Ocular manifestations of pregnancy and labour: from the innocuous to the sight threatening

Patil, Ajay D; Ellabban, Abdallah A.; Patil, Dilip; Yorston, David; Williamson, Thomas H.; Laidlaw, D A H; Vize, Colin; Hingorani, Melanie; Morris, Edward

doi:10.1111/tog.12670

Cited by 7 publications

(6 citation statements)

References 61 publications

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“…Notably, antiglaucoma medications carry teratogenic risks and are contraindicated for pregnant women. Therefore, laser trabeculoplasty is recommended as a means to manage intraocular pressure before a glaucoma patient plans pregnancy [14][15][16][17][18].…”

Section: Brief Review Of Eye Disease In Pregnancymentioning

confidence: 99%

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A Narrative Review on Neuro-Ophthalmological Manifestations That May Occur during Pregnancy

Anton,

Bogdănici,

Branișteanu

et al. 2024

Life

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Aim: As a medical condition, pregnancy mandates the simultaneous treatment of both the mother and the fetus, making it a distinctive aspect of clinical medicine. Material and Method: We analyze the physiological changes occurring in the eyes and brain during pregnancy, as well as the neuro-ophthalmological manifestations that can occur during pregnancy. Studies published in both English and other languages, case reports, and reviews from 2011 to 2023 onwards were included. All surveys were acquired by exploring the databases. Results: We found a total of 2135 articles that showcase neuro-ophthalmic changes related to pregnancy: review and research articles (Science Direct 804, Web of Science 923, Scopus 345, and 63 Pub Med). In total, 86 studies were examined after applying the inclusion and exclusion criteria. Bilateral papilledema can be a warning sign for intracranial hypertension or cerebral venous sinus thrombosis. Additionally, when unilateral, it is important to differentially diagnose anterior ischemic optic neuropathy secondary to a hypercoagulant, compressive or inflammatory optic neuropathy, optic neuritis, or even orbital pseudotumor state. Severe eclampsia and preeclampsia can manifest as choroidal infarction, serous retinal detachment, and even cortical blindness. There can also be implications at the level of cranial nerves or transient Horner syndrome. Conclusions: Evaluating and treating a pregnant woman with neuro-ophthalmological manifestations is challenging. The obstetrician closely follows and has a medical relationship with the pregnant woman; hence he/she might be the first to be informed about the general condition of the pregnant woman or might request an ophthalmologic examination tailored to each specific case.

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Section: Brief Review Of Eye Disease In Pregnancymentioning

confidence: 99%

“…Common symptoms include headaches and vision disturbances, such as transient visual obscuration, visual field loss, and reduced central visual acuity. Due to the thrombotic risk associated with pregnancy, imaging is urgently required to exclude cerebral venous sinus thrombosis, which will be expanded on below [18,19,25].…”

Section: Papilledema and Pregnancymentioning

confidence: 99%

A Narrative Review on Neuro-Ophthalmological Manifestations That May Occur during Pregnancy

Anton,

Bogdănici,

Branișteanu

et al. 2024

Life

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“…Prior survey studies reported that some obstetricians advocate for assisted delivery via cesarean section or instrumental delivery instead of spontaneous vaginal delivery for patients who have a history of RRD repair [2,3]. However, several studies in the literature suggest that no correlation exists between RD and labor or spontaneous vaginal delivery [4][5][6][7].…”

Section: Retinal Detachment and Childbirthmentioning

confidence: 99%

In the Right Place, at the Right Time: Autobiographical Case Report of an Ophthalmologist Who Had a Rhegmatogenous Retinal Detachment

Evangelista¹

2022

Cureus

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Rhegmatogenous retinal detachment (RRD) is a medical eye emergency that can lead to loss of vision, especially if not promptly treated. High myopia, retinal holes or tears, previous surgery, and trauma have been identified as risk factors for developing RRD. Although some obstetricians may believe labor or vaginal delivery increases the risk for RRD, there has been no significant evidence in the literature to support a correlation. This is a case report of a retinal detachment a month after childbirth as experienced by me, an ophthalmologist.

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“…Proliferatív diabeteses retinopathiában (C) a papilla területében szabálytalan, kóros érújdonképződések jelennek meg (fekete nyilak). A D ábra a szemfenéki lézerkezelés elvégzése után a periférián látható pigmentá lódó lézergócokat ábrázolja kontrakciója esetén indikált, ha a trakciós retinaleválás a centrális látást veszélyezteti [25].…”

Section: áBraunclassified

Terhességhez kapcsolódó szemészeti változások és a szülésvezetés módjának szemészeti kérdései

Czakó

Kovács

Sándor

et al. 2021

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Összefoglaló. A terhesség során a szervezet hormonrendszerében jelentős változások mennek végbe, melyek a magzat optimális anatómiai és élettani fejlődését, valamint a várandósság terminusig történő kihordását biztosítják. Ezen hatások sokszor a reproduktív szervrendszeren kívül más szerveket is érinthetnek, így a szemet és a szem függelékeit. A szemészeti változások élettani és kóros eltérésekben nyilvánulhatnak meg, melyek a legtöbbször átmenetiek és ártalmatlanok, bizonyos esetben azonban terápiás beavatkozást igényelhetnek, vagy súlyos háttérbetegség kórjelzői lehetnek. Közleményünkben áttekintjük a terhességhez kapcsolódó leggyakoribb fiziológiás szemészeti változásokat és egyéb patológiás szemészeti kórképeket, melyek a várandósság alatti megváltozott hormonális, immunológiai és metabolikus hatásokra kialakulhatnak, progrediálhatnak vagy fellángolhatnak. Ezenkívül ismertetjük a szülésvezetés módjának szemészeti indikációból történő eldöntésének vonatkozásait és a szülés kapcsán előforduló szemészeti szövődményeket. Orv Hetil. 2021; 162(52): 2089–2099. Summary. During pregnancy, significant changes occur in the endocrine system that ensure the appropriate anatomical and physiological development of the foetus as well as smooth delivery at term. Apart from the reproductive system, these effects can affect other organs such as the eye and ocular adnexa. Ophthalmic changes can manifest in physiological and pathological abnormalities, most of which are transient and harmless; however, some cases may require therapeutic intervention or may be indicative of severe underlying disease. Our review focuses on the most common physiological ophthalmic changes associated with pregnancy and other pathological ophthalmic diseases that may develop, progress or exacerbate due to altered hormonal, immunological and metabolic effects during gestation. Furthermore, aspects of deciding the delivery mode from an ophthalmic indication, along with ocular complications related to childbirth, are described. Orv Hetil. 2021; 162(52): 2089–2099.

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Ocular manifestations of pregnancy and labour: from the innocuous to the sight threatening

Cited by 7 publications

References 61 publications

A Narrative Review on Neuro-Ophthalmological Manifestations That May Occur during Pregnancy

A Narrative Review on Neuro-Ophthalmological Manifestations That May Occur during Pregnancy

In the Right Place, at the Right Time: Autobiographical Case Report of an Ophthalmologist Who Had a Rhegmatogenous Retinal Detachment

Terhességhez kapcsolódó szemészeti változások és a szülésvezetés módjának szemészeti kérdései

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