The physiologic and pathologic effects of pregnancy on the human visual system

Kalogeropoulos, Dimitrios; Sung, Velota; Paschopoulos, Minas; Moschos, Marilita M.; Panidis, Panagiotis; Kalogeropoulos, Chris

doi:10.1080/01443615.2019.1584891

Cited by 23 publications

(27 citation statements)

References 76 publications

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“…Associations between CSCR and pregnancy have been demonstrated in several retrospective studies. 2 , 3 , 7 , 8 The general onset of visual symptoms often occurs in the third trimester, the period of greatest hemodynamic changes. 7 Parameters in pregnancy associated with pCSCR include hypertension, hypercoagulability, decreased colloidal osmotic pressure, and preeclampsia.…”

Section: Discussionmentioning

confidence: 99%

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Utility of optical coherence tomography angiography in pregnancy-associated central serous chorioretinopathy

Pole

Gaw

irena

2020

American Journal of Ophthalmology Case Reports

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Purpose To describe a case of pregnancy-related central serous chorioretinopathy (pCSCR) and the utility of monitoring with optical coherence tomography (OCT) and OCT angiography (OCTA). Observations A 34-year-old female in her third trimester of pregnancy presented with symptomatic visual disturbances of the right eye. Medical history was otherwise unremarkable. Optical coherence tomography (OCT) disclosed a serous retinal detachment with trace subretinal fibrin and elevation of the retinal pigment epithelium (RPE). OCT angiography (OCTA) demonstrated absence of choroidal neovascular membrane (CNV). It was decided to monitor with weekly OCTs until delivery, after which the patient had full resolution of symptoms and subretinal fluid. Conclusions and Importance Pregnancy-related CSCR may be complicated by fibrin deposition and RPE changes suspicious for CNV. This provides evidence of the utility of OCT for monitoring pCSCR progression and of OCTA to non-invasively assess presence of CNV.

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Section: Discussionmentioning

confidence: 99%

“… 7 Parameters in pregnancy associated with pCSCR include hypertension, hypercoagulability, decreased colloidal osmotic pressure, and preeclampsia. 7 …”

Section: Discussionmentioning

confidence: 99%

Utility of optical coherence tomography angiography in pregnancy-associated central serous chorioretinopathy

Pole

Gaw

irena

2020

American Journal of Ophthalmology Case Reports

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“…(7) It is thought that E2 reduction has an antagonistic effect on the carbonic anhydrase pump in the corneal endothelium, decreasing the uveoscleral flow and increasing the episcleral venous pressure. (7,16) Thus, ocular tension is increased. In accordance with the literature, we also found significantly increased ocular tension in postmenopausal women.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Changes in Eye Findings of Premenopausal and Postmenopausal Women

Birgül¹,

Turan

2020

Preprint

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Background: This study aimed to compare the presence of blepharitis with corneal thickness, refractive values and ocular axial length changes in premenopausal and postmenopausal women. Methods: Thyroid-stimulating hormone (TSH), follicle-stimulating hormone (FSH), luteinizing hormone (LH), oestradiol (E2), refractive values with prolactin, refractions in horizontal and vertical meridians, ocular tension (OT) values, ocular axial length, central corneal thickness and the presence of blepharitis were evaluated in 142 premenopausal patients and 153 postmenopausal patients. Results: Statistically significant differences were found for the values for right eye OT (P < 0.001), left eye OT (P < 0.001) and presence of blepharitis in the premenopausal group (p<0.001). There appears to be no relationship between the decrease in corneal refractive values and increased corneal thickness or ocular axial length. However, the presence of blepharitis and increased OT values are related.Conclusions: Woman in postmenopausal period should be examined by ophthalmologist because of significant increase in blepharitis and OT.

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“…Even though maculopathy has been reported to be triggered after childbirth, there are no known factors that might precipitate or are associated with worsening optic disc maculopathy [4]. Pregnancy is known to worsen many eye disorders such as diabetic retinopathy and hypertensive retinopathy, but optic disc maculopathy has not been seen yet [9]. We therefore report a case of a pregnant young female that presented with worsening maculopathy secondary to optic disc pit.…”

Section: Introductionmentioning

confidence: 97%

Optic nerve pit maculopathy worsened during pregnancy: a case report

Torrado-Cobian

Fivgas

2021

BMC Ophthalmol

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Background To report a case of Optic Disc Pit (ODP) maculopathy exacerbated during pregnancy. Case presentation A 30-year-old female developed unilateral blurry vision at 10-weeks gestation. Ophthalmic examination revealed left eye reduced visual acuity (VA) with the presence of subretinal fluid temporal to the disc extending to the fovea. On Spectral Domain Optical Coherence Tomography (SD-OCT) subretinal, and intraretinal fluid was confirmed. Laser photocoagulation was tried in an attempt to prevent surgical intervention without success; subsequently, pars plana vitrectomy, internal limiting membrane peel and gas tamponade was performed. Three-weeks later, a full thickness macular hole developed, and repeat surgery was performed. Nine-months after the second surgery the macular hole was closed with near complete resorption of edema. Conclusions No trigger factors for ODP maculopathy have been reported before. We report a case of worsening ODP maculopathy during pregnancy with good visual outcome after surgical intervention.

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The physiologic and pathologic effects of pregnancy on the human visual system

Cited by 23 publications

References 76 publications

Utility of optical coherence tomography angiography in pregnancy-associated central serous chorioretinopathy

Utility of optical coherence tomography angiography in pregnancy-associated central serous chorioretinopathy

Comparison of Changes in Eye Findings of Premenopausal and Postmenopausal Women

Optic nerve pit maculopathy worsened during pregnancy: a case report

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