Moshirfar Majid, Rosen David B, Heiland Madeline B, Ronquillo Yasmyne C, Hoopes Phillip C
John A. Moran Eye Center, Department of Ophthalmology and Visual Sciences, University of Utah School of Medicine, Salt Lake City, UT, USA.
Utah Lions Eye Bank, Murray, UT, USA.
Ophthalmol Ther. 2019 Sep;8(3):349-352. doi: 10.1007/s40123-019-0195-5. Epub 2019 Jun 28.
Changes in keratometric values and refraction can occur during pregnancy. For this reason, changing a patient's refractive prescription or undergoing corneal refractive surgery is not recommended during pregnancy. However, the extent to which these corneal changes persist during lactation is not as well reported. Pregnancy and lactation lead to hormonal changes that affect the corneal structure. LASIK, or other types of refractive surgery, is not recommended until all of the following conditions are met: cessation of lactation, the return of regular menses, and a return to pre-pregnancy refraction. Additionally, patients should be cautioned that refractive regression may occur if they become pregnant within 1 year of LASIK. FUNDING: Research to Prevent Blindness, NY, USA.
妊娠期间角膜曲率值和屈光状态可能会发生变化。因此,不建议在妊娠期间更改患者的屈光处方或进行角膜屈光手术。然而,关于这些角膜变化在哺乳期持续的程度,相关报道较少。妊娠和哺乳期会导致激素变化,从而影响角膜结构。在满足以下所有条件之前,不建议进行LASIK或其他类型的屈光手术:停止哺乳、月经恢复正常、屈光状态恢复到妊娠前水平。此外,应告诫患者,如果在LASIK术后1年内怀孕,可能会发生屈光回退。资助:美国纽约预防失明研究组织。