Pregnancy and visual pathology associated with an examination of multiple sclerosis

Abstract

Introduction. The problem of pregnancy management in women with extragenital pathology is multidisciplinary and requires the participation of various specialists. It is known that pregnancy does not adversely affect the course of multiple sclerosis, and the incidence of pregnancy and delivery complications in multiple sclerosis does not exceed the general population. Nevertheless, multiple sclerosis exacerbations with different clinical presentation are possible during pregnancy, which may require correction of tactical and therapeutic measures. The purpose of the work was to demonstrate the role of a multidisciplinary team for favorable maternal and perinatal outcomes in visual pathology associated with worsening multiple sclerosis in pregnancy through a clinical example. Materials and methods. We retrospectively reviewed the patient's medical records: individual pregnancy and maternity records, labor and delivery history, and medical records of patients receiving care in outpatient settings. Results. A patient with multiple sclerosis had an exacerbation of the disease in the form of optic neuritis on the right side with temporary loss of vision in the first trimester of pregnancy. This required multiple consultations with an ophthalmologist and surgical treatment in the ophthalmology department of the hospital, followed by delivery by cesarean section. Discussion. Multiple sclerosis and its exacerbation in the form of optic neuritis did not affect the development of pregnancy, its favorable outcome was registered, which corresponds to the data of other researchers. Conclusions. A favorable outcome of pregnancy and delivery in a patient with multiple sclerosis and ophthalmopathology associated with its exacerbation during pregnancy was possible due to coordinated teamwork of specialists in various fields and timely correction of complications using a comprehensive approach and modern surgical techniques.