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Pregnancy and the eye. Changes in morphology of the cornea and the anterior chamber of the eye in pregnant woman
Affiliations- Chair and Department of Ophthalmology, 1st Faculty of Medicine, Medical University of Warsaw, Poland
- Department of Dermatology, Medical University of Warsaw, Poland
- 1st Department of Obstetrics and Gynecology, Medical University of Warsaw, Poland
- Department of Neonatology, Medical University of Warsaw, Warsaw, Poland
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Abstract
Objectives: The main goal of the study was to determine whether uncomplicated pregnancy and natural labor exert influence on the cornea and the anterior chamber of the eye. Material and methods: The study included 114 eyes of 57 women in age of 21–35 years old. Only patients in the physiological pregnancy and giving natural birth were recruited into study. Prospective observative examination was performed. Patients were diagnosed twice: in 36 HBD and 6 weeks after labor. Using the Scheimpflug camera (Pentacam system) the following parameters were assessed: central corneal thickness (CCT), keratometric parameters: flat (K1) and steep (K2), astigmatism value and axis, anterior chamber depth (ACD), anterior chamber volume (ACV) and anterior chamber angle (ACA). The statistical analysis was carried out in the StatSoft Statistica 13 program. Results: CCT value is greater in the third trimester than in 6th week after the labour. ACD and ACA values are higher in 36 HBD than in the post-partum period but the difference is not statistically important (p > 0.05). K1, K2, cylindrical refraction error, axis of cylindrical refraction error do not change. Conclusions: Authors claim that it is the result from an increase in water retention in the corneal stroma as a response to hormonal changes. The plasticity of the anterior chamber seen before delivery can be a natural adaptive mechanism of the female body, which counteracts the excessive increase in intraocular pressure in the second stage of delivery.
Abstract
Objectives: The main goal of the study was to determine whether uncomplicated pregnancy and natural labor exert influence on the cornea and the anterior chamber of the eye. Material and methods: The study included 114 eyes of 57 women in age of 21–35 years old. Only patients in the physiological pregnancy and giving natural birth were recruited into study. Prospective observative examination was performed. Patients were diagnosed twice: in 36 HBD and 6 weeks after labor. Using the Scheimpflug camera (Pentacam system) the following parameters were assessed: central corneal thickness (CCT), keratometric parameters: flat (K1) and steep (K2), astigmatism value and axis, anterior chamber depth (ACD), anterior chamber volume (ACV) and anterior chamber angle (ACA). The statistical analysis was carried out in the StatSoft Statistica 13 program. Results: CCT value is greater in the third trimester than in 6th week after the labour. ACD and ACA values are higher in 36 HBD than in the post-partum period but the difference is not statistically important (p > 0.05). K1, K2, cylindrical refraction error, axis of cylindrical refraction error do not change. Conclusions: Authors claim that it is the result from an increase in water retention in the corneal stroma as a response to hormonal changes. The plasticity of the anterior chamber seen before delivery can be a natural adaptive mechanism of the female body, which counteracts the excessive increase in intraocular pressure in the second stage of delivery.
Keywords
pregancy; cornea; anterior chamber of the eye; parturition; keratometry
About this articleTitle
Pregnancy and the eye. Changes in morphology of the cornea and the anterior chamber of the eye in pregnant woman
Journal
Issue
Article type
Research paper
Pages
695-699
Published online
2018-12-28
Page views
2226
Article views/downloads
1562
DOI
10.5603/GP.a2018.0117
Pubmed
Bibliographic record
Ginekol Pol 2018;89(12):695-699.
Keywords
pregancy
cornea
anterior chamber of the eye
parturition
keratometry
Authors
Karol Taradaj
Tomasz Ginda
Piotr Maciejewicz
Piotr Ciechanowicz
Barbara Suchonska
Marta Hajbos
Bozena Kociszewska-Najman
Miroslaw Wielgos
Dariusz Kecik
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