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). |