Comprehensive Ophthalmology Free Papers - aioseducation

Comprehensive Ophthalmology Free Papers
In this present study we found one case (35 weeks GA) presenting with
central scotoma for ten days. Her visual acuity at the time of presentation
was 6/12 in right eye and 6/6 in left eye. Anterior segment examination was
normal. On fundus examination, there was retinal edema surrounding the
macula and white subretinal exudate temporal to the macula in right eye and
normal fundus picture in left eye. Right eye was diagnosed as central serous
retinopathy. During postpartum period her vision gradually improved and
she attained vision of 6/6 in both the eyes. Fundus picture showed resolution
of retinal edema, mild mottling and subretinal exudate in right eye.
We found a case presenting with convulsions, 4-5 episodes on the day of
presentation. History of associated headache and epigastric pain, pedal edema
and facial puffiness was present. Her visual acuity at the time of presentation
was 6/36 in both eyes. Anterior segment was normal. Fundus picture showed
bilateral disc edema and hemorrhages surrounding the optic disc, cotton wool
spots and retinal edema surrounding macula in right eye. The diagnosis was
grade ΙV hypertensive retinopathy. During postpartum period her vision
improved to 6/12 in both eyes within a month. Fundus picture showed
regression of optic disc edema and cotton wool spots.
DISCUSSION
Pregnancy is often associated with ocular changes which may be more
commonly transient but occasionally permanent.
Visual acuity is one such condition where it is not affected because of the
normal refractive status despite the increased corneal curvature and decreased
refractive index during normal pregnancy. In the present study all had normal
visual acuity in all trimesters of pregnancy except in PIH cases where there is
decreased visual acuity which returned to normal in the postpartum period.
Chloasma is a hormonally mediated process, characterized by increased
pigmentation around eyes and cheeks. In the present study 105 pregnant
women showed chloasma most of them showed around cheeks.
Somani S98 reported a case of unilateral ptosis during and after normal
pregnancy. In this present study a case of ptosis was observed and patient
followed for 2 months postpartum where the ptosis partially improved.
Corneal Curvature
Park Steve B et. al. prospectively followed 24 women during pregnancy,
postpartum period and after cessation of breast feeding. Six (25%) women
developed contact lens intolerance during the study period. Statistically
significant (P value- 0.05) increase in corneal curvature during the second and
third trimester which resolved postpartum was observed.
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