Pregnancy and the eye.
| Autor: | Khong EWC; Department of Surgery, Central Clinical School, Monash University.; Centre for Eye Research Australia, University of Melbourne., Chan HHL; Royal Victorian Eye and Ear Hospital.; Department of Ophthalmology, Royal Melbourne Hospital, Melbourne, Victoria., Watson SL; Save Sight Institute, Sydney Medical School, University of Sydney.; Corneal Unit, Sydney Eye Hospital, Sydney, New South Wales, Australia., Lim LL; Centre for Eye Research Australia, University of Melbourne.; Royal Victorian Eye and Ear Hospital. |
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| Jazyk: | angličtina |
| Zdroj: | Current opinion in ophthalmology [Curr Opin Ophthalmol] 2021 Nov 01; Vol. 32 (6), pp. 527-535. |
| DOI: | 10.1097/ICU.0000000000000778 |
| Abstrakt: | Purpose of Review: The aim of this study was to summarize common eye changes that may occur during pregnancy, and how pregnancy may affect preexisting eye conditions such as glaucoma and diabetic retinopathy. Challenges and complexities surrounding the treatment of these eye conditions during pregnancy are also highlighted. Recent Findings: Refractive changes are common and may persist in the postpartum in patients with keratoconus. Although new medical and surgical glaucoma treatments are available, their safety in pregnancy is unknown. Limited use of topical and systemic glaucoma therapies is recommended, with a preference for selective laser trabeculoplasty as first line treatment in appropriate cases. The impact of pregnancy on diabetic retinopathy remains unclear. Although anti-vascular endothelial growth factor agents are first-line treatment for sight-threatening diabetic retinopathy, their effect on the developing foetus remains unknown and are therefore best avoided in the first and second trimesters. Noninfectious uveitis tends to become less active during pregnancy, allowing the potential tapering of systemic therapy and the use of local topical or injected corticosteroid treatment for active disease as required. Summary: Significant changes can occur to the eye during pregnancy, wherein the optimal treatment for many ocular conditions remains uncertain, highlighting the need for further research to develop clear recommendations that best balance the need to preserve the mother's sight, and the health of the developing foetus. The need for preconception planning, and collaborative multidisciplinary care between the obstetrician, physician, ophthalmologist and paediatrician is paramount. (Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.) |
| Databáze: | MEDLINE |
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