Abstract

Although ocular conditions are commonly encountered in pregnancy, their management in pregnancy and during labor is still debate. Our review synthesizes the existing evidence on pregnancy and labor impact on visual outcome in myopic patients. We aimed to evaluate the changes in ocular physiology during pregnancy, the characteristics of myopia in pregnant population, the impact of epidural anesthesia and mode of delivery on myopia progression. High hormonal levels of pregnancy change corneal thickness and curvature, decrease sensitivity and reduce intraocular pressure. The existing evidence for ocular changes with pregnancy and expulsive effort in labor is rather poor. Myopic patients did not develop worsening of visual function after spontaneous vaginal delivery in any of the existing studies. Epidural anesthesia should be offered unrelated to ocular condition. Until further evidence will become available, vaginal delivery should be the standard for patients with ocular conditions in the absence of obstetrical contraindications. <br/><a href=

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