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"Intraocular Pressure"

Original Articles
Association between obstructive sleep apnea and glaucoma
Yoonchae Zoh, Jae Moon Yun
Korean J Fam Med 2025;46(1):35-41.   Published online March 25, 2024
DOI: https://doi.org/10.4082/kjfm.23.0162
Background
Obstructive sleep apnea (OSA) and glaucoma are major global health challenges. However, the probable association between them is yet to be fully elucidated. This study aimed to investigate the association between OSA and glaucoma.
Methods
Data for this cross-sectional study were obtained from the eighth Korea National Health and Nutrition Examination Survey (2019–2021). From among 9,495 individuals who completed the STOP-Bang questionnaire on OSA (for those aged ≥40 years) and provided their glaucoma prevalence/intraocular pressure (IOP) data, 8,741 were selected for glaucoma prevalence analysis. A total of 754 individuals aged 80 years or older or those with missing confounding variable data were excluded. A separate subgroup of 8,627 individuals was selected for IOP analysis after excluding 114 individuals who use glaucoma eye drops. The study employed linear and logistic regression analyses with Stata/MP ver. 17.0 (Stata Corp., USA) to understand the relationship between the risk of OSA assessed using the STOP-Bang score and key glaucoma indicators, adjusted for confounders. Statistical significance was set at a P-value <0.05.
Results
The average±standard deviation [SD] age of the glaucoma prevalence study group was 56.59±10.48, and 42.98% were male. Notably, every unit increase in the STOP-Bang score was associated with a greater risk of glaucoma (odds ratio, 1.097; P=0.044). In the IOP subgroup, the average±SD age was 56.49±10.45 years, with 42.88% being males. The linear regression showed a statistically significant relationship between the STOP-Bang score and IOP after adjusting for confounding variables (β=0.171, P<0.001).
Conclusion
Our findings revealed a significant positive association between OSA risk, as measured using the STOP-Bang score, and both the likelihood of glaucoma and high IOP.

Citations

Citations to this article as recorded by  
  • Obstructive Sleep Apnea and Glaucoma
    Vitorino Modesto Dos Santos, Kin Modesto Sugai, Vitor Ruas Domingues Arruda Modesto
    Turkish Journal of Internal Medicine.2026; 8: 1.     CrossRef
  • Sleep duration modifies the association between obstructive sleep apnea risk and glaucoma: evidence from the Korea National Health and Nutrition Examination Survey
    Jae Hyeok Kwak, Do Young Park, Jong Chul Han
    Eye and Vision.2025;[Epub]     CrossRef
  • Obstructive Sleep Apnea as a Potentiator of Primary Open-Angle Glaucoma and Necessity for Interventional Therapy
    Pranav Vasu, Isabella V. Wagner, Paul Connor Lentz, Priyanka Gumaste, Yazan Abubaker, Bryan C.H. Ang, Abhimanyu S. Ahuja, Emily Dorairaj, Ibrahim Qozat, Darby D. Miller, Syril Dorairaj
    Ophthalmology Glaucoma.2025; 8(6): 553.     CrossRef
  • Multimodal Assessment of Ocular Parameters in Patients with Severe Obstructive Sleep Apnea with Emphasis on Retinal Structural Changes
    Anita Pusic Sesar, Anja Cehajic, Antonela Geber, Mia Zoric Geber, Ivan Cavar, Antonio Sesar
    Life.2025; 15(8): 1307.     CrossRef
  • Reversing Aging and Improving Health Span in Glaucoma Patients: The Next Frontier?
    Shibal Bhartiya, Tanuj Dada, Karthikeyan Mahalingam
    Journal of Current Glaucoma Practice.2024; 18(3): 87.     CrossRef
  • 9,379 View
  • 169 Download
  • 3 Web of Science
  • 5 Crossref
Relationship between Alcohol Consumption and Ocular Pressure according to Facial Flushing in Korean Men with Obesity
Sami Lee, Jong-Sung Kim, Sung Soo Kim, Jin-Gyu Jung, Seok-Joon Yoon, Yuri Seo, Jihan Kim, Yoon Kyung Bae, Ja Young Lee
Korean J Fam Med 2019;40(6):399-405.   Published online October 31, 2019
DOI: https://doi.org/10.4082/kjfm.18.0131
Background
This study aimed to examine the relationship between alcohol consumption and intraocular pressure (IOP) according to facial flushing in Korean men with obesity.
Methods
The study included 479 Korean men with a body mass index of ≥25 kg/m2 (75 non-drinkers, 174 with drinking-related facial flushing, and 230 without facial flushing) who underwent health check-ups between October 1, 2016 and March 31, 2017. Multivariate logistic regression was used to assess the relationship between alcohol consumption and high IOP (≥21 mm Hg).
Results
Flushers consuming ≤16 drinks per week had a significantly higher risk of high IOP than non-drinkers, depending on alcohol consumption (≤8 standard drinks: odds ratio [OR], 4.49; 95% confidence interval [CI], 1.05– 19.25; >8 but ≤16 standard drinks: OR, 8.14; 95% CI, 1.37–48.45). However, when the consumption was >16 drinks per week, the high IOP risk did not significantly increase (OR, 0.71; 95% CI, 0.05–10.69). In addition, there was no significant relationship between alcohol consumption and high IOP among non-flushers consuming ≤8 drinks per week (OR, 2.07; 95% CI, 0.52–8.19). However, a significantly increased risk of high IOP was observed among nonflushers consuming >8 drinks per week, depending on alcohol consumption (>8 but ≤16 standard drinks: OR, 4.84; 95% CI, 1.14–20.61; >16 standard drinks: OR, 4.08; 95% CI, 1.02–16.26).
Conclusion
This study suggests that obese men with alcohol flush reactions may have an increased risk of high IOP with the consumption of smaller amounts of alcohol than non-flushers.

Citations

Citations to this article as recorded by  
  • Drinking Habit Could Exacerbate the Progression of Presbyopia in Men
    Masahiko Ayaki, Akiko Hanyuda, Kazuno Negishi
    Clinical Optometry.2026; Volume 18: 1.     CrossRef
  • Association Between Alcohol Use and Primary Open Angle Glaucoma
    Leo L.T. Meller, Bharanidharan Radha Saseendrakumar, Golnoush Mahmoudinezhad, Kiana Tavakoli, Jo-Hsuan Wu, Aman Parikh, Sonali Bhanvadia, Sasan Moghimi, Linda Zangwill, Robert N. Weinreb, Sally L. Baxter
    Journal of Glaucoma.2025; 34(2): 69.     CrossRef
  • Current Status of Korean Alcohol Drinking in Accordance with the Korean Alcohol Guidelines for Moderate Drinking Based on Facial Flushing
    Sami Lee, Jihan Kim, Jong Sung Kim
    Korean Journal of Family Medicine.2023; 44(3): 129.     CrossRef
  • Association Between Alcohol Consumption Patterns and Glaucoma in Japan
    Kei Sano, Ryo Terauchi, Kota Fukai, Yuko Furuya, Shoko Nakazawa, Noriko Kojimahara, Keika Hoshi, Tadashi Nakano, Akihiro Toyota, Masayuki Tatemichi
    Journal of Glaucoma.2023; 32(11): 968.     CrossRef
  • Alcohol, Intraocular Pressure, and Open-Angle Glaucoma
    Kelsey V. Stuart, Kian Madjedi, Robert N. Luben, Sharon Y.L. Chua, Alasdair N. Warwick, Mark Chia, Louis R. Pasquale, Janey L. Wiggs, Jae H. Kang, Pirro G. Hysi, Jessica H. Tran, Paul J. Foster, Anthony P. Khawaja
    Ophthalmology.2022; 129(6): 637.     CrossRef
  • Relationship between Alcohol Consumption and Testosterone Deficiency according to Facial Flushes among Middle-Aged and Older Korean Men
    Kyungmi Koh, Sung Soo Kim, Jong-Sung Kim, Jin-Gyu Jung, Seok-Joon Yoon, Won Yoon Suh, Hyun Gu Kim, Namhee Kim
    Korean Journal of Family Medicine.2022; 43(6): 381.     CrossRef
  • Alcohol and Testosterone Deficiency in People Who Experience Facial Flushes
    Jungun Lee
    Korean Journal of Family Medicine.2022; 43(6): 345.     CrossRef
  • Effects of Consumption of Alcohol on Intraocular Pressure: Korea National Health and Nutrition Examination Survey 2010 to 2011
    Ji Eun Song, Joon Mo Kim, Mi Yeon Lee, Hye Joo Jang, Ki Ho Park
    Nutrients.2020; 12(8): 2420.     CrossRef
  • Korean Alcohol Guidelines for Moderate Drinking Based on Facial Flushing
    Sami Lee, Jong-Sung Kim, Jin-Gyu Jung, Mi-Kyeong Oh, Tae-Heum Chung, Jihan Kim
    Korean Journal of Family Medicine.2019; 40(4): 204.     CrossRef
  • 9,965 View
  • 116 Download
  • 7 Web of Science
  • 9 Crossref
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