Purpose of review Glaucoma management during pregnancy generates numerous therapeutic challenges and potential risks for both the patient and the fetus. This may be beneficial to some women with glaucoma. Work with your eye doctor. Alternatives t… 2007;9(2):71-9. doi: 10.2165/00148581-200709020-00001. But as more women start families later in life, it is now more common for female glaucoma patients to become pregnant. Such is the case with glaucoma in pregnancy and the safety of its treatment for the fetus. Bull Soc Belge Ophtalmol. It also examines medical, laser, and surgical options specific to the particular needs of this population. NIH A pregnant mother was treated with oral acetazolamide (750 mg/day) for glaucoma for 3 successive days before a caesarean section delivery at 34 weeks of gestation for fetal distress. Summary: Last reviewed on The coexistence of glaucoma and pregnancy is an unusual clinical problem, and glaucoma is rarely initially diagnosed during pregnancy. The treatment consists of lowering the eye pressure using medication, lasers or surgery. The article presents a balanced review of considerations for managing pregnant patients with glaucoma. Purpose of review Glaucoma management during pregnancy generates numerous therapeutic challenges and potential risks for both the patient and the fetus. Currently, brimonidine is classified as a category B medication with presumed safety based on animal studies. Send this article to a friend by filling out the fields below: If you are considering becoming pregnant, but have concerns because of your glaucoma, take heart. Summary: The treatment of glaucoma during pregnancy and lactation requires careful consideration and understanding of disease status, stage of pregnancy, FDA classification and guidelines, and potential benefits and limitations of various therapeutic modalities. Banad NR, Choudhari N, Dikshit S, Garudadri C, Senthil S. Indian J Ophthalmol. Management of glaucoma in pregnancy: risks or choices, a dilemma. Most evidence on glaucoma medications in pregnancy comes from single case reports or animal studies with the limitations that these impose. These drugs are sometimes … eCollection 2017. | Usually glaucoma is associated with raised intra-ocular pressure, however it may occur when the intra-ocular pressure is within normal limits. Glaucoma in pregnancy. Diabetic retinopathy, an eye disease that is a common complication of diabetes, often progresses much more quickly during pregnancy. https://www.glaucoma.org/treatment/glaucoma-and-pregnancy-1.php A multidisciplinary team approach is necessary to appropriately balance the risks and benefits of any intervention and to individualize … Medications used from preconception to the postpartum period should be tailored at each stage to minimize fetal risk based on the available, albeit limited, safety data. Purpose of review: Glaucoma management during pregnancy is a complex challenge, which requires balancing the clinical disease of the mother with the potential risks of therapy to the developing child. You are not alone. Data are limited on this topic given the lack of large, prospective, and randomized clinical trials because of ethical and legal constraints in this patient population. Be sure to demonstrate this technique, called nasolacrimal occlusion, to your eye doctor. Data are limited on this topic given the lack of large, prospective, and randomized clinical trials because of ethical and legal constraints in this patient population. We appreciate support from corporations who believe in our When medical treatment is employed, systemic absorption should be minimized through nasolacrimal duct occlusion or punctal plugging. Glaucoma medications, like many medications, are systemic, which means that they not only affect your eyes, but can travel through the rest of your body as well. USA.gov. Primary open-angle glaucoma (chronic simple glaucoma) is the most It is important to be aware of the changes that are going on in your body during pregnancy and how they could affect your eyesight. 2018 Sep-Dec;11(3):195-199. doi: 10.4103/ojo.OJO_212_2017. Data are limited on this topic given the lack of large, prospective, and randomized clinical trials because of ethical and legal constraints in this patient population. Evidence-Based Approaches to Glaucoma Management During Pregnancy and Lactation. Surgical management is an option in pregnant patients and may be considered prior to medical management in order to avoid or minimize fetal exposure and maternal risk. Open Ophthalmol J. A few more women may have had glaucoma since childhood, called congenital glaucoma. In addition, due to advances in diagnostic tools and increasing clinical awareness, we are detecting glaucoma at earlier ages in our patients. This review focuses on the importance of preconception planning, the natural course of intraocular pressure during pregnancy, and a discussion of various therapeutic modalities during pregnancy and lactation.
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