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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Format: | Article |
Language: | English |
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Wolters Kluwer Medknow Publications
2020-01-01
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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. |
first_indexed | 2024-12-24T03:36:20Z |
format | Article |
id | doaj.art-3ca63e1b0d1344b6b0ae04c3d7183555 |
institution | Directory Open Access Journal |
issn | 0301-4738 1998-3689 |
language | English |
last_indexed | 2024-12-24T03:36:20Z |
publishDate | 2020-01-01 |
publisher | Wolters Kluwer Medknow Publications |
record_format | Article |
series | Indian Journal of Ophthalmology |
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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