Rosenthal Julie M, Johnson Mark W
W.K. Kellogg Eye Center, Department of Ophthalmology and Visual Sciences, University of Michigan, Ann Arbor, Michigan.
J Ophthalmic Vis Res. 2018 Jan-Mar;13(1):62-65. doi: 10.4103/jovr.jovr_195_17.
Pregnancy leads to significant changes in the body, which potentially affect the retina. Pregnancy can induce disease, such as that seen in hypertensive retinopathy and choroidopathy. It can cause exudative retinal detachments in the HELLP syndrome (hemolysis, elevated liver enzymes and low platelets), disseminated intravascular coagulation (DIC), and thrombotic thrombocytopenic purpura (TTP), and provoke arterial and venous retinal occlusive disease. Pregnancy may also exacerbate pre-existing retinal disease, such as idiopathic central serous chorioretinopathy (ICSC) and diabetic retinopathy. Special consideration needs to be exercised when treating pregnant patients in choosing medications, as well as in selecting diagnostic modalities and surgical methods.
怀孕会导致身体发生显著变化，这可能会影响视网膜。怀孕可诱发疾病，如高血压视网膜病变和脉络膜病变。它可导致HELLP综合征（溶血、肝酶升高和血小板减少）、弥散性血管内凝血（DIC）和血栓性血小板减少性紫癜（TTP）中的渗出性视网膜脱离，并引发视网膜动静脉阻塞性疾病。怀孕还可能使已有的视网膜疾病加重，如特发性中心性浆液性脉络膜视网膜病变（ICSC）和糖尿病视网膜病变。在治疗孕妇时，在选择药物、诊断方式和手术方法时都需要特别考虑。
