Pregnancy

Myopia: should you consult before giving birth?


During pregnancy, myopia tends to increase. Pregnant and nearsighted, it is important to have your ophthalmologist monitor you. The advice of Dr. Patrick Ligeon-Ligeonnet, head of an ophthalmology department.

Why consult your ophthalmologist in case of myopia?

  • During pregnancy, some pregnant women notice a decreased visual acuity or worsening myopia.
  • In myopic mothers, there are a risk of detachment of the retina during the push of deliveryt. It is caused by hypertension at the eye level.
  • You will not risk anything if your retina is in good condition, but it is obviously necessary to check it at the end of pregnancy (around seven or eight months). To prevent and treat possible lesions, it is advisable to consult an ophthalmologist. If it detects a risk or a start of separation, treatment will be considered.
  • Anyway, know that retinal detachment during delivery is quite rare. When it occurs, only surgery can repair some of the damage.

Screening of risks by a "fundus"

  • The ophthalmologist will offer you a complete examination to identify risk factors. After putting a few drops in your eyes to dilate the pupil, he will perform a "dilating fundus".
  • He will thus examine his periphery, in order to detect "a palisade", that is to say a small retinal hole, or a tear predisposing to a detachment.
  • In case of retinal injury, Preventive treatment consists of one or two laser sessions before the expected date of birth. The laser will weld the layers of the retina excluding the fragile area. Even if a slight detachment occurs in this area, it will not evolve towards a complete detachment.

Other problems at the time of the push

  • More than the detachment, it is the haemorrhages of the retina which are possibly to be feared at the moment of the thrust. They are manifested by a blood stain provoking, the following days, a blurred vision.
  • This usually resolves itself spontaneously, but monitoring is required. Consult your ophthalmologist promptly.

Monique Fort with Dr. Patrick Ligeon-Ligeonnet, Head of an Ophthalmology Department.

And contact lenses?

Under the effect of hormonal impregnation, it is possible that you have a little trouble supporting your contact lenses, the cornea being less well hydrated. rest assured, it will return to normal after birth. In the meantime, wear your glasses ... they fit you so well!

3rd trimester: it's also time to consult the anesthetist.