Evidence map›Paper›PMID 41957298›Full record

ArticleSleep & breathing = Schlaf & Atmung2026

Association of polysomnography findings of obstructive sleep apnea with non-arteritic anterior ischemic optic neuropathy manifestations.

Yujin Heo, Jaeryung Kim, Ji Ho Kim, Ga-In Lee, Kyunga Kim, Goeun Park, Gwanghui Ryu, Sang Duk Hong, Yong Gi Jung, Sei Yeul Oh and 2 more

Abstract read
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In one paragraph

Article in Sleep & breathing = Schlaf & Atmung, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

12 authors.

Yujin Heo *Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irown-ro, Gangnam-gu, Seoul, 06351, Republic of Korea.
Jaeryung Kim *Department of Ophthalmology, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irown-ro, Gangnam-gu, Seoul, 06351, Republic of Korea.
Ji Ho KimDepartment of Ophthalmology, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irown-ro, Gangnam-gu, Seoul, 06351, Republic of Korea.
Ga-In LeeDepartment of Ophthalmology, HanGil Eye Hospital, Incheon, Republic of Korea.
Kyunga KimBiomedical Statistics Center, Research Institute for Future Medicine, Samsung Medical Center, Seoul, Republic of Korea.
Goeun ParkBiomedical Statistics Center, Research Institute for Future Medicine, Samsung Medical Center, Seoul, Republic of Korea.
Gwanghui RyuDepartment of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irown-ro, Gangnam-gu, Seoul, 06351, Republic of Korea.
Sang Duk HongDepartment of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irown-ro, Gangnam-gu, Seoul, 06351, Republic of Korea.
Yong Gi JungDepartment of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irown-ro, Gangnam-gu, Seoul, 06351, Republic of Korea.
Sei Yeul OhDepartment of Ophthalmology, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irown-ro, Gangnam-gu, Seoul, 06351, Republic of Korea.
Kyung-Ah ParkDepartment of Ophthalmology, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irown-ro, Gangnam-gu, Seoul, 06351, Republic of Korea. kparkoph@skku.edu.
Hyo Yeol KimDepartment of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irown-ro, Gangnam-gu, Seoul, 06351, Republic of Korea. siamkhy@skku.edu.ORCID http://orcid.org/0000-0002-2162-3202

Funding

Ministry of Trade, Industry and Energy Ministry of Trade, Industry and Energy
6 · The paper itself

Abstract

purposeWhile prior research suggests a relationship between obstructive sleep apnea (OSA) and non-arteritic anterior ischemic optic neuropathy (NAION), detailed associations remain unclear. This study investigated how polysomnography (PSG) parameters of OSA are associated with clinical features of acute NAION.

methodsWe conducted a retrospective analysis of 66 patients diagnosed with concurrent NAION and OSA between 2015 and 2023. Data on demographics, medical history, PSG results, ophthalmologic evaluations, and follow-up outcomes were analyzed. Univariate and multivariate linear regression analyses were performed to assess associations between OSA characteristics and NAION manifestations, adjusting for key confounders.

resultsThe cohort included 30 men and 36 women (mean age: 60 years). Comorbidities included hypertension (51.6%), dyslipidemia (43.8%), diabetes mellitus (DM; 32.8%), and cardiovascular diseases (17.2%). Seventeen patients (26.6%) were current smokers, and the mean body mass index (BMI) was 24.5 kg/m². Univariate regression revealed significant associations: Diminished visual fields were associated with older age, DM, and elevated Apnea– Hypopnea index (AHI) (p=0.01, 0.02, and 0.01 respectively); reduced visual acuity was linked to older age, increased shallow sleep, and lower oxygen saturation (p=0.03, 0.01, and 0.02, respectively). Increased peripapillary retinal nerve fiber layer (RNFL) thickness was associated with prolonged shallow sleep (p=0.01) which remained statistically significant after adjusting for age, sex, BMI, and smoking status.

conclusionPSG parameters of OSA, particularly AHI, sleep stage distribution, and oxygen saturation levels, are significantly associated with NAION clinical features. Comprehensive OSA assessment and management may help mitigate NAION risk and improve patient outcomes.

Indexed as

Optic Neuropathy, IschemicPolysomnographySleep Apnea, ObstructiveAgedComorbidityFemaleHumansMaleMiddle AgedRetrospective StudiesNon-arteritic anterior ischemic optic neuropathyObstructive sleep apneaPolysomnographyRetinal nerve fiber layerVisual acuity

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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.