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http://www.revoptom.com/content/c/20600/
VOLUME 2, NUMBER 32
DECEMBER 19, 2011

FLOPPY EYELID SYNDROME MAY REVEAL THE PRESENCE OF SLEEP APNEA.
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As discussed in Practice Pearl of the Week #7, patients who present with chronic staining, inflammation and dry eye may have floppy eyelid syndrome (FES).

However, once you establish a diagnosis of FES, you may wish to ascertain whether the patient has any known history of sleep apnea. If the individual is unaware, referral to a sleep specialist likely is warranted. Why? Because undocumented or untreated sleep apnea is associated with many potentially fatal complications, including:
  • Heart disease and hypertension.1
  • Diabetes.2
  • Depression.3
  • Blacking out while driving.4
1. Cicek D, Lakadamyali H, Gokay S, et al. Effect of Obstructive Sleep Apnea on Heart Rate, Heart Rate Recovery and QTc and P-wave Dispersion in Newly Diagnosed Untreated Patients. Am J Med Sci. 2011 Nov 17. [Epub ahead of print]
2. Chasens ER. Obstructive sleep apnea, daytime sleepiness, and type 2 diabetes. Diabetes Educ. 2007 May-Jun;33(3):475-82.
3. Norra C, Kummer J, Boecker M, et al. Poor Sleep Quality is Associated with Depressive Symptoms in Patients with Heart Disease. Int J Behav Med. 2011 Nov 29. [Epub ahead of print]
4. Haraldsson PO, Carenfelt C, Diderichsen F, et al Clinical symptoms of sleep apnea syndrome and automobile accidents. ORL J Otorhinolaryngol Relat Spec. 1990;52(1):57-62.
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