Abstract
Pregnancy leads to significant changes in the body, which potentially affect the retina. Pregnancy can induce disease, such as that seen in hypertensive retinopathy and choroidopathy. It can cause exudative retinal detachments in the HELLP syndrome (hemolysis, elevated liver enzymes and low platelets), disseminated intravascular coagulation (DIC), and thrombotic thrombocytopenic purpura (TTP), and provoke arterial and venous retinal occlusive disease. Pregnancy may also exacerbate pre-existing retinal disease, such as idiopathic central serous chorioretinopathy (ICSC) and diabetic retinopathy. Special consideration needs to be exercised when treating pregnant patients in choosing medications, as well as in selecting diagnostic modalities and surgical methods.
Highlights
The pregnant body undergoes several physiologic, hormonal, and metabolic changes that potentially affect the retina . [1,2] Blood pressure typically decreases early in pregnancy and increases, occasionally to super‐normal levels, in the third trimester
Retinal Diseases in Pregnancy; Rosenthal and Johnson a b changes are reversible as blood pressure normalizes after delivery, focal areas of retinal thinning and/or chorioretinal atrophy may persist following retinal and/ or choroidal infarctions [Figure 2]
Extensive exudative retinal detachment induced by pregnancy can be seen in the HELLP syndrome, disseminated intravascular coagulation (DIC), and thrombotic thrombocytopenic purpura (TTP)
Summary
The pregnant body undergoes several physiologic, hormonal, and metabolic changes that potentially affect the retina . [1,2] Blood pressure typically decreases early in pregnancy and increases, occasionally to super‐normal levels, in the third trimester. RETINAL AND CHOROIDAL DISEASES THAT MAY BE INDUCED BY PREGNANCY Management of retinal diseases in pregnant patients.
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