Physiologic Change of Posterior Ocular Segment During Pregnancy

Overview

Women's physiology changes markedly during normal pregnancy. The most distinct alterations occur in the hormonal and cardiovascular systems. There is a dramatic increase in both estrogen and progesterone. Blood volume starts to increase in the first gestational period and reaches a peak in the third trimester. The physiologic ocular changes during pregnancy are mainly the result of hormonal and blood volume increase, and then are usually marked in the third trimester.

Ocular anterior segment changes during pregnancy are the followings * Melanogenesis of eyelid and facial skin -\> melasma * Cellular alteration of lacrimal and meibomian gland -\> dry eye symptoms * Increased corneal thickness and corneal curvature -\> contact lens intolerance * Increased lens thickness -\> loss of accommodation * Decreased intraocular pressure -\> better glaucoma control There are few studies of posterior changes in pregnant women. Many limitations of previous publications includes lack of internal control and no data of postpartum contraception. However, choroidal thickness seems to be thicker in pregnant women than non-pregnant women. The other changes are non-inclusive.

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Central Contacts