal of Cataract and Refractive Surgery
Volume45
Issue number7
DOIs
StatePublished - Jul 2019

ASJC Scopus subject areas

  • Surgery
  • Ophthalmology
  • Sensory Systems

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