Management of Glaucoma in Pregnancy.

Abstract:

:Management of glaucoma during pregnancy represents a challenge for the physician. Important disease and patients' health decisions begin even before conception and continue throughout pregnancy and breastfeeding. The data on this topic is limited due to ethical and legal constraints and challenges of conducting large, prospective, and randomized clinical trials on this patient population. Our review suggests that individually, intraocular pressure is lower in a pregnant woman when compared with a nonpregnant woman. Importantly, the medical management of glaucoma during pregnancy poses special challenges due to the possibility of adverse effects of medications on the fetus and newborn. Laser trabeculoplasty and traditional filtration surgery, and minimally invasive glaucoma surgery, represent nondrug management options. Thus, managing glaucoma in pregnancy is a delicate balance between treatment to prevent damage to the optic nerve in the mother and avoidance of interventions potentially harmful to the fetus. This literature review of published individual and population-based studies was performed to explore current knowledge and guidelines in the management of glaucoma in pregnancy.

journal_name

J Glaucoma

journal_title

Journal of glaucoma

authors

Mathew S,Harris A,Ridenour CM,Wirostko BM,Burgett KM,Scripture MD,Siesky B

doi

10.1097/IJG.0000000000001324

subject

Has Abstract

pub_date

2019-10-01 00:00:00

pages

937-944

issue

10

eissn

1057-0829

issn

1536-481X

journal_volume

28

pub_type

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