Glaucoma and pregnancy. Case presentation

Authors

  • Ania Mercedes Oliveros Ginarte Hospital Provincial Universitario ¨Carlos M. de Céspedes¨. Bayamo. Granma, Cuba.
  • Yuleidys Fernández Verdecia Hospital Provincial Universitario ¨Carlos M. de Céspedes¨. Bayamo. Granma, Cuba.
  • Norkis Cabrales Muñoz Hospital Provincial Universitario ¨Carlos M. de Céspedes¨. Bayamo. Granma, Cuba.
  • Mara Dayamí Remón Martí Hospital Provincial Universitario ¨Carlos M. de Céspedes¨. Bayamo. Granma, Cuba.
  • Yamirka Luisa Sarduy Ginarte Policlínico Docente Comunitario ¨Luis Enrique de la Paz Reyna¨. Manzanillo. Granma, Cuba.

Keywords:

glaucoma, pregnancy, risk factors, pregnancy maintenance

Abstract

Glaucoma can be defined as an irreversible chronic optic neuropathy characterized by specific death of the retinal ganglion cells, which is clinically detected with loss of nerve fiber layer and characteristic anatomical changes of the optic nerve with decreased visual field and may or may not be associated with an increase in intraocular pressure. During pregnancy, its course undergoes modifications, which can range from the decrease of the intraocular pressure, until its elevation, reason why a personalized evaluation in each case is needed. Therapeutic behavior is mediated by the risk-benefit/maternal fetal ratio. We report the case of a 21-year-old female patient with juvenile glaucoma who reaches pregnancy at the limit of control of her disease and achieves white intraocular pressure without treatment, only with the benefits of pathophysiological changes in the reduction of gestation. Glaucoma and pregnancy has managed to unify criteria, but still has challenges for the future.

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References

1. Shaarawy, Glaucoma. Medical Diagnosis and Therapy; Elsevier; 2010, USA, Volume 1.

2. Morrison, John; Glaucoma. Science and Practice. Thieme Medical Publishers; 2003, Hong Kong.

3. Allingham, R. Rand; Shield’s Textbook of Glaucoma; November 2010, 6th edition.

4. Méndez Hernández C. Uso de fármacos antiglaucomatosos en embarazo y lactancia. . Archivos de la sociedad española de oftalmología (Internet). 2012; 87(12):389–391. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0365-66912012001200001&lng=es&nrm=iso&tlng=es.

5. Vaideanu D, Fraser S. Glaucoma management in pregnancy: a questionnaire survey. Eye (Internet) (2007) 21, 341–343. Available from: http://scielo.isciii.es/pdf/aseo/v84n10/revision.pdf.

6. Maurice H, Lunts. Glaucoma pediátrico. En: Benjamin F. Boyd, etitor. Ültimas innovaciones en los glaucomas. Etiología, diagnóstico y tratamiento. Panamá: Highlights of Ophthalmology; 2002. p. 119.

7. Sosaya Aldana B, Medina Rodríguez I. Glaucoma en el embarazo. Revista Cubana de Obstetricia y Ginecología.2010; 36(2)188-193. Disponible en: http://scielo.sld.cu/pdf/gin/v36n2/gin16210.pdf.

8. Jay Kats L. Actualización de la terapia médica para glaucoma. En: Benjamin F. Boyd, etitor. Ültimas innovaciones en los glaucomas. Etiología, diagnóstico y tratamiento. Panamá: Highlights of Ophthalmology; 2002. p. 80_83.

Published

2017-05-02

How to Cite

1.
Oliveros Ginarte AM, Fernández Verdecia Y, Cabrales Muñoz N, Remón Martí MD, Sarduy Ginarte YL. Glaucoma and pregnancy. Case presentation. RM [Internet]. 2017 May 2 [cited 2025 Jun. 2];21(1):183-9. Available from: https://revmultimed.sld.cu/index.php/mtm/article/view/467

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Section

CASOS CLÍNICOS