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![]() LOBCENCO, Aglaia, CHETRARI, Irina, BENDELIC, Eugeniu. Glaucoma and pregnancy. In: Revista de Ştiinţe ale Sănătăţii din Moldova, 2022, nr. 3 An.1(29), p. 347. ISSN 2345-1467. |
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Revista de Ştiinţe ale Sănătăţii din Moldova | |||||||
Numărul 3 An.1(29) / 2022 / ISSN 2345-1467 | |||||||
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Pag. 347-347 | |||||||
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Introduction. In recent years, due to advanced diagnostic methods, ophthalmologists have increasingly encountered various eye diseases in pregnant women, including glaucoma. Mostly, glaucoma is detected in its early stages. Purpose of the paper. Behavior of glaucoma treatment in pregnant and lactating women. Materials and methods. Clinical cases of pregnant women diagnosed with glaucoma before pregnancy are presented. Adjustment of the treatment that offers the desired intraocular pressure with minimal adverse reactions in fetus. Results. There is no standard glaucoma treatment in pregnant women. Use of hypotensive drugs during pregnancy poses a risk to mother and fetus. Experimental data informs us that 30-120 minutes after the instillation of anti glaucoma drugs their concentration in breast milk is 1-2% from the initial dose. Despite the low concentration, systemic effects are also recorded. These disorders are explained by the fact that 80% of the preparations volume through the mucosa of the nasolacrimal duct is absorbed and enters the vascular system. To reduce the absorption, nasal-lacrimal compression or temporary occlusion of the lacrimal points is recommended. In absence of intraocular pressure compensation in pregnant women, at the minimum regimen of antiglaucoma preparations, alternative treatment methods are indicated. In pregnant women, superiority has laser treatment, namely laser tuberculoplasty, cyclophotocoagulation. Conclusions. Indication of hypotensive antiglaucoma preparations in absence of intraocular pressure compensation during pregnancy and lactation should be kept to a minimum. One of the priority indications is laser tuberculoplasty. |
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Cuvinte-cheie glaucoma, pregnancy, intraocular pressure, glaucom, sarcina, presiunea intraoculară |
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