Travkin A G, Akh vlediani K N, Petrova T Kh
Vestn Oftalmol. 2003 May-Jun;119(3):34-7.
A total of 315 pregnant women were under observation: 290 (92.1%) of women with myopia made up the main group, and 25 (7.9%), which had no extragenital pathologies or any pregnancy complications, were in the control group. It was for the first time that an algorithm of pregnancy and delivery monitoring for myopic patients was worked out: the algorithm comprises ophthalmologic examinations including rheoophthalmography carried out during the delivery. The specific features of the ocular hemodynamics and intraocular pressure as well as their dependence on the parameters of central hemodynamics and volumetric cerebral blood velocity at all stages of spontaneous delivery were studied. The role of prolonged epidural anesthesia, as a method normalizing the hemodynamics of the ciliary tract, was defined to optimize the delivery by women with average and high myopia. The above stated makes it possible to prevent possible complications (in the organ of vision) in patients with average and high myopia and to decrease the frequency of operative delivery from 21.8% to 1.3%.
共有315名孕妇接受观察：290名近视女性（占92.1%）构成主要组，25名（占7.9%）无生殖器外疾病或任何妊娠并发症的女性为对照组。首次制定了近视患者妊娠和分娩监测算法：该算法包括眼科检查，包括分娩期间进行的视网膜血流图检查。研究了自然分娩各阶段眼血流动力学和眼压的具体特征，以及它们对中心血流动力学参数和脑容积血流速度的依赖性。确定了延长硬膜外麻醉作为一种使睫状体血流动力学正常化的方法的作用，以优化中度和高度近视女性的分娩。上述措施能够预防中度和高度近视患者可能出现的（眼部）并发症，并将手术分娩频率从21.8%降至1.3%。
