MANAGEMENT OF DELIVERY IN PATIENTS WITH OPHTHALMIC DISEASES
Journal
Macedonian Journal of Anaesthesia
Date Issued
2023
Author(s)
Pandilov S
Abstract
Introduction: Cesarean section is used more and more often and represents a significant
public health problem in medicine. Its frequency in some countries is 2-3 times higher than
that recommended by the WHO, and ophthalmic diseases are still considered one of the most
common non-obstetric indications for performing this procedure.
Purpose: With the intention of understanding the correlation between different ophthalmological
entities during pregnancy and how much they are a true indication for avoiding spontaneous
labor, we have made this literature review. Our goal is to indicate modern insights in the
management of childbirth in patients with ophthalmic diseases.
Materials and Methods: When preparing this paper, we accessed several medically relevant
databases such as: EMBASE, PubMed and GoogleScholar by entering words of interest:
pregnancy, childbirth, ophthalmic diseases, myopia, obstetrics, retinal degenerations. We
didactically processed the obtained data, in order to present useful conclusions that would find
application in daily clinical practice both among ophthalmologists and among gynecologists
and obstetricians.
Conclusion: The percentage of pregnant women with ophthalmological diseases who attend
ophthalmological examinations during pregnancy is still very small.
Patients with certain ophthalmological diseases should be evaluated individually, and according
to regular ophthalmological examinations (every trimester) during pregnancy, an individualized
decision on the method of delivery should be made.
public health problem in medicine. Its frequency in some countries is 2-3 times higher than
that recommended by the WHO, and ophthalmic diseases are still considered one of the most
common non-obstetric indications for performing this procedure.
Purpose: With the intention of understanding the correlation between different ophthalmological
entities during pregnancy and how much they are a true indication for avoiding spontaneous
labor, we have made this literature review. Our goal is to indicate modern insights in the
management of childbirth in patients with ophthalmic diseases.
Materials and Methods: When preparing this paper, we accessed several medically relevant
databases such as: EMBASE, PubMed and GoogleScholar by entering words of interest:
pregnancy, childbirth, ophthalmic diseases, myopia, obstetrics, retinal degenerations. We
didactically processed the obtained data, in order to present useful conclusions that would find
application in daily clinical practice both among ophthalmologists and among gynecologists
and obstetricians.
Conclusion: The percentage of pregnant women with ophthalmological diseases who attend
ophthalmological examinations during pregnancy is still very small.
Patients with certain ophthalmological diseases should be evaluated individually, and according
to regular ophthalmological examinations (every trimester) during pregnancy, an individualized
decision on the method of delivery should be made.
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