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Abstract #90505 Published in IGR 21-3
Effects of primary glaucoma on sleep quality and daytime sleepiness of patients residing at an equatorial latitude
Chin JY; Toh ZH; Lo YT; Wang HT; Poh EY; Chua CH; Hee OK; Lim BA; Yong VK; Laude A; Wong HT; Yip LWInternational Journal of Ophthalmology 2020; 13: 1451-1458
AIM: To investigate the impact of primary glaucoma on sleep quality and daytime sleepiness of patients. METHODS: Prospective cross-sectional study with consecutive sampling in South-East Asian population was performed. Validated questionnaires: the Pittsburg Sleep Quality Index (PSQI) and Epworth Sleepiness Scale (ESS) were administered prospectively. Subjects with non-glaucomatous optic neuropathy or concomitant retinal pathology were excluded. Glaucoma severity was based on HVF 24-2 perimetry. Binocular single vision was represented based on the better eye. Frequency of and predictive factors for poor sleep quality and excessive daytime sleepiness were compared. RESULTS: A total of 79 primary open angle glaucoma (POAG), 27 primary angle-closure glaucoma (PACG) patients, and 89 controls were recruited. PACG patients had higher median PSQI scores (=0.004) and poorer sleep quality (<0.001). Compared to controls, PACG patients were 3.34 times more likely to have poor sleep quality (=0.008), which remained significant after adjustment for demographics (=0.016) and predictive variables (=0.013). PACG patients have poorer sleep quality when visual acuity (VA) was 6/15 or worse (=0.009). Univariate and multivariate analysis of predictive variables for poor sleep quality and daytime sleepiness did not find statistical significance. CONCLUSION: PACG patients have poorer sleep quality but not daytime sleepiness. This is important in South-East Asian population with heavy disease burden. Evaluations on sleep disturbances can be considered to provide more holistic care.
Department of Ophthalmology, National Healthcare Group Eye Institute, Tan Tock Seng Hospital, 308433, Singapore.
Full articleClassification:
1.4 Quality of life (Part of: 1 General aspects)
9.4.15 Glaucoma in relation to systemic disease (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders)
