Ophthalmological criteria for choice of optimal mode of delivery in pregnant women with myopia

Kolenko, О.V.; Sorokin, Е.L.; Fil, А.А.

doi:10.17749/2313-7347.2019.13.2.156-163

Cited by 3 publications

(2 citation statements)

References 7 publications

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“…Valsalva maneuver can increase intraocular pressure until 10.2 mmHg. [10][11][12][13][14] In addition, it is dangerous for a patient to push during spontaneous delivery. In conclusion, it needs periodic evaluations in pregnant patients with myopia to suggest delivery methods and prevent blindness.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of Spontaneous Delivery and Cesarean Section in Pregnant Patients with Myopia at Pregnancy Clinic Dr. Soetomo General Academic Hospital, Surabaya

Malika

Ernawati

Suryani

2023

JUXTA

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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. AbstractIntroduction: 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 group. There were three patients with low myopia (10%), seven patients with moderate myopia (23.33%), and 20 patients with high myopia (66.66%). More than half of the pregnant patients with myopia had a cesarean section (66.66%), and ten had a vaginal delivery (33.33%). The most indications of cesarean sections were non-myopia in 14 patients (70%), and only six indicated myopia (30%). Myopia was not a primary indication for cesarean sections in Maternity Outpatients Dr. Soetomo General Academic Hospital, Surabaya.Conclusion: 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 an Ophthalmologist.

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Section: Introductionmentioning

confidence: 99%

Prevalence of Spontaneous Delivery and Cesarean Section in Pregnant Patients with Myopia at Pregnancy Clinic Dr. Soetomo General Academic Hospital, Surabaya

Malika

Ernawati

Suryani

2023

JUXTA

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“…A PPLP should be performed not later than 4 weeks before estimated delivery date to allow enough time for laser-induced chorioretinal adhesions to form, since it is these adhesions that prevent retinal detachment [1,9]. Below we report a case that may be of interest to practitioners in the area.…”

Section: Introductionmentioning

confidence: 99%

A case of OCT evidence of retinal breaks in a myopic patient woman at 38 weeks of gestation

Ivanytska¹,

Terletska²,

Levytska³

2021

Oftalmol Zh

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Background: An eye examination of a pregnant woman is a mandatory phase of her preparation for delivery, with a special attention given to ophthalmic symptoms and relevant recommendations for delivery management. Purpose: To examine spectral domain ocular coherence tomography (SD-OCT) changes in retinal periphery and to provide grounds for the tactics of preparing a pregnant woman for delivery by performing preventive peripheral laser photocoagulation (PPLP). Material and Methods: A 35-year-old myopic woman at 38 weeks of gestation underwent a routine eye examination (visual acuity assessment, refractometry, tonometry, perimetry, biomicroscopy, and ophthalmoscopy), ultrasound biometry and SD-OCT (Heidelberg Engineering). Results: The patient was diagnosed with mild myopia along with peripheral lattice degeneration and peripheral cystic degeneration of the retina in both eyes and local retinal detachment with atrophic retinal breaks in the right eye. The peripheral vitreoretinal lattice degeneration was arrested and the local retinal detachment was limited by laser-induced chorioretinal adhesions.Conclusion: Spectral domain ocular coherence tomography provides an objective picture of the state of both the macular and the periphery of the retina, and, along with biomicroscopy and ophthalmoscopy, provides grounds for the tactics of care for pregnant women for preventing retinal detachment. The outcome of timely preventive laser treatment allowed us to conclude that the patient had no ocular contraindications to vaginal delivery.

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Laser treatment for ophthalmic pathology in the Far East of Russia

Melnikov,

Filina,

Kucherenko

2023

Tihookeanskij medicinskij žurnal

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Laser technologies are increasingly used in medicine for treating various clinical conditions. In this article, we aim to review the evolution of laser ophthalmic therapy and its current prevalence in the Far East of Russia. Laser coagulation of the retina is recognized as a highly effective noninvasive treatment for diabetic retinopathy, central serous chorioretinopathy, some types of peripheral retinal degeneration, post-thrombotic retinopathy, retinoschisis, local retinal detachment, and retinal ruptures. Laser therapy reduces the probability of low vision and blindness in patients. The efficacy, accessibility, as well as the absence of complications, make laser treatment methods attractive for patients.

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Ophthalmological criteria for choice of optimal mode of delivery in pregnant women with myopia

Cited by 3 publications

References 7 publications

Prevalence of Spontaneous Delivery and Cesarean Section in Pregnant Patients with Myopia at Pregnancy Clinic Dr. Soetomo General Academic Hospital, Surabaya

Prevalence of Spontaneous Delivery and Cesarean Section in Pregnant Patients with Myopia at Pregnancy Clinic Dr. Soetomo General Academic Hospital, Surabaya

A case of OCT evidence of retinal breaks in a myopic patient woman at 38 weeks of gestation

Laser treatment for ophthalmic pathology in the Far East of Russia

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