Evidence map›Paper›PMID 36977937›Full record

SynthesisEye (London, England)2023

Obstructive sleep apnoea and glaucoma: a systematic review and meta-analysis.

Alex Jia Yang Cheong, Sean Kang Xuan Wang, Chang Yi Woon, Ki Han Yap, Kevin Joo Yang Ng, Flora Wen Xin Xu, Uri Alkan, Adele Chin Wei Ng, Anna See, Shaun Ray Han Loh and 2 more

Open access · greenAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Eye (London, England), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
6.8field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Observational
  8. Article
  9. Review
  10. Article
  11. Review
  12. Article
  13. Neuro-Ophthalmological Disorders Associated with Obstructive Sleep Apnoea.International journal of molecular sciences · 2025
    Review
  14. Article
  15. Association between obstructive sleep apnea and glaucoma.Korean journal of family medicine · 2025
    Article
  16. Article
  17. Review
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 5 institutions in 2 countries.

Alex Jia Yang Cheong *Yong Loo Lin School of Medicine, National University of Singapore (NUS), Singapore, Singapore.ORCID 0000-0003-2834-1192
Sean Kang Xuan Wang *Yong Loo Lin School of Medicine, National University of Singapore (NUS), Singapore, Singapore.
Chang Yi Woon *Yong Loo Lin School of Medicine, National University of Singapore (NUS), Singapore, Singapore.
Ki Han YapYong Loo Lin School of Medicine, National University of Singapore (NUS), Singapore, Singapore.ORCID 0000-0001-7047-3530
Kevin Joo Yang NgYong Loo Lin School of Medicine, National University of Singapore (NUS), Singapore, Singapore.
Flora Wen Xin XuYong Loo Lin School of Medicine, National University of Singapore (NUS), Singapore, Singapore.
Uri AlkanDepartment of Otorhinolaryngology-Head and Neck Surgery, Rabin Medical Center - Beilinson Hospital, Petach Tikva, Israel.
Adele Chin Wei NgDepartment of Otorhinolaryngology-Head & Neck Surgery, Singapore General Hospital, Singapore, Singapore.
Anna SeeDepartment of Otorhinolaryngology-Head & Neck Surgery, Singapore General Hospital, Singapore, Singapore.
Shaun Ray Han LohDepartment of Otorhinolaryngology-Head & Neck Surgery, Singapore General Hospital, Singapore, Singapore.
Tin AungSingapore National Eye Centre and Singapore Eye Research Institute, Singapore, Singapore.
Song Tar TohDepartment of Otorhinolaryngology-Head & Neck Surgery, Singapore General Hospital, Singapore, Singapore. toh.song.tar@singhealth.com.sg.
National University of Singapore · SGSingapore General Hospital · SGSingapore National Eye Center · SGSingHealth · SGTel Aviv University · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionObstructive sleep apnoea (OSA) has been thought to be associated with glaucoma, however there are many conflicting studies on this topic. With many new studies having been published since the previous meta-analysis, we believe it is important to clarify this association. Hence, in this study we meta-analyse the recent literature regarding the association between OSA and glaucoma.

methodsPubmed, Embase, Scopus and Cochrane Library were searched from inception till the 28th February 2022 for observational as well as cross-sectional studies examining the association between OSA and glaucoma. Two reviewers selected studies, extracted data, graded the quality of included non-randomized studies using the Newcastle-Ottawa scale. The overall quality of evidence was assessed using GRADE. Random-effects models were used to meta-analyse the maximally covariate- adjusted associations.

results48 studies were included in our systematic review, with 46 suitable for meta-analysis. Total study population was 4,566,984 patients. OSA was associated with a higher risk of glaucoma (OR 3.66, 95% CI 1.70 to 7.90, I

conclusionsIn this meta-analysis, OSA was associated with higher risk of glaucoma, as well as more severe ocular findings characteristic of the glaucomatous disease process. We suggest more clinical studies looking into the effects of OSA treatment on the progression of glaucoma to help clinical decision making for patients.

Indexed as

Cardiovascular DiseasesGlaucomaSleep Apnea, ObstructiveCross-Sectional StudiesData CollectionHumans

Identifiers

PMID36977937
PMCPMC10564942
OpenAlexW4361204676

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.