Previous research suggest that patients with thyroid eye disease (TED) who are at increased risk for obstructive sleep apnea (OSA) develop more severe clinical features of TED. However, evidence is lacking on the impact of OSA status on orbital decompression outcomes in this patient population. To evaluate whether OSA affects visual outcomes among patients with TED who are undergoing orbital decompression, investigators conducted a retrospective study of such patients, who were stratified by STOP-BAG score into low-risk OSA (score, 0-2), intermediate-risk OSA (score, 3-4), and high-risk OSA (score, >5). Among 57 patients with an average age of 53.7, 72% were in the low-risk group, 14% in the intermediate-risk group, and 14% in the high-risk group. At 9-12 months post-orbital decompression, logMAR visual acuity (VA) scores were 0.1 (20/25) for the low-risk group, 0.19 (20/30) for the intermediate-risk group, and 0.27 (20/37) for the high-risk group. “While patients at low-risk of OSA trended toward having a better pos-operative VA… at 9-12 months in comparison to the intermediate-risk… and high-risk… groups, this did not reach statistical significance,” said the study authors.
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