Ocular Changes During Pregnancy

Mackensen, Friederike; Paulus, Wolfgang; Max, Regina; Neß, Thomas

doi:10.3238/arztebl.2014.0567

Cited by 52 publications

(102 citation statements)

References 67 publications

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“…The mean age at first diagnosis of uveitis is 39 years [2]. The prevalence of secondary glaucoma in patients with uveitis is approximately 20 % [3].…”

Section: Introductionmentioning

confidence: 99%

Trabeculectomy ab interno with the Trabectome® as a therapeutic option for uveitic secondary glaucoma

Anton

Heinzelmann

Neß

et al. 2015

Graefes Arch Clin Exp Ophthalmol

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“…The mean age at first diagnosis of uveitis is 39 years [2]. The prevalence of secondary glaucoma in patients with uveitis is approximately 20 % [3].…”

Section: Introductionmentioning

confidence: 99%

Trabeculectomy ab interno with the Trabectome® as a therapeutic option for uveitic secondary glaucoma

Anton

Heinzelmann

Neß

et al. 2015

Graefes Arch Clin Exp Ophthalmol

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“…A group of retinal diseases are seen during pregnancy in association with systemic diseases such as preeclampsia/eclampsia and disseminated intravascular coagulation (DIC). Retinal detachment, optic nerve ischemia (probably because of retinal edema), and central serous chorioretinopathy (in all three trimesters of pregnancy) have been reported along with eclampsia 5, 29, 30, 31, 32, 33, 34, 35, 36, 37. Therefore, it is recommended for pregnant women (especially in the presence of underlying disease such as diabetes or hypertension) to have complete eye examinations and receive specialty ophthalmic treatment as needed 7 .…”

Section: Discussionmentioning

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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“…Pregnancy affects multiple organ systems of human body including visual system through metabolic, hemodynamic, vascular, and immunologic changes. 1,2 Ocular changes in pregnancy are both physiological and pathological. Physiological changes include pigmentation of cheeks, ptosis, and changes in refraction and decrease in intraocular pressure.…”

Section: Introductionmentioning

confidence: 99%

Ocular pathologies emerging in pregnancy.

Hussain¹,

Naheed²,

Mahmood³

2019

TPMJ

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ABSTRACT… Objectives:To determine ocular pathologies that appear in pregnant women with no history of ocular or systemic disease prior to conception. . Materials and Methods: One hundred and twenty pregnant females with no history of previous ocular or systemic co morbidity were included in study. After obtaining informed consent detailed ocular and medical history was taken and complete ocular examination was done. Results: Mean age of the participant female was 24.7 years (Range 19-40 years). Four of them (3.33%) had bilateral optic disc edema, 2 of them had central serous chorioretinopathy (CSCR) and one female had unilateral macular hole. Conclusions: Ocular pathologies emerging in pregnancy are not uncommon and should not be overlooked. Pregnant women with ocular complaints should undergo a thorough ocular and systemic examination along with necessary investigations so that the pathological eye changes and associated systemic diseases could be managed timely and properly.

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Ocular Changes During Pregnancy

Cited by 52 publications

References 67 publications

Trabeculectomy ab interno with the Trabectome® as a therapeutic option for uveitic secondary glaucoma

Trabeculectomy ab interno with the Trabectome® as a therapeutic option for uveitic secondary glaucoma

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

Ocular pathologies emerging in pregnancy.

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