Case 2: Optovue iWellness Exam and Octopus Pro 900
Since no etiology for macro-infarct had yet been uncovered, the patient was re-questioned about several aspects of his general health. He admitted to snoring and gasping, and what his wife believed was sleep apnea, so severe that she often slept in a different room. The patient reluctantly agreed to overnight polysomnogaphy to determine the respiratory disturbance index during night sleep which is a value to diagnose and grade Sleep Apnea Syndrome (SAS). In an important article, the association between SAS and Nonarteric Anterior Ischemic Optic Neuropathy (NAION) revealed a high prevalence of SAS in patients with NAION.7
Note the relationship between the Ganglion Cell reduction and the central visual field loss as revealed the M Standard Program. Our patient has yet to schedule this highly recommended diagnostic procedure. Normal tension glaucoma is also a consideration and similarly has been associated with SAS.