Sunness J S
Wilmer Ophthalmological Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Surv Ophthalmol. 1988 Jan-Feb;32(4):219-38. doi: 10.1016/0039-6257(88)90172-5.
The effects of pregnancy on the eye fall into three categories. Nonpathological physiologic changes in pressures, corneal sensitivity and thickness, and visual function can occur. Pathologic conditions reported to develop during pregnancy include central serous chorioretinopathy, hypertensive and vascular disorders, and uveal melanoma. Pregnancy also can affect pre-existing ocular conditions, such as diabetic retinopathy, tumors, and a variety of immunological disorders and can have beneficial effects on such pre-existing conditions as glaucoma. This review covers ocular disorders in these three categories, and summarizes the systemic changes of pregnancy and the effects of ocular medications on the fetus.
妊娠对眼睛的影响可分为三类。眼压、角膜敏感性和厚度以及视觉功能会出现非病理性生理变化。据报道,妊娠期间会出现的病理状况包括中心性浆液性脉络膜视网膜病变、高血压和血管疾病以及葡萄膜黑色素瘤。妊娠还会影响既往存在的眼部疾病,如糖尿病性视网膜病变、肿瘤以及各种免疫性疾病,并且对青光眼等既往存在的疾病可能产生有益影响。本综述涵盖这三类眼部疾病,并总结了妊娠的全身变化以及眼部药物对胎儿的影响。