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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

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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

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

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

Anastasia A. Fil – Research Associate



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For citation:


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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ISSN 2313-7347 (Print)
ISSN 2500-3194 (Online)