Maternal Ocular Adaptations during Pregnancy

Weinreb, Robert N.; Lu, Arthur; Key, Thomas C.

doi:10.1097/00006254-198708000-00001

Cited by 32 publications

(20 citation statements)

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“…Several studies have previously focussed on the pregnancy-related changes in ocular blood flow [7]and IOP [13, 14, 15, 16, 17, 18, 19]. To the best of our knowledge, this study is the first to document the effect of pregnancy on both intraobserver and the intertechnique agreement in IOP measurements using different tonometers.…”

Section: Discussionmentioning

confidence: 87%

“…However, significant decreases in IOP, as measured with each of the three tonometers, were noted in late pregnancy. A hypotensive ocular effect of pregnancy in the third trimester was postulated in previous studies [13, 14, 15, 16, 17, 18, 19]. Paterson and Miller [15]found that the outflow facility rose steeply for about 20 weeks in pregnancy.…”

Section: Discussionmentioning

confidence: 90%

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Effect of Pregnancy on Intraobserver and Intertechnique Agreement in Intraocular Pressure Measurements

Akar¹,

Yücel²,

Akar

et al. 2005

Ophthalmologica

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Aim: To evaluate the effect of pregnancy on intraobserver and intertechnique agreement for intraocular pressure (IOP) measurements. Material and Methods: Right eyes of 88 healthy women who were likely to become pregnant and of 94 healthy age-matched females were included in the study. Complete ocular examinations were performed on each eye. IOP measurements were obtained by Goldmann, Schiötz and non-contact tonometers (NCT) during 3-week exam periods before (within 6 weeks of conception) and during pregnancy (first, second and third trimesters) for pregnant cases, and in similar time intervals for control subjects. In each exam period, three readings with each of three separate tonometers were obtained, at least 1 day apart. Intraobserver and intertechnique agreements for IOP measurements were assessed. Results: The mean visual acuity, keratometry and refractive error of both control and pregnant subjects did not change significantly during the study (all p values >0.01). In late pregnancy, pregnant cases demonstrated significant decreases in IOP measurements obtained with each of the three tonometers, and in intraobserver agreement with Goldmann and Schiötz tonometers (all p values <0.01). Intertechnique agreement of both Goldmann and Schiötz tonometers with NCT decreased significantly in the third trimester. Both intraobserver and intertechnique agreement in IOP measurements of control subjects were not found to change significantly during the study (all p values >0.01). Conclusion: IOP significantly decreased in the third trimester of pregnancy. Perfect intraobserver agreement in IOP readings of pregnant subjects was obtained with NCT. This may suggest that NCT is a viable option for IOP measurements during the follow-up of pregnant patients at risk for glaucoma.

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Section: Discussionmentioning

confidence: 87%

Section: Discussionmentioning

confidence: 90%

Effect of Pregnancy on Intraobserver and Intertechnique Agreement in Intraocular Pressure Measurements

Akar¹,

Yücel²,

Akar

et al. 2005

Ophthalmologica

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“…The mechanism is by way of lower episcleral venous pressure and an ensuing increased efflux of aqueous humor (5). No physiological, funduscopically visible changes of the retina arise in the course of a normal pregnancy.…”

Section: Generalmentioning

confidence: 99%

Ocular Changes During Pregnancy

Mackensen¹,

Paulus²,

Max³

et al. 2014

Deutsches Ärzteblatt International

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“…Es sollte dennoch nach den Anzeichen einer Okulomotoriusparese gesucht und, falls diese vorhanden sind, eine Abklärung eingeleitet werden. Nach Lumbalanästhesie bei der Entbindung wurden gehäuft Fälle eines Horner-Syndroms beschrieben [2].…”

Section: Liderunclassified

Auge und Schwangerschaft

2010

Gynäkologe

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ZusammenfassungWährend der Schwangerschaft kommt es am Auge zu einer Reihe von Umstellungsreaktionen. So kann sich beispielsweise die Refraktion ändern oder eine Kontaktlinsenunverträglichkeit einstellen. Einige Erkrankungen können voranschreiten. Hier ist vor allen Dingen die diabetische Retinopathie zu nennen, welche die häufigste Augenerkrankung in der Schwangerschaft ist. Das Risiko einer Progression der Retinopathie ist abhängig vom Status vor der Schwangerschaft. Die Behandlung entspricht hinsichtlich der Proliferation der von nicht schwangeren Diabetikerinnen.Eine Spontanentbindung ist nahezu immer möglich. Ein Kaiserschnitt wegen Myopie, Netzhautdegenerationen oder nach Netzhautoperation ist nicht erforderlich. Viele der üblichen lokalen Medikamente können am Auge auch während der Schwangerschaft ohne erhöhtes Fehlbildungsrisiko eingesetzt werden. Schlüsselwörter AbstractPregnancy may cause ocular changes, for example refractive changes or contact lens intolerance. A number of ocular diseases may deteriorate. Especially preexisting diabetic retinopathy may worsen. Vaginal delivery is nearly always possible. Caesarean section is not required due to myopia, peripheral retinal degenerations or after retinal surgery. Most topically applied drugs usually used in ophthalmology are safe during pregnancy.

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Maternal Ocular Adaptations during Pregnancy

Cited by 32 publications

References 0 publications

Effect of Pregnancy on Intraobserver and Intertechnique Agreement in Intraocular Pressure Measurements

Effect of Pregnancy on Intraobserver and Intertechnique Agreement in Intraocular Pressure Measurements

Ocular Changes During Pregnancy

Auge und Schwangerschaft

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