48 YOM With Central Vein Occlusion, Diabetes, High Blood Pressure, and Sleep Apnea
April 27, 2010
I am a 48 yr old male with diabetes, high blood pressure, sleep apnea and a central vein occlusion. My doctor gave me Avastin shots every 3 weeks and it helps my vision. Although when i wake up in the mornings i am almost blind and it gets better throughout the day. By about noon, I can see very well. Any ideas to improve my situation?
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2 Responses to “48 YOM With Central Vein Occlusion, Diabetes, High Blood Pressure, and Sleep Apnea”
hmm.
those with sleep apnea often have trouble closing their eyes when they sleep, and the cornea gets dried out and therefore blurry when they wake up. try lacrilube ointment at bedtime, and put some artificial tears in the eye in the morning.
otherwise, perhaps the blood flow to your eye is reduced when you sleep due to the apnea and vein occlusion, and improves when the blood flow kicks in later in the day.
lastly, the avastin injection material in your eye may very well settle down over the central part of your retina when you sleep, and then it settles on the peripheral part when you are upright. that will go away, of course, when you stop getting injections.
One answer to your question is that Ozurdex may be a viable treatment for treatment of the CRVO.
You symptoms, however, do not sound as though the vision loss is due to the CRVO. Instead, I wonder if you have problems with dry eye that may develop from a CPAP machine. Is this possible?
Randall V. Wong, M.D.
http://www.RetinaEyeDoctor.com
