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Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...

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[Surgery in ophthalmology during pregnancy].

Katrin Gekeler¹, Viktoria C Brücher², Anja Liekfeld³

¹Augenklinik, Klinikum der Landeshauptstadt Stuttgart gKAöR, Kriegsbergstr. 60, 70174, Stuttgart, Deutschland. k.gekeler@klinikum-stuttgart.de.

Die Ophthalmologie

|January 27, 2025

Summary

The Maternity Protection Act (MuSchG) aims to protect pregnant employees, but surgical bans are often issued without required risk assessments. Ophthalmology allows pregnant doctors to continue surgical work with proper workplace adjustments and safety protocols.

Keywords:

Advancement of women Discrimination Hazard assessment Interdisciplinary consensus paper Maternity protection

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Area of Science:

Occupational health and safety
Reproductive health law
Ophthalmology

Context:

The 2018 Maternity Protection Act (MuSchG) aims to prevent discrimination against pregnant employees.
Despite the law, pregnant employees, including surgeons, often face employment or activity bans.
Risk assessments are frequently omitted, leading to potential legal discrimination.

Purpose:

To explain the procedures for pregnant employees under the MuSchG.
To highlight innovations within the MuSchG relevant to healthcare professionals.
To analyze the specific risks and protective measures for pregnant ophthalmologists.

Summary:

The MuSchG mandates workplace reorganization before imposing work bans on pregnant employees.
Ophthalmology presents favorable conditions for pregnant surgeons due to sedentary work and short procedures.
Specific hazards in ophthalmology, including infection risks, hazardous substances (mitomycin C, 5-fluorouracil), and needlestick injuries (HIV, Hepatitis C) from anti-VEGF drugs, are detailed.
The law requires nondiscriminatory support for pregnant doctors, including continued surgical practice and return-to-work planning.

Impact:

Ensures legal compliance and prevents discrimination against pregnant healthcare workers.
Promotes the retention and continued professional development of female doctors during and after pregnancy.
Addresses the shortage of doctors by supporting women in the medical workforce.