Motherhood: What every ophthalmologist needs to know

The aim of this review article is to summarize the available literature on physiologic and pathologic ocular changes during pregnancy and the effect of diseases in pregnancy. A literature search was conducted using PUBMED, MEDLINE, and Cochrane library in English. In addition, the cited references i...

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Main Authors: Arvind K Morya, Sonalika Gogia, Arushi Gupta, Sujeet Prakash, Kanchan Solanki, Anushree D Naidu
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2020-01-01
Series:Indian Journal of Ophthalmology
Subjects:
Online Access:http://www.ijo.in/article.asp?issn=0301-4738;year=2020;volume=68;issue=8;spage=1526;epage=1532;aulast=Morya
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author Arvind K Morya
Sonalika Gogia
Arushi Gupta
Sujeet Prakash
Kanchan Solanki
Anushree D Naidu
author_facet Arvind K Morya
Sonalika Gogia
Arushi Gupta
Sujeet Prakash
Kanchan Solanki
Anushree D Naidu
author_sort Arvind K Morya
collection DOAJ
description The aim of this review article is to summarize the available literature on physiologic and pathologic ocular changes during pregnancy and the effect of diseases in pregnancy. A literature search was conducted using PUBMED, MEDLINE, and Cochrane library in English. In addition, the cited references in the published articles were manually reviewed for the relevant results. Pregnancy encompasses a multitude of changes in all body systems, including the visual system of the female. The changes can be physiological, i.e., changes occurring in the lids and adnexa, cornea, conjunctiva, changes in tear film composition and intraocular pressure, retina, choroid, and visual field. Pathological changes in a pregnant woman's eye include changes related to preeclampsia and eclampsia, central serous chorioretinopathy, retinal artery or vein occlusions, and disseminated intravascular coagulation. Preexisting diseases like diabetic retinopathy, Graves' disease, idiopathic intracranial hypertension, various inflammatory conditions can undergo changes in their course during pregnancy. Ophthalmic medications can have an effect on both mother and the baby and hence should be used cautiously. In addition, intrauterine infections play a major role in causing inflammation in the eye of the baby. Hence, vaccination of the mother prior to pregnancy plays an important role in preventing intrauterine infections in the neonate. A regular eye examination in the perinatal period plays a vital role in recognizing ophthalmic pathologies which might require a prompt medical intervention. Pathological ocular diseases should be discriminated from physiologic changes to establish an individualized treatment or preventive plan. This approach to ocular benefits of treatment to the mother should always weigh against the potential harm to the fetus.
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spelling doaj.art-3ca63e1b0d1344b6b0ae04c3d71835552022-12-21T17:17:03ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892020-01-016881526153210.4103/ijo.IJO_2033_19Motherhood: What every ophthalmologist needs to knowArvind K MoryaSonalika GogiaArushi GuptaSujeet PrakashKanchan SolankiAnushree D NaiduThe aim of this review article is to summarize the available literature on physiologic and pathologic ocular changes during pregnancy and the effect of diseases in pregnancy. A literature search was conducted using PUBMED, MEDLINE, and Cochrane library in English. In addition, the cited references in the published articles were manually reviewed for the relevant results. Pregnancy encompasses a multitude of changes in all body systems, including the visual system of the female. The changes can be physiological, i.e., changes occurring in the lids and adnexa, cornea, conjunctiva, changes in tear film composition and intraocular pressure, retina, choroid, and visual field. Pathological changes in a pregnant woman's eye include changes related to preeclampsia and eclampsia, central serous chorioretinopathy, retinal artery or vein occlusions, and disseminated intravascular coagulation. Preexisting diseases like diabetic retinopathy, Graves' disease, idiopathic intracranial hypertension, various inflammatory conditions can undergo changes in their course during pregnancy. Ophthalmic medications can have an effect on both mother and the baby and hence should be used cautiously. In addition, intrauterine infections play a major role in causing inflammation in the eye of the baby. Hence, vaccination of the mother prior to pregnancy plays an important role in preventing intrauterine infections in the neonate. A regular eye examination in the perinatal period plays a vital role in recognizing ophthalmic pathologies which might require a prompt medical intervention. Pathological ocular diseases should be discriminated from physiologic changes to establish an individualized treatment or preventive plan. This approach to ocular benefits of treatment to the mother should always weigh against the potential harm to the fetus.http://www.ijo.in/article.asp?issn=0301-4738;year=2020;volume=68;issue=8;spage=1526;epage=1532;aulast=Moryaeyeocular diseases in pregnancy and infancypregnancy
spellingShingle Arvind K Morya
Sonalika Gogia
Arushi Gupta
Sujeet Prakash
Kanchan Solanki
Anushree D Naidu
Motherhood: What every ophthalmologist needs to know
Indian Journal of Ophthalmology
eye
ocular diseases in pregnancy and infancy
pregnancy
title Motherhood: What every ophthalmologist needs to know
title_full Motherhood: What every ophthalmologist needs to know
title_fullStr Motherhood: What every ophthalmologist needs to know
title_full_unstemmed Motherhood: What every ophthalmologist needs to know
title_short Motherhood: What every ophthalmologist needs to know
title_sort motherhood what every ophthalmologist needs to know
topic eye
ocular diseases in pregnancy and infancy
pregnancy
url http://www.ijo.in/article.asp?issn=0301-4738;year=2020;volume=68;issue=8;spage=1526;epage=1532;aulast=Morya
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AT sujeetprakash motherhoodwhateveryophthalmologistneedstoknow
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