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Transitory topographical variations in keratoconus during pregnancy.
Florence Hoogewoud1, Zisis Gatzioufas, Farhad Hafezi
1Department of Ophthalmology, Geneva University Hospital, Switzerland.
Journal of Refractive Surgery (Thorofare, N.J. : 1995)
|February 6, 2013
Summary
Pregnancy can cause temporary worsening of keratoconus (a corneal condition) due to hormonal changes. These vision changes typically reverse naturally after childbirth, indicating a need for cautious treatment timing.
Area of Science:
- Ophthalmology
- Reproductive Medicine
Background:
- Keratoconus is a progressive eye condition characterized by thinning and bulging of the cornea.
- Hormonal fluctuations during pregnancy are known to affect various physiological processes.
Observation:
- Two pregnant women with keratoconus experienced decreased visual acuity and significant corneal curvature changes.
- Scheimpflug imaging revealed transient topographical alterations during gestation and the postpartum period.
Findings:
- Corneal topography changes in keratoconus during pregnancy are temporary.
- Visual acuity and corneal shape stabilized several months after delivery in observed cases.
Implications:
- Hormonal shifts during pregnancy can significantly impact keratoconus progression.
- Ophthalmologists should consider delaying interventions like corneal cross-linking until postpartum stabilization.
- Conservative management is advised during pregnancy to allow for natural resolution of corneal changes.