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Published on: July 16, 2020
Laser refractive surgery in pregnant or breastfeeding patients
Francisco Zamorano-Martín1, José-María Sánchez-González, María García-Lorente
1From the Department of Ophthalmology, Regional University Hospital of Malaga, Malaga, Spain (Zamorano-Martín, García-Lorente, Rachwani-Anil); Department of Physics of Condensed Matter, Optics Area, University of Seville, Seville, Spain (Sánchez-González); Department of Ophthalmology (Tecnolaser Clinic Vision), Refractive Surgery Centre, Seville, Spain (Sánchez-González); Department of Ophthalmology, Hospital Clinic de Barcelona, Barcelona, Spain (Peraza-Nieves); Department of Doctoral Studies, Riga Stradins University, Riga, Latvia (Borroni); Department of Ophthalmology, Royal Liverpool University Hospital, Liverpool, United Kingdom (Borroni); Department of Ophthalmology, Hospital Universitario Virgen de las Nieves, Granada, Spain (Rocha-de-Lossada); Department of Ophthalmology, University of Malaga, Malaga, Spain (Rocha-de-Lossada).
Abstract:
This systematic review reported the outcomes of laser corneal refractive surgery in pregnant or breastfeeding patients. This study was performed by searching in PubMed, Web of Science, and Scopus databases, on June 15, 2020. Included were 128 eyes from a total of 64 patients, with the mean maximum follow-up was 39.2 ± 36.14 months. Time from surgery to complication ranged from 1 to 67 months, with a mean value of 23.42 ± 22.23 months. Photorefractive keratectomy and laser in situ keratomileusis surgery seem to be stable procedures that are not modified during pregnancy and safe to complete during breastfeeding. Nevertheless, the lack of weight prospective research avoids having a greater certainty on this matter, and because of transitory nature of pregnancy and breastfeeding, it could still be contemplated that surgery risk outweigh the benefits. Additional investigation will be necessary to clarify these issues.

