{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,13]],"date-time":"2025-09-13T15:53:01Z","timestamp":1757778781924,"version":"3.44.0"},"reference-count":5,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>A 37-year-old woman presented to our hospital with a history of headaches, blurred vision and declining visual acuity. She had a history of obstructive sleep apnoea associated with Treacher Collins syndrome, a rare congenital disorder characterised by craniofacial deformities and obstruction of the upper airways. On funduscopy we noted bilateral papilloedema and retinal haemorrhages. A CT scan of the brain excluded a space occupying lesion and contrast-enhanced CT did not show evidence of venous sinus thrombosis. The cerebrospinal fluid opening pressure on lumbar puncture was normal. We made a diagnosis of visual loss and papilloedema secondary to chronic CO<jats:sub>2<\/jats:sub> retention from obstructive sleep apnoea. Her vision and headaches improved remarkably following a permanent tracheostomy. This case highlights the association between obstructive sleep apnoea and papilloedema and shows that the associated visual loss can ultimately be restored with a tracheostomy.<\/jats:p>","DOI":"10.1136\/bcr-2013-201117","type":"journal-article","created":{"date-parts":[[2013,10,7]],"date-time":"2013-10-07T07:32:53Z","timestamp":1381131173000},"page":"bcr2013201117","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Declining vision: saved by a tracheostomy"],"prefix":"10.1136","volume":"2013","author":[{"given":"Kirsty L","family":"Hett","sequence":"first","affiliation":[{"name":"Department of Medicine, Prince Charles Hospital, Merthyr Tydfil, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lily J","family":"Chutter","sequence":"additional","affiliation":[{"name":"Department of Medicine, Prince Charles Hospital, Merthyr Tydfil, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohamed","family":"Hassan","sequence":"additional","affiliation":[{"name":"Department of Medicine, Prince Charles Hospital, Merthyr Tydfil, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Onyebuchi E","family":"Okosieme","sequence":"additional","affiliation":[{"name":"Department of Medicine, Prince Charles Hospital, Merthyr Tydfil, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2013,10,7]]},"reference":[{"key":"2025082701080874000_2013.oct07_1.bcr2013201117.1","doi-asserted-by":"crossref","first-page":"1626","DOI":"10.1001\/archopht.118.12.1626","article-title":"Papilledema and obstructive sleep apnea syndrome","volume":"2013","author":"Purvin","year":"2000","journal-title":"Arch Ophthalmol"},{"key":"2025082701080874000_2013.oct07_1.bcr2013201117.2","doi-asserted-by":"crossref","first-page":"1906","DOI":"10.1001\/jama.290.14.1906","article-title":"Obstructive sleep apnea, implications for cardiac and vascular disease","volume":"2013","author":"Shamsuzzaman","year":"2003","journal-title":"JAMA"},{"key":"2025082701080874000_2013.oct07_1.bcr2013201117.3","doi-asserted-by":"crossref","first-page":"696","DOI":"10.1016\/j.ijom.2012.01.018","article-title":"Obstructive sleep apnoea in Treacher Collins syndrome: prevalence, severity and cause","volume":"2013","author":"Plomp","year":"2012","journal-title":"Int J Oral Maxillofac Surg"},{"key":"2025082701080874000_2013.oct07_1.bcr2013201117.4","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1111\/j.1365-2869.2007.00598.x","article-title":"Prevalence of papilloedema in patients with sleep apnoea syndrome: a prospective study","volume":"2013","author":"Peter","year":"2007","journal-title":"J Sleep Res"},{"key":"2025082701080874000_2013.oct07_1.bcr2013201117.5","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1016\/S1389-9457(01)00094-6","article-title":"Article reviewed: papilloedema and obstructive sleep apnoea syndrome","volume":"2013","author":"Rich","year":"2001","journal-title":"Sleep Med"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2013-201117","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T08:08:19Z","timestamp":1756282099000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2013-201117"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,10,7]]},"references-count":5,"alternative-id":["10.1136\/bcr-2013-201117"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2013-201117","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2013,10,7]]}}}