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What Causes Eye Pain And Blood Shot Sclera For Over 8 Years While Having Both Obstructive And Central Apnea?
Question: My husband has both obstructive and central apnea. Also diagnosed with a cerebral cavernous malformation CCM) in bottom left parital lobe, inoperable at age 38. He was diagnosed with hypertension or slightly high blood pressure so he takes ATACAND with HTZ. Thought of pituitary lesion on and off for 10 yrs. testosterone not even on the scale showed below like 20. That is all
Neurosurg said because he is so blonde like albino they are more susceptible to these sort of things like CCMs.
He wakes almost every night screaming in pain. Sometimes he cant see, less then 30min. It only occurs with naps lasting more then 2 hrs or after a few hrs of sleep at night. It never happens at other times.
One Neuro ophthalmologist says he may need a cornea transplant his cornea look like and the cornea spec says his eyes are fine.
He wears an APAP machine with respirator.
Why does this eye pain and dark red/purple color in the white prt of eyes occur. This started about 8 yrs ago he is now 48. Even when he wears eye gel, humidifier, no fan with and without APAP apnea machine. WHY DOES THIS EYE PAIN AND PURPLE/RED COLOR OCCUR?
Neurosurg said because he is so blonde like albino they are more susceptible to these sort of things like CCMs.
He wakes almost every night screaming in pain. Sometimes he cant see, less then 30min. It only occurs with naps lasting more then 2 hrs or after a few hrs of sleep at night. It never happens at other times.
One Neuro ophthalmologist says he may need a cornea transplant his cornea look like and the cornea spec says his eyes are fine.
He wears an APAP machine with respirator.
Why does this eye pain and dark red/purple color in the white prt of eyes occur. This started about 8 yrs ago he is now 48. Even when he wears eye gel, humidifier, no fan with and without APAP apnea machine. WHY DOES THIS EYE PAIN AND PURPLE/RED COLOR OCCUR?
Brief Answer:
Need necessary information for further discussion
Detailed Answer:
Hi,
I'm of the following opinion:
1. let me know about his weight which can be an aggravating/provoking factor for the same.
2. Is eye complication an aggravating or as a sequel to OSA (obstructive sleep apnea)???
3. As you have taken an opinion of Neuroopthalmologist was any consultation with vireroretinal surgeon taken to exclude any veno occlusive disease??
Please revert back with your clarification to help you assist better.
Dr. Munish Sood
Consultant Physician
Need necessary information for further discussion
Detailed Answer:
Hi,
I'm of the following opinion:
1. let me know about his weight which can be an aggravating/provoking factor for the same.
2. Is eye complication an aggravating or as a sequel to OSA (obstructive sleep apnea)???
3. As you have taken an opinion of Neuroopthalmologist was any consultation with vireroretinal surgeon taken to exclude any veno occlusive disease??
Please revert back with your clarification to help you assist better.
Dr. Munish Sood
Consultant Physician
Above answer was peer-reviewed by :
Dr. Remy Koshy
1. let me know about his weight which can be an aggravating/provoking factor for the same.
seems at 230 or his horrible now 275 it remained steady happening almost daily.
2. Is eye complication an aggravating or as a sequel to OSA (obstructive sleep apnea)???
offered a c-pap then a b-pap which was believed to all be incorrect machines and then these eye problems began about 2 yrs into using these machines. later another pulmonologist explained he needed an a-pap but now damage has remained. we were also told that sometimes wearing suits and ties daily can cause eye issues so we are watching to see if his ties are too tight?? but this is for glaucoma not what he has so i dont know.
3. As you have taken an opinion of Neuroopthalmologist was any consultation with vireroretinal surgeon taken to exclude any veno occlusive disease??
i assume it was looked into between the neuro-ophthal and cornea specialist but will have to confirm this with docs. i do remember some vein?? stuff was looked into but will make sure specifically what you are saying is.
We live in a pretty bad area and previously had an active life style but since moving here we do not leave our home much. We are preparing to move soon but until then we are living less actively.
seems at 230 or his horrible now 275 it remained steady happening almost daily.
2. Is eye complication an aggravating or as a sequel to OSA (obstructive sleep apnea)???
offered a c-pap then a b-pap which was believed to all be incorrect machines and then these eye problems began about 2 yrs into using these machines. later another pulmonologist explained he needed an a-pap but now damage has remained. we were also told that sometimes wearing suits and ties daily can cause eye issues so we are watching to see if his ties are too tight?? but this is for glaucoma not what he has so i dont know.
3. As you have taken an opinion of Neuroopthalmologist was any consultation with vireroretinal surgeon taken to exclude any veno occlusive disease??
i assume it was looked into between the neuro-ophthal and cornea specialist but will have to confirm this with docs. i do remember some vein?? stuff was looked into but will make sure specifically what you are saying is.
We live in a pretty bad area and previously had an active life style but since moving here we do not leave our home much. We are preparing to move soon but until then we are living less actively.
Brief Answer:
further information
Detailed Answer:
Hi,
1. Although you do have mentioned the weight but I’m unable to deduce whether it is in kg or lbs [please specify in unit]
PS. If in lbs then it comes in range 104.326 kg – 124.738 kg which is way too overweight for his age.
2. Since people with sleep apnea has low blood oxygen level [hpoxia] thus could be the reason of hypertension and as a result causing microvascular complication of high blood pressure, i.e. Retinopathy
3. It could be Obstructive sleep Apnea Hypopnea Syndrome [OSAHS], since it directly acts on the retinal microcirculation
PS. another pathology to look out for [which occur in young to middle age] due to OSAHS is Central Serous Chorioretinopathy [CRC]
4. Pain occurring only at night: make sure that any AI [autoimmune disorder] is excluded.
PS. I remember a case, where the patient has chronic ocular pain and she went to every Doctor where she thought was related to Opthalmology but to no avail, lastly [after 6-7 months] it was diagnosed as Ocular herpes.
5. As you are presently having a sedentary lifestyle thus lifestyle modifications [reduction of weight, management of blood pressure/blood sugar] is possible only with active lifestyle/exercise.
Dr. Munish
further information
Detailed Answer:
Hi,
1. Although you do have mentioned the weight but I’m unable to deduce whether it is in kg or lbs [please specify in unit]
PS. If in lbs then it comes in range 104.326 kg – 124.738 kg which is way too overweight for his age.
2. Since people with sleep apnea has low blood oxygen level [hpoxia] thus could be the reason of hypertension and as a result causing microvascular complication of high blood pressure, i.e. Retinopathy
3. It could be Obstructive sleep Apnea Hypopnea Syndrome [OSAHS], since it directly acts on the retinal microcirculation
PS. another pathology to look out for [which occur in young to middle age] due to OSAHS is Central Serous Chorioretinopathy [CRC]
4. Pain occurring only at night: make sure that any AI [autoimmune disorder] is excluded.
PS. I remember a case, where the patient has chronic ocular pain and she went to every Doctor where she thought was related to Opthalmology but to no avail, lastly [after 6-7 months] it was diagnosed as Ocular herpes.
5. As you are presently having a sedentary lifestyle thus lifestyle modifications [reduction of weight, management of blood pressure/blood sugar] is possible only with active lifestyle/exercise.
Dr. Munish
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Above answer was peer-reviewed by :
Dr. Remy Koshy
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