Perioperative Considerations and Anesthesia Management in Patients with Obstructive Sleep Apnea Undergoing Ophthalmic Surgery

Patients with OSA have an increased prevalence of ophthalmic disorders such as cataract, glaucoma, central serous retinopathy (detachment of retina, macular hole), eyelid laxity, keratoconus, and nonarteritic anterior ischemic optic neuropathy; some requiring surgery. Given that OSA is associated with a high incidence of perioperative complications and more than 80% of surgical patients with OSA are unrecognized, all surgical patients should be screened for OSA (eg, STOP-Bang questionnaire) with comorbid conditions identified and optimized. This is a literature review, highlighting best perioperative anesthesia practices in the management of ophthalmic surgical patients with OSA.