Ophthalmological criteria for choice of optimal mode of delivery in pregnant women with myopia
https://doi.org/10.17749/2313-7347.2019.13.2.156-163
Abstract
This review examines the evolution of views and opinions on issues related to the management of pregnancy and childbirth in women with high myopia. Special attention is given to the threat of retinal detachment and its prevention during pregnancy and delivery; the need for improving the diagnosis of retinal abnormalities is also addressed. Our analysis indicates that since the early 1980s, pregnancy associated peripheral vitreochorioretinal dystrophy was considered a leading risk factor for rhegmatogenous retinal detachment during childbirth. Here, we present data on the eye hemodynamics and intraocular pressure in women at the time of delivery. We also discuss current strategies of pregnancy management in women with peripheral vitreochorioretinal dystrophy. In addition, absolute and relative indications for natural delivery in women with high myopia are presented together with ophthalmological requirements for natural delivery.
About the Authors
O. V. Kolenko
Khabarovsk branch of S.N. Fedorov National Medical Research Center «MNTK "Eye Microsurgery"», Health Ministry of Russian Federation;
Postgraduate Institute for Public Health Workers, Health Ministry of Khabarovsk Territory
Russian Federation
Russian Federation
Oleg V. Kolenko – PhD, Associate Professor, Director
Associate Professor, Department of Ophthalmology
Author ID: 6506683725
E. L. Sorokin
Khabarovsk branch of S.N. Fedorov National Medical Research Center «MNTK "Eye Microsurgery"», Health Ministry of Russian Federation;
Far Eastern State Medical University, Health Ministry of Russian Federation
Russian Federation
Russian Federation
Evgenii L. Sorokin – MD, PhD, Professor, Deputy Director for Science
Professor, Department of General and Clinical Surgery
Author ID: 7006545279
A. A. Fil
Khabarovsk branch of S.N. Fedorov National Medical Research Center «MNTK "Eye Microsurgery"», Health Ministry of Russian Federation
Russian Federation
Russian Federation
Anastasia A. Fil – Research Associate
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Kolenko O.V., Sorokin E.L., Fil A.A. Ophthalmological criteria for choice of optimal mode of delivery in pregnant women with myopia. Obstetrics, Gynecology and Reproduction. 2019;13(2):155-163. https://doi.org/10.17749/2313-7347.2019.13.2.156-163
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