Pilas-Pomykalska Magdalena, Czajkowskii Janusz, Oszukowski Przemysław
Klinika Okulistyki Instytutu "Centrum Zdrowia Matki Polki", Lódź.
Ginekol Pol. 2005 Aug;76(8):655-60.
Pregnancy is often associated with ocular changes. Most of them are specifically associated with the pregnancy itself, rare disturb the normal visual function and are transient in nature. The ocular effects of pregnancy may be divided into physiologic changes, pathologic conditions or modifications of pre-existing conditions. Pregnancy is associated with changes in corneal sensitivity and thickness, decreased tolerance to contact lenses, decreased intraocular pressure, can affect refractive error. Pathologic conditions reported to develop during pregnancy include hypertensive and vascular disorders, central serous chorioretinopathy, uveal melanoma and others. The most significant modified pre-existing condition is diabetes mellitus. Pregnant women are at increased risk for the progression of preexisting proliferative diabetic retinopathy, and diabetic women should see an ophthalmologist before pregnancy or early in the first trimester. This review describes various ocular changes that occur during pregnancy and summarizes the ocular disturbances in these three categories.
妊娠常伴有眼部变化。其中大多数变化与妊娠本身密切相关,很少会干扰正常视觉功能,且本质上是短暂的。妊娠对眼部的影响可分为生理变化、病理状况或既往疾病的改变。妊娠与角膜敏感性和厚度的变化、对隐形眼镜耐受性降低、眼压降低有关,还会影响屈光不正。据报道,妊娠期间发生的病理状况包括高血压和血管疾病、中心性浆液性脉络膜视网膜病变、葡萄膜黑色素瘤等。最显著的既往疾病改变是糖尿病。孕妇发生既往增殖性糖尿病视网膜病变进展的风险增加,糖尿病女性应在怀孕前或孕早期就诊眼科医生。本文综述了妊娠期间发生的各种眼部变化,并总结了这三类眼部疾病。