Particularities of myopia in pregnancy (original) (raw)
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Delivery Mode On Myopic Women (Literature Review)
KESANS : International Journal of Health and Science
Hormonal changes and hemodynamic changes in pregnancy cause an increase in blood volume and water retention which causes a thickening of the cornea of ??the eye and affects blood flow in the eye. This condition is thought to trigger temporary myopia or worsen myopia that occurred before pregnancy. This will have an impact on the choice of delivery method because pushing in the second stage of labor can increase the risk of retinal detachment. The aim of the study was to determine the method of delivery in patients with myopia, using a meta-analysis. The results showed that obstetrics and gynecology specialists, as well as ophthalmologists, recommended instrumental delivery or cesarean section for women with myopia citing concerns that vaginal delivery would increase the risk of detachment. In addition, the impact of labor on the ocular system was found to be not so significant. While the method of delivery in women with myopia, it was found that most of the vaginal deliveries were s...
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."
A review of the changes in the ophthalmic and visual system in pregnancy
African Journal of Reproductive Health, 2008
Pregnancy is often associated with ocular changes which may be more commonly transient but occasionally, permanent. It may be associated with the development of new ocular conditions, or can exacerbate pre-existing conditions. The ocular effects of pregnancy may be physiological or pathological or may be modifications of pre-existing conditions. Adnexial changes include chloasma, spider angiomas and ptosis. Anterior segment changes include a decrease in conjunctival capillaries and an increase in the granularity of conjunctival venules and in corneal curvature, changes in corneal thickness, refractive index, accommodation and refractive errors, and a decrease in intraocular pressure. Posterior segment changes include worsening of diabetic retinopathy, central serous chorioretinopathy, increased risk of peripheral vitreochorioretinal dystrophies and retinal detachment, and a beneficial effect on non-infectious uveitis. Systemic disorders of importance include preeclampsia, Graves dis...
JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga
Highlights:1. The selection of delivery methods in pregnant patients with myopia is needed to prevent blindness.2. Although there was no report of retinal detachment either in spontaneous delivery or in cesarean section in this study, all pregnant patients with pathologic myopia or peripheral retinal degeneration should be consulted by Ophthalmologist. Introduction: The selection of delivery methods in pregnant patients with myopia is needed to prevent blindness. This study aimed to calculate spontaneous delivery and cesarean section prevalence in pregnant patients with myopia.Methods: This was a descriptive epidemiology study using medical records of Maternity Outpatients Dr. Soetomo General Academic Hospital, Surabaya, from September 2012 to September 2014. Age, stage of myopia, and delivery method data were taken. The sample in this study was all pregnant patients with myopia, as many as 30 patients.Results: Forty percent of pregnant patients with myopia were in the 21-25 age gro...
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...
[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...
Ocular manifestations of pregnancy and labour: from the innocuous to the sight threatening
The Obstetrician & Gynaecologist, 2020
Key content Pregnancy may precipitate several physiological changes that can have ocular consequences; many of these are innocuous and require little more than reassurance for the patient. There are uncommon instances of new sight‐threatening pathology that necessitate a prompt approach. Pregnant women presenting to the ophthalmologist with ocular symptoms can cause concern because alternative differentials may need to be considered; and the potential teratogenic or fetotoxic effects of investigations or treatment mean that management decisions may, in some cases, differ to those of the nonpregnant patient. Learning objectives To be aware of both physiological and pathological ocular changes that may occur during pregnancy. To develop a greater understanding of investigations and management of ophthalmic and neuro‐ophthalmic disorders in pregnancy. To develop an understanding of referral pathways, enabling an optimal outcome for both mother and baby.
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.
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.