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. 2021 Jul 31;10(15):3422. doi: 10.3390/jcm10153422

Table A2.

Summary of the major studies evaluating the association between OSA and ischemic optic neuropathy.

Author, Year Country/Region Sample Size Main Findings
Stein, 2011 [34] USA 2,257,163 OSA patients without CPAP therapy had a significantly increased risk of NAION (HR (95% CI): 1.16 (1.01–1.33), p < 0.001). There was no significant difference in the risk of NAION between OSA patients treated with CPAP and non-OSA patients.
Huon, 2016 [37] USA 274 A meta-analysis of 4 case–control studies showed that OSA was significantly associated with the development of NAION (pooled OR (95% CI): 3.126 (1.799–5.433), p < 0.001).
Wu, 2016 [37] China 5,916 A meta-analysis of 4 prospective cohort studies and 1 case–control study demonstrated higher incidence of NAION in OSA individuals vs. non-OSA controls (pooled OR (95% CI): 6.18 (2.00–19.11), p = 0.002).
Liguori, 2018 [67] Italy 20 Stringently adherent CPAP therapy significantly improved VEP in patients with OSA.
Sun, 2019 [63] Taiwan 42,440 OSA was a significant risk factor for the development of NAION (HR (95% CI): 1.66 (1.08–2.55), p = 0.019).
Chang, 2019 [66] USA 318 Poor compliance with CPAP therapy in patients with moderate-to-severe OSA was a major risk factor of NAION in the fellow eye (HR (95% CI): 4.50 (1.79–11.3), p = 0.0015).