Alaska Sleep Education Center

Sleep Apnea and Glaucoma Risk

January is Glaucoma Awareness Month, a critical time to shine a light on one of the leading causes of irreversible blindness worldwide. While this disease typically affects individuals over the age of 60, glaucoma can strike at any age, making awareness, prevention, and early diagnosis essential. Interestingly, research has shown that sleep quality and habits may play an unexpected role in eye health, particularly in managing glaucoma risk and supporting those already diagnosed.

Glaucoma is a group of eye diseases characterized by damage to the optic nerve, often due to elevated intraocular pressure (IOP). High pressure within the eye damages the nerve, impairing vision over time. Since vision loss from glaucoma is typically gradual and painless, many people don’t notice symptoms until significant damage has occurred. This underscores the importance of regular eye exams, especially for those with a family history of glaucoma.

How Sleep and Glaucoma Are Connected

You might wonder: What does sleep have to do with glaucoma? Emerging studies suggest that sleep patterns and sleep quality may affect eye pressure and blood flow, both of which play roles in the development and progression of glaucoma. Here are some of the ways sleep may impact eye health:

  1. Sleep Position and Intraocular Pressure

Eye pressure can fluctuate based on body position, meaning the way you sleep can influence IOP. Studies suggest that sleeping face-down or on your side may increase eye pressure compared to sleeping on your back. Research indicates that people who sleep in positions that elevate IOP could face higher glaucoma risk. Adopting a back-sleeping position may help, especially for those with a family history of the condition.

  1. Sleep Apnea and Glaucoma Risk

Obstructive sleep apnea (OSA), a condition where breathing stops and starts repeatedly during sleep, has also been linked to glaucoma. OSA can reduce blood flow to the optic nerve, leading to nerve damage over time. People with sleep apnea have an increased likelihood of developing normal-tension glaucoma, where optic nerve damage occurs despite normal IOP. If you snore or experience restless sleep, a sleep study might be beneficial for both your eye and general health.

  1. Poor Sleep Quality and Eye Pressure Fluctuations

Fragmented or poor-quality sleep can lead to blood pressure fluctuations, which may, in turn, affect eye pressure. Irregularities in blood pressure can hinder optic nerve health, contributing to glaucoma progression. Ensuring a consistent sleep schedule and practicing good sleep hygiene can help stabilize blood pressure, which may benefit eye health.

Can Healthy Sleep Habits Prevent Glaucoma?

While sleep alone cannot prevent glaucoma, certain sleep habits may help reduce risk factors associated with the disease. Practicing good sleep hygiene, such as going to bed and waking up at the same time each day, can help stabilize your circadian rhythm and blood pressure, potentially benefiting eye pressure stability.

As mentioned, sleeping on your back may help reduce intraocular pressure compared to side or stomach positions. You can also monitor your sleep for signs of sleep apnea through medical services like The Alaska Sleep Clinic. Treating sleep apnea can improve blood flow to the optic nerve, which may reduce the risk of glaucoma.

For those diagnosed with glaucoma, healthy sleep habits may support treatment efforts and contribute to slowing disease progression. Here’s how sleep can be an ally for managing glaucoma:

  1. Reduced Eye Pressure Fluctuations

Establishing a regular sleep schedule and quality sleep can prevent drastic blood pressure fluctuations that might affect IOP. Consistency in blood pressure is essential for those managing glaucoma, as it minimizes the stress on the optic nerve.

  1. Enhancing Medication Efficacy

Some glaucoma treatments, such as eye drops, are affected by sleep patterns. Administering medication as directed, often at night, can work in sync with a healthy sleep schedule to maintain effective eye pressure control.

  1. Supporting General Health for Better Outcomes

Good sleep is crucial for overall health and well-being, promoting better immune function and energy levels, which can help patients manage glaucoma symptoms. Those with high-stress levels, which can elevate IOP, may also benefit from quality sleep as a way to regulate stress and anxiety, indirectly supporting eye health.

Glaucoma Awareness Month offers a valuable opportunity to learn how lifestyle choices—like quality sleep—may impact eye health. While sleep cannot replace routine eye care or treatment for those at risk or already diagnosed, adopting a healthy sleep routine can support other preventive measures and help in managing glaucoma symptoms. Make it a priority to get regular eye exams and address any sleep concerns, as both are essential components of a proactive approach to eye health.

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Alaska Sleep Clinic's Blog

Our weekly updated blog aims to provide you with answers and information to all of your sleeping questions.

Brent Fisher, MBA, FACHE, FACMPE
President and Chief Executive Officer

“Alaska Sleep Clinic has a history of providing the most comprehensive sleep medicine services in the state of Alaska. Its potential has only begun. I am here to take these high-quality, comprehensive services to all Alaskans.”

Experience

Brent Fisher has held leadership positions spanning a wide variety of complex and start-up organizations: manufacturing (pharmaceutical & medical device), software development, hospitals (academic and community), medical groups, consulting, hospice, military, engineered devices, engineered plastics, and private equity.

Publications and Organizations

His writings have been published in various magazines, trade journals, and medical journals, including the Physician Executive Journal, Healthcare Executive, Modern Healthcare, Group Practice Journal, New England Journal of Medicine, and Journal of Healthcare Management (Best Article Award).

He has served on the Board of Directors of professional associations, civic organizations, and businesses.

Hobbies and Activities

Brent enjoys being with his family, serving in the community, hiking, camping, fishing, and hunting.