A review of the changes in the ophthalmic and visual system in pregnancy (original) (raw)
Related papers
Pregnancy induced ocular changes
Advances in Ophthalmology & Visual System
Pregnancy is often associated with ocular changes which may be more commonly transient but occasionally permanent. The ocular effects of pregnancy may be physiological or pathological or may be modifications of pre-existing conditions. The ophthalmological manifestations occurring during pregnancy may be pre-existing before pregnancy or may be aggravated or induced by pregnancy itself. Irrespective of the visual health status of the pregnant women, regular perinatal eye examination should be scheduled in order to assure continuous surveillance of healthy eyes. Careful surveillance for appropriate and timely diagnosis is imperative for understanding management. The aim of this review is to elaborate the physiological and pathological changes occurring in the eye during pregnancy and the needful management.
[Ocular changes during pregnancy]
Arquivos brasileiros de oftalmologia
Pregnancy can cause several alterations in human eye function in healthy condition as well in ocular disease; these effects on the eyes are divided into three categories: physiologic alterations, ocular diseases changes already existing before the pregnancy, and pathological alterations. The present text proposes a bibliographical revision on the theme. The authors researched PubMed (MEDLINE) and LILACS databases.
Study of Ocular Changes in Pregnancy
The Journal of medical research, 2016
Introduction: In pregnancy, women undergo a tremendous number of systemic and ocular changes. Physiological changes occur in the cardiovascular, hormonal, metabolic, hematologic and immunologic systems. Hormonal changes are among the most prominent systemic changes in pregnant women with the placenta, maternal endocrine glands and the fetal adrenal glands combining their productivity to make a high-powered hormone factory. Aims: To evaluate the various ocular changes taking place in pregnancy in women with no other co-morbid ocular or systemic diseases and to compare ocular changes in three trimesters of pregnancy with controls of non pregnant women. Materials and Methods: The ocular changes occuring in varying stages of pregnancy in 225 pregnant women were studied and compared with 75 healthy non pregnant women. Results: Age was similar in the pregnant and non pregnant women studied. Headache was significantly more common among pregnant women when compared to non pregnant women. Di...
A Narrative Review of the Complex Relationship between Pregnancy and Eye Changes
Diagnostics, 2021
Pregnancy is a condition often characterized by changes that occur in different parts of the body. Generally, the eyes suffer several changes during pregnancy that are usually transient but may become permanent at times. This may occur due to the release of placental hormones and those of maternal endocrine glands and fetal adrenal glands. Due to hormonal influences, physiological ocular changes during pregnancy have been shown in Caucasian women, so corneal sensitivity, refractive status, intraocular pressure, and visual acuity may change during pregnancy. Within this review, all studies that referred to physiological aspects and to changes of ocular pathology of pregnancy, the effect of the pregnancy on pre-existing (diabetic retinopathy, neuro-ophthalmic disorders) eye disorders, postpartum ocular changes, the intraocular pressure and the effect of hypotensive ophthalmic medicine during pregnancy, the connection between pregnancy and the neuro-ophthalmic pathology, as well as the...
Ophthalmic considerations in pregnancy
Medical Journal Armed Forces India, 2013
The eyes are our window to the world and offer us an island of vision in the sea of darkness. Equally, the eyes are also a window to peep into what is going on in the milieu interior. Pregnancy is a natural state of physiological stress for the body. Each organ system of the body in a pregnant lady behaves at variation than in a non-pregnant state. A complex interplay exists between how the pregnancy affects the eye and how ocular physiology and pathology may lead to the modification of the management of pregnancy. Added to this is the effect of systemic conditions on the eye which gets modified by pregnancy. An awareness of the interaction of Ophthalmology and Obstetrics for the benefit of the mother and the child requires a basic understanding of these complex interactions. This article aims at presenting to the reader in a simplified and organized manner the common ophthalmic issues encountered in a pregnant woman, their management and the effect of various ophthalmic medication on the fetus. ª 2013, Armed Forces Medical Services (AFMS). All rights reserved. "The woman about to become a mother, or with her newborn infant upon her bosom, should be the object of trembling care and sympathy wherever she bears her tender burden or stretches her aching limbs.. God forbid that any member of the profession to which she trusts her life, doubly precious at that eventful period, should hazard it negligently, unadvisedly or selfishly."
Ophthalmic associations in pregnancy
Australian Journal of General Practice, 2020
Background A range of ocular pathology exists during pregnancy. Some pre-existing eye conditions, such as diabetic retinopathy, can be exacerbated during pregnancy. Other conditions manifest for the first time during pregnancy as a result of complications such as pre-eclampsia and eclampsia. Early recognition and understanding of the management of ophthalmic conditions is crucial. Objective The aim of this article is to discuss the physiological and pathological changes in the eyes of pregnant women. Pathological changes are subdivided into: 1) pre-existing eye conditions modified during pregnancy, 2) pathological conditions occurring for the first time and 3) ophthalmic associations due to complications in pregnancy. Discussion This article reviews the ophthalmic conditions that can manifest during pregnancy and discusses their pathophysiology and clinical implications. Recognition, history and examination of ophthalmic conditions and a diagnostic framework for referral are provided. Fundamental multidisciplinary care principles involving the primary care physician, ophthalmologist, rheumatologist or haematologist and obstetrician in the care of the pregnant patient are discussed.
The Obstetrician & Gynaecologist, 2006
Changes in metabolism, hormone profile and blood circulation that normally occur during pregnancy can affect functioning of the mother's eyes. Visual changes in pregnancy are common and many are specifically associated with pregnancy itself. Knowledge of these ocular changes can help to differentiate the physiological changes from ocular manifestation of systemic disease and diseases pertaining to the eye in a pregnant woman. The effects of pregnancy on the eye are reviewed in this article.
Collegium antropologicum, 2013
Hormonal, metabolic, hemodynamic, vascular and immunological changes that occur during pregnancy can affect the function of the eye. These changes are commonly transient, but in some cases they may be permanent and have consequences even after childbirth. The ocular effects of pregnancy may be physiological or pathological and can be associated with the development of new ocular pathology or may be modifications of pre-existing conditions. The most common physiological changes are alterations of corneal sensitivity and thickness, decreased tolerance to contact lenses, decreased intraocular pressure, hemeralopia and refractive errors. Possible posterior segment changes include worsening of diabetic retinopathy, central serous chorioretinopathy, increased risk of peripheral vitreochorioretinal dystrophies and retinal detachment. Thus, it should be kept in mind that the presence of any ocular symptoms in a pregnant woman requires ophthalmologic examination and further management.
Eye Changes In Pregnancy : Many Things Can Be Missed
2017
The virtue of becoming a mother is God’s greatest gift to womankind. However, sometimes the mother has to pay a heavy duty for this privilege. During pregnancy, there are progressive anatomical, physiological, and/or may be even some pathological changes which involve not only the reproductive system but also all other organ systems of the body even including the eyes. Pregnancy can affect the eyes in many ways (i.e. physiological or pathological) which are being described in this article.
Physiological Ocular Changes in Various Trimesters of Pregnancy
Nepalese Journal of Ophthalmology
Introduction: A large number of hormonal, metabolic, immunologic and haematological changes occur in all organ system of female body during pregnancy. Human eye and its function are no exception to these changes. Purpose: To evaluate physiological ocular changes in various trimesters of pregnancy and to compare them amongst the three trimesters. Patients and Methods: A hospital based cross sectional study, using judgmental convenient sampling method, was done in both eyes of 120 pregnant females (40 in each trimester), with known last menstrual period, attending antenatal clinic of BPKIHS, Dharan. Women with known systemic or ocular diseases like conjunctivitis, keratitis, iridocyclitis, glaucoma, refractive error, were excluded. Demographic details of all patients were recorded and detailed ocular examination, including best corrected visual acuity, slit lamp examination, vertical and horizontal keratometry, central corneal thickness and intraocular pressure were performed and recorded. A comparison of these parameters was made amongst three trimesters. Results: Visual acuity of all the subjects was 0 logMAR. Corneal curvature, both vertical and horizontal, signifi cantly increased towards third trimester. Central corneal thickness progressively increased from fi rst to third trimester (p= 0.019 Right eye, 0.016 Left eye). In contrary to this, intraocular pressure signifi cantly decreased during successive stages of pregnancy (P=0.000 both eye). Conclusion: Signifi cant increase in corneal curvature and central corneal thickness along with, decrease in intraocular pressure occur during successive trimesters of pregnancy. All pregnant women should have routine ocular examination; changes noted, if any, should receive attention and period of gestation should be considered prior to making a diagnosis.