Transitory topographical variations in keratoconus during pregnancy.
Details
Serval ID
serval:BIB_BAFBEE1A2CC7
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Transitory topographical variations in keratoconus during pregnancy.
Journal
Journal of refractive surgery
ISSN
1081-597X (Print)
ISSN-L
1081-597X
Publication state
Published
Issued date
02/2013
Peer-reviewed
Oui
Volume
29
Number
2
Pages
144-146
Language
english
Notes
Publication types: Case Reports ; Journal Article
Publication Status: ppublish
Publication Status: ppublish
Abstract
To highlight two cases of keratoconus with significant variations of corneal curvature during pregnancy that reversed several months after delivery.
Case reports and literature review.
Two women experienced a significant decrease of corrected distance visual acuity during pregnancy. Evaluation of corneal topography by Scheimpflug imaging revealed transitory variations of the keratometric values in both patients during the gestational period. These topographical alterations were evident not only during pregnancy, but also in the postpartum period, with stabilization of corneal topography several months after delivery.
These clinical cases indicate that hormonal changes occurring regularly during gestation may have a severe impact on the progression of keratoconus. However, these changes are transient and fully reversible. Therefore, physicians should be reluctant to perform cross-linking during or directly after pregnancy and should wait until the corneal curvature has been stabilized.
Case reports and literature review.
Two women experienced a significant decrease of corrected distance visual acuity during pregnancy. Evaluation of corneal topography by Scheimpflug imaging revealed transitory variations of the keratometric values in both patients during the gestational period. These topographical alterations were evident not only during pregnancy, but also in the postpartum period, with stabilization of corneal topography several months after delivery.
These clinical cases indicate that hormonal changes occurring regularly during gestation may have a severe impact on the progression of keratoconus. However, these changes are transient and fully reversible. Therefore, physicians should be reluctant to perform cross-linking during or directly after pregnancy and should wait until the corneal curvature has been stabilized.
Keywords
Adult, Cornea/physiopathology, Corneal Topography, Female, Gestational Age, Humans, Keratoconus/physiopathology, Pregnancy, Pregnancy Complications, Visual Acuity/physiology
Pubmed
Web of science
Create date
08/03/2022 10:10
Last modification date
26/03/2022 6:35