Ophthalmologe. 2010 Sep;107(9):863-72; quiz 873.
[Eye and pregnancy.]
[Article in German]
Ness T, Paulus W.
Schwerpunkt Uveitis, Universitäts-Augenklinik Freiburg, Killianstr. 5, 79106, Freiburg. [Ссылки доступны только зарегистрированным пользователям ]
Abstract
Pregnancy may cause ocular changes, for example refractive changes or contact lens intolerance. A number of ocular diseases may deteriorate. Especially preexisting diabetic retinopathy may worsen. Vaginal delivery is nearly always possible. Caesarean section is not required due to myopia, peripheral retinal degenerations or after retinal surgery. Most topically applied drugs usually used in ophthalmology are safe during pregnancy.
Z Geburtshilfe Neonatol. 2007 Aug;211(4):139-41.
[Eye disease and mode of delivery]
[Article in German]
Hart NC, Jünemann AG, Siemer J, Meurer B, Goecke TW, Schild RL.
Frauenklinik, Universitätsklinikum Erlangen.
Abstract
Many ophthalmologists and obstetricians recommend either an assisted vaginal delivery with forceps or vacuum extraction or a Caesarean section in cases of pre-existing eye diseases such as severe myopia, retinal detachment, diabetic retinopathy, or glaucoma. These recommendations, however, are not evidence-based. None of the published trials have reported any retinal changes after vaginal delivery. In general, eye disease is not an indication for an instrumental or operative delivery provided that regular eye examinations (once each trimester) have been performed.
Graefes Arch Clin Exp Ophthalmol. 1995 Sep;233(9):598-600.
The effect of normal childbirth on eyes with abnormalities predisposing to rhegmatogenous retinal detachment.
Landau D, Seelenfreund MH, Tadmor O, Silverstone BZ, Diamant Y.
Ophthalmology Department, Shaare Zedek Medical Center, Jerusalem, Israel.
Abstract
BACKGROUND: Pregnant women who have high myopia, a history of retinal detachment or retinal holes, or have known lattice degeneration are frequently referred to an ophthalmologist for advice concerning the management of pregnancy and labor, i.e. whether a spontaneous vaginal delivery can be allowed and whether prophylaxis for high-risk retinal pathology is indicated. Many obstetricians still believe that pregnant women with ocular abnormalities predisposing to rhegmatogenous retinal detachment should have an instrumental delivery, and a few even advocate cesarian section. Very little has been written about the management of pregnant women with high-risk retinal pathology, and opinions differ considerably. Patient data on this subject are scarce.
METHODS: We studied 10 women who had 19 deliveries (10 prospective and 9 retrospective) and who had a history of retinal detachment, had been diagnosed as having extensive lattice degeneration, or had been treated for symptomatic retinal holes or breaks. The women were followed from the third trimester of pregnancy through labor and delivery into the postpartum period, looking for changes in the retinal status.
RESULTS: We found no changes in the retinal status in the postpartum examination.
CONCLUSION: We conclude that prenatal treatment of asymptomatic retinal pathology is not indicated and that spontaneous vaginal delivery may be allowed to take place in women with high-risk retinal pathology.
|