Cesarean section and eye disorders.

Karska‐Basta, Izabella; Tarasiewicz, Marta; Kubicka‐Trząska, Agnieszka; Miniewicz, Joanna; Romanowska–Dixon, Bożena

doi:10.17772/gp/61752

Cited by 3 publications

(4 citation statements)

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“…Discrepancies of opinion as to the recommended mode of delivery in myopic parturients resulted in establishing the 2014 Ophthalmology-Obstetrics Consensus regarding the mode of delivery in patients with ocular lesions, under the auspices of the Polish Ophthalmological Society [5]. Consequently, cesarean section is recommended in myopic patients only when there is concomitant choroidal neovascularization in a macular region (which in some cases accompanies high myopia) due to the associated risk of retinal hemorrhage during the second stage of labor and the ensuing sudden deterioration of visual acuity [13].…”

Section: Discussionmentioning

confidence: 99%

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Delivery in Myopic Women: A Comparison of Mode of Delivery in Years 1990, 2000, and 2010

et al. 2019

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BackgroundA belief has existed for many years that severe myopia is a direct indication for cesarean section or an instrumental vaginal delivery, although many academic papers negated this opinion. The aim of this study was to analyze the mode of delivery of myopic patients in the years 1990, 2000, and 2010.Material/MethodsMedical records of 3027 women in labor from the 1st Department of Obstetrics and Gynecology, Medical University of Warsaw were analyzed in 3 time periods: year 1990 – group 1 (G1), year 2000 – group 2 (G2), and 2010 – group 3 (G3). Maternal age, severity and proportion of myopia, ophthalmological consultations, and mode of delivery were assessed.ResultsIn G1 there were 992 patients, in G2 there were 1010 patients, and in G3 there were 1025 patients. Myopic women in labor accounted for 20% of G1, 12% of G2, and 20% of G3. The mean maternal age was ±29.4 years in G1, ±30 years in G2, and ±31.5 years in G3. Myopia was divided into 3 levels of severity depending on the degree of refractive error: low myopia <−3.0 diopters sphere (DS), moderate myopia from −3 DS to −6 DS, and high myopia >−6 DS. The number of ophthalmological examinations needed in myopic patients to decide on the mode of delivery showed an increasing tendency over the evaluated years, but the rates of referrals for cesarean section/assisted delivery decreased.ConclusionsThe proportion of myopic women in labor receiving ophthalmological consultations showed an increasing trend over time. Despite publication of the Ophthalmology-Obstetrics Consensus of the Polish Society of Ophthalmology guidelines, myopia still remains an indication for cesarean section (cesarian section), but not to shorten the second stage of delivery.

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Section: Discussionmentioning

confidence: 99%

“…including macula and peripheral retina. for any anomalies (e.g., choroid neovascularization) to assess the risk of ocular complications during spontaneous vaginal delivery [11,[13][14][15]. Concomitant macular neovascularization is an indication for cesarian section.…”

Section: Discussionmentioning

confidence: 99%

Delivery in Myopic Women: A Comparison of Mode of Delivery in Years 1990, 2000, and 2010

et al. 2019

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“…In addition, there is no physiological basis for the increase of cylindric refraction error in pregnant women, in contrast to the spherical defect, which in the case of high myopia has a high impact on functional vision. High degree myopia with degenerative changes in the retina is an indication for caesarian section [9,10].…”

Section: Discussionmentioning

confidence: 99%

Pregnancy and the eye. Changes in morphology of the cornea and the anterior chamber of the eye in pregnant woman

et al. 2018

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Objectives:The main goal of the study was to determine whether uncomplicated pregnancy and natural labor exert influence on the cornea and the anterior chamber of the eye. Material and methods:The study included 114 eyes of 57 women in age of 21-35 years old. Only patients in the physiological pregnancy and giving natural birth were recruited into study.Prospective observative examination was performed. Patients were diagnosed twice: in 36 HBD and 6 weeks after labor. Using the Scheimpflug camera (Pentacam system) the following parameters were assessed: central corneal thickness (CCT), keratometric parameters: flat (K1) and steep (K2), astigmatism value and axis, anterior chamber depth (ACD), anterior chamber volume (ACV) and anterior chamber angle (ACA). The statistical analysis was carried out in the StatSoft Statistica 13 program.Results: CCT value is greater in the third trimester than in 6th week after the labour. ACD and ACA values are higher in 36 HBD than in the post-partum period but the difference is not statistically important (p > 0.05). K1, K2, cylindrical refraction error, axis of cylindrical refraction error do not change. Conclusions:Authors claim that it is the result from an increase in water retention in the corneal stroma as a response to hormonal changes. The plasticity of the anterior chamber seen before delivery can be a natural adaptive mechanism of the female body, which counteracts the excessive increase in intraocular pressure in the second stage of delivery.

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“…The significant increase in the rate of caesarean-section (C-section) delivery worldwide is one of the major problems in health systems 1 . In Iran, the rate of C-section delivery (35–41.9%) is 2–3 times higher than the optimal rate recommended by the World Health Organization (WHO) (10–15%) 2, 3, 4.…”

Section: Introductionmentioning

confidence: 99%

A survey of ophthalmologists and gynecologists regarding termination of pregnancy and choice of delivery mode in the presence of eye diseases

Mohammadi

Letafatnejad

Ashrafi

et al. 2017

Journal of Current Ophthalmology

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PurposeTo evaluate and compare the attitudes of ophthalmologists and gynecologists in suggesting appropriate approach to pregnancy in different ocular conditions.MethodsSpecialty-specific questionnaires on delivery mode and abortion indications for ophthalmic patients (refractive, vascular, oncologic, retinal, glaucoma, postoperation, posttrauma, and infectious) were designed and distributed among physician staff of Farabi Eye Hospital and Yas Women Hospital in Tehran. Attitudes and preferences of the ophthalmologists and gynecologists were quantified and compared.ResultsParticipants were 29 ophthalmologists and 19 gynecologists. Their mean age was 49.73 ± 7.57 and 46.79 ± 1.36 years, respectively. More than 50–70% ophthalmologists were in favor of normal vaginal delivery (NVD) in all ocular diseases. All gynecologists (100%) expressed their need for an ophthalmologist's opinion for decision-making. Ophthalmologists' top choices for conditions potentially requiring a caesarean section were corneal transplants (34.5%), high myopia (23%), retinal detachment (29%), and orbital tumors (34.5%), while two gynecologists recommended abortion in the presence of intraocular and orbital tumors and retinal detachment.In the case of a history of refractive surgery, orbital tumor and intraocular tumor, ophthalmologists recommend NVD over caesarean section twice as much as their gynecologist peers. For history of retinal detachment, glaucoma, retinal vascular accident and intraocular hemorrhage, no single gynecologist recommend NVD. The corresponding figure for ophthalmologist-recommended NVD were 67, 84, 72, and 81%.ConclusionsThere is extreme inconsistency among ophthalmologists and gynecologists in managing ophthalmic-obstetric scenarios, especially for caesarean section indications. Clinical guideline development and consultation for decision-making in challenging cases are recommended.

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Cesarean section and eye disorders.

Cited by 3 publications

References 0 publications

Delivery in Myopic Women: A Comparison of Mode of Delivery in Years 1990, 2000, and 2010

Delivery in Myopic Women: A Comparison of Mode of Delivery in Years 1990, 2000, and 2010

Pregnancy and the eye. Changes in morphology of the cornea and the anterior chamber of the eye in pregnant woman

A survey of ophthalmologists and gynecologists regarding termination of pregnancy and choice of delivery mode in the presence of eye diseases

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