Juenemann Anselm M, Nowomiejska Katarzyna, Oleszczuk Agnieszka, Ksiazek Piotr, Oleszczuk Jan, Rejdak Robert
Klinika Okulistyki, Uniwersytet Friedricha-Alexandra w Erlangen-Norymberdze, Niemcy.
Ginekol Pol. 2012 Aug;83(8):613-7.
There are many controversies among ophthalmologists and obstetricians regarding indications for caesarean section due to preexisting eye diseases. Many ophthalmologists still believe myopia, retinal detachment, glaucoma or diabetic retinopathy to be indications for a caesarean section. There is a discrepancy between clinical practice and evidence-based medicine, as none of the published trials have reported any retinal changes after vaginal delivery This report provides information on the influence of physiological changes on eye diseases during the final stage of the delivery. We conclude that an eye disease is not an indication for a caesarean section.
眼科医生和产科医生在因既往眼部疾病而行剖宫产的指征方面存在诸多争议。许多眼科医生仍认为近视、视网膜脱离、青光眼或糖尿病视网膜病变是剖宫产的指征。临床实践与循证医学之间存在差异,因为已发表的试验均未报告阴道分娩后有任何视网膜变化。本报告提供了分娩最后阶段生理变化对眼部疾病影响的相关信息。我们得出结论,眼部疾病并非剖宫产的指征。