Pregnancy and glaucoma - a careful monitoring is necessary
most commonly used to treat glaucoma eye drops.After instillation of the eye drops of the ingredients into the bloodstream.As a result, they can get through the placenta to the fetus, and during breast-feeding - in the milk, the body is already born child.Therefore, pregnancy and glaucoma - this is quite a dangerous combination, which should be under the watchful supervision of a physician.
Since glaucoma is quite rare in women of childbearing age, these problems, fortunately, appear infrequently.However, when they do occur, a physician and the expectant mother herself faced with the need to solve a difficult problem.
The situation is complicated by the fact that currently there are practically no data on how drugs for the treatment of glaucoma affect the prenatal development of the individual, as well as on the health of infants.
Using a special technique of application of eye drops (for example, closing his eyes for a few minutes after instillation of the drug, or by pressing your fingers on the inner corners of the eyes, to partially block the tear ducts), can reduce the amount of blood entering the active ingredients of about two-thirds.While this helps to significantly ease the side effects of such measures can not be relied upon when it comes to the health of an unborn child or baby.Reduced doses of used drugs does not help to solve the problem completely.
Normally pregnant women reduces intraocular pressure, and thus the need for glaucoma medications may also decrease.However, this does not always provide a significant reduction in the risk of further damage to the optic nerve during pregnancy.Sometimes, to reduce intraocular pressure to a safe level, doctors resorted to laser trabeculoplasty, or other types of surgical intervention - such treatment for a time relieves the patient from having to use eye drops.Thus, glaucoma Glaucoma - perspective eventual blindness during pregnancy will not progress, although in the future patient will likely need to re-medication.Women glaucoma patients who plan to have children in the future, should advance to talk about it with your doctor, so that they were able in time to get the necessary treatment.Here we will talk about how the most common medication for glaucoma may affect the development of the pregnancy.
Drugs in this category are considered to be the most dangerous in the early stages of fetal development, so they can not be taken during the first trimester of pregnancy.However, later they become completely safe.If the mother takes the eye drops with beta-blockers in the second and third trimesters of pregnancy and lactation, it can lead to depression, reduced heart rate and lower blood sugar levels sugar in the blood - a very important indicator the child.These drugs can also disrupt the natural contractions of the uterus, which can be dangerous during childbirth.
Although animal experiments pilocarpine leads to various disorders in calves during fetal development studies in humans have not revealed any irregularities in children whose mothers took the drug during the first four months of pregnancy.However, when exposed to infants, it can cause fatigue and significant increase in body temperature.Other drugs from the group miotikov did not cause developmental defects in animals, and the children become the cause of muscle weakness.
carbonic anhydrase inhibitors
Reception carbonic anhydrase inhibitor in the tablets can lead to congenital disorders, so during pregnancy should be avoided.Eye drops with carbonic anhydrase inhibitors are considered to be safer for the child, but especially their use during pregnancy and breastfeeding is not well understood.
During the experiments on rabbits and rats did not reveal any violations of fetal development even when using high doses of eye drops with prostaglandins.Are they safe for children is not established yet, but we know that these drugs are excreted in breast milk.Furthermore, there is little likelihood that prostaglandins can cause premature birth.
General provisions for glaucoma during pregnancy are:
- If possible, during pregnancy and lactation should avoid any medications from glaucoma;
- If necessary, together with your doctor to find other ways to reduce intraocular pressure during pregnancy and breastfeeding;
- plan pregnancy in advance.The ideal option for many patients is an operation to treat glaucoma before conception Conception, ovarian cycle, fertilization and genetics baby ;
- If you take drugs still have to use them in the lowest possible doses - try together with your doctor to find a compromise between control of the symptoms of glaucoma Symptoms of glaucoma - it is important to notice and safety of the child.