Periorbital edema secondary to positive airway pressure therapy.

Case Rep Ophthalmol Med

Sleep Medicine Division, Department of Psychiatry, Stanford Hospital and Clinics, Stanford, CA, USA.

Published: March 2015

AI Article Synopsis

  • Two patients experienced swelling around their eyes (periorbital edema) after starting positive airway pressure (PAP) therapy using a full face mask.
  • The swelling was worse in the morning and decreased throughout the day, possibly due to the mask's pressure affecting fluid drainage.
  • When the patients switched to a nasal pillow interface, their eye swelling improved significantly.

Article Abstract

Two patients developed bilateral, periorbital edema after initiating positive airway pressure (PAP) therapy with a full face mask. The periorbital edema was more pronounced in the morning and would dissipate throughout the day. This phenomenon seemed to be correlated with the direct pressure of the full face mask, which may have impaired lymphatic and venous drainage. To test this hypothesis, each patient was changed to a nasal pillow interface with subsequent improvement in the periorbital edema.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4342174PMC
http://dx.doi.org/10.1155/2015/126501DOI Listing

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