Features of the course and treatment of glaucoma during pregnancy
https://doi.org/10.30629/0023-2149-2020-98-3-178-184
Abstract
In the review we have integrated all up-to-date knowledge concerning clinical course and treatment of glaucoma among pregnant women to help specialists choose a proper policy of treatment for such a complicated group of patients. Glaucoma is a chronic progressive disease. It rarely occurs among childbearing aged women. Nevertheless the probability to manage pregnant patients having glaucoma has been recently increasing. The situation is complicated by the fact that there are no recommendations on how to treat glaucoma among pregnant women. As we know, eye pressure is progressively going down from the first to the third trimester, so we often have to correct hypotensive therapy. Besides, it is necessary to take into account the effect of applied medicines on mother health and evaluate possible teratogenic complications for a fetus. The only medicine against glaucoma which belongs to category B according to FDA classification is brimonidine. Medicines of the other groups should be prescribed with care. Laser treatment or surgery may also be a relevant decision when monitoring patients who are planning pregnancy or just bearing a child. Such treatment should be also accompanied by medicines.
About the Authors
T. V. Chernyakova
Multy-field Medical Center of Bank of Russia
Russian Federation
117593, Moscow
Russian Federation
117593, Moscow
A. Yu. Brezhnev
Kursk State Medical University
Russian Federation
305041, Kursk
Russian Federation
305041, Kursk
I. R. Gazizova
North-West Federal Medical and Research
Russian Federation
197376, Saint-Petersburg
Russian Federation
197376, Saint-Petersburg
A. V. Kuroyedov
Mandryka Central Clinical Hospital; Pirogov Russian National Research Medical University
Russian Federation
Russian Federation
MD, PhD, DSc, prof.
107014, Moscow
117997, Moscow
A. V. Seleznev
State Medical Academy
Russian Federation
153012, Ivanovo
Russian Federation
153012, Ivanovo
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Review
For citations:
Chernyakova T.V., Brezhnev A.Yu., Gazizova I.R., Kuroyedov A.V., Seleznev A.V. Features of the course and treatment of glaucoma during pregnancy. Clinical Medicine (Russian Journal). 2020;98(3):178-184. (In Russ.) https://doi.org/10.30629/0023-2149-2020-98-3-178-184
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