Glaucoma during pregnancy

Management of glaucoma during pregnancy requires careful consideration to ensure the well-being of both the mother and the developing baby. Here are some key aspects of glaucoma management for pregnant women:

Regular eye exams:

Schedule regular eye exams with your eye doctor throughout your pregnancy. These tests will help monitor the progression of glaucoma, measure intraocular pressure, assess the health of the optic nerve, and detect any changes that may require adjustments to your treatment regimen.

Medication management:

Discuss your current glaucoma medications with your eye doctor. Some medications may not be safe to use during pregnancy because of potential risks to the developing fetus. Your ophthalmologist and obstetrician will evaluate the benefits and potential risks associated with your medications and may make adjustments to your treatment plan accordingly. It is important not to stop or change any medications without medical guidance.

Alternative treatment options:

Depending on the severity and type of glaucoma, the eye doctor may explore alternative treatment options that are safe during pregnancy. These may include certain eye drops, laser therapy, or surgery. Your eye doctor will evaluate the most appropriate treatment option based on your individual needs.

Intraocular pressure measurement:

Regular measurement of intraocular pressure is critical during pregnancy. Increased intraocular pressure can potentially damage the optic nerve and lead to vision loss. Your eye doctor will determine your target pressure range and work with you to develop a plan to reach and maintain it.

Communication between healthcare providers:

It is essential to maintain open communication between your eye doctor and your obstetrician. Both health care providers need to know your condition and your treatment plan to effectively coordinate care. Regular updates and information sharing between the two professionals will help ensure optimal management of your glaucoma during pregnancy.

Lifestyle modifications:

Adopting a healthy lifestyle can support the management of glaucoma during pregnancy. Eat a balanced diet rich in fruits, vegetables and whole grains as recommended by your doctor. Regular exercise, as approved by your obstetrician, can also contribute to overall well-being.

Delivery:

Discuss your delivery options with your obstetrician, taking into account possible effects on intraocular pressure. Vaginal labor can involve straining during the second stage, which can lead to a sudden increase in intraocular pressure. Depending on the severity of your glaucoma, a C-section may be recommended to minimize the risk of complications.

Remember, every case of pregnancy and glaucoma is unique. It is important to work closely with your doctors to develop an individualized management plan that takes into account the specific needs of both your pregnancy and your glaucoma. By following their instructions and attending regular appointments, you can optimize your glaucoma management and ensure the best outcomes for you and your baby. We are always at your disposal to advise you and treat glaucoma in the best possible way during pregnancy.