Management of Glaucoma in Pregnancy

Sunu Mathew, Alon Harris, Colin M. Ridenour, Barbara M. Wirostko, Kendall M. Burgett, Molly D. Scripture, Brent Siesky

Research output: Contribution to journalReview article

Abstract

Management of glaucoma during pregnancy represents a challenge for the physician. Important disease and patients' health decisions begin even before conception and continue throughout pregnancy and breastfeeding. The data on this topic is limited due to ethical and legal constraints and challenges of conducting large, prospective, and randomized clinical trials on this patient population. Our review suggests that individually, intraocular pressure is lower in a pregnant woman when compared with a nonpregnant woman. Importantly, the medical management of glaucoma during pregnancy poses special challenges due to the possibility of adverse effects of medications on the fetus and newborn. Laser trabeculoplasty and traditional filtration surgery, and minimally invasive glaucoma surgery, represent nondrug management options. Thus, managing glaucoma in pregnancy is a delicate balance between treatment to prevent damage to the optic nerve in the mother and avoidance of interventions potentially harmful to the fetus. This literature review of published individual and population-based studies was performed to explore current knowledge and guidelines in the management of glaucoma in pregnancy.

Original languageEnglish (US)
Pages (from-to)937-944
Number of pages8
JournalJournal of glaucoma
Volume28
Issue number10
DOIs
StatePublished - Oct 1 2019

Keywords

  • anti-glaucoma medications
  • glaucoma
  • intraocular pressure
  • lactation
  • pregnancy

ASJC Scopus subject areas

  • Ophthalmology

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  • Cite this

    Mathew, S., Harris, A., Ridenour, C. M., Wirostko, B. M., Burgett, K. M., Scripture, M. D., & Siesky, B. (2019). Management of Glaucoma in Pregnancy. Journal of glaucoma, 28(10), 937-944. https://doi.org/10.1097/IJG.0000000000001324