9 questions about sight problems pregnant

9 questions about sight problems pregnant


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Change of view, tired eyes ... all the inconveniences associated with your pregnancy. Why does your vision change during these nine months? Is there a correction? What eye exams to predict? What precautions? We take stock!

1. What vision problems may occur during pregnancy?

  • Some pregnant women experience visual fatigue at the end of the day, sometimes eye irritation or headaches. Vision defects may also appear.
  • In early pregnancy, minimal astigmatism (distortion of images) can occur.
  • In the 3rd trimester, a discreet myopia (bad sight by far) can make its appearance. Even if you have a normal view, you can become slightly myopic, and if you are nearsighted, the phenomenon may increase.
  • Do you have hyperopia (poor near vision)? Good news, you may see an improvement during these nine months.
  • Some future mothers become presbyopic during their pregnancy. The lens (envelope of the eyeball) loses its capacity of accommodation. The vision becomes difficult. Called pregnancy presbyopia (related to pregnancy), this phenomenon is temporary, everything comes back after birth.

2. What is the reason for this change in pregnant vision?

  • These are the pregnancy hormones the culprits! In particular progesterone, which causes a retention of water in the cornea, retention increasingly pronounced over the months of pregnancy. This results in edema (swelling) of the cornea modifies its radius of curvature, affecting vision.

3. Does everything return to normal after birth?

  • Yes, all these vision disorders will disappear within 6 to 8 weeks of your delivery. It will be a little longer if you breastfeed your baby, the time for the hormones to return to normal.
  • If you have had vision problems during your pregnancy, it is best to have a check-up with your usual ophthalmologist a few months after birth. In the vast majority of cases, he will find that your vision has returned to normal.

4. Is a correction useful?

  • This is usually unnecessary since these vision disorders are transient.
  • If you are a little myopic: you will see better by slightly squinting your eyes.
  • If you are affected by presbyopia, it may be a problem to read. Ask an ophthalmologist or optician for advice, who may prescribe glasses.

5. Is it necessary to visit the ophthalmologist during pregnancy?

  • Yes, especially if you are nearsighted, regardless of the degree of your myopia, or if you have already suffered from detachments or retinal diseases. A fundus between the 6th and 8th month of pregnancy will detect any retinal lesions predisposing to detachment or tearing. It is best to treat early enough (laser) to allow complete healing before delivery.

6. Does myopia run the risk of retinal detachment during childbirth?

  • Yes, even if it is exceptional. The fundus will eliminate the presence of lesions at risk of detachment. There is therefore no contraindication for short-sighted women to give birth vaginally, nor need to resort to techniques to accelerate the birth or reduce the thrust efforts. Be aware that this detachment can occur at any time during pregnancy and not only during expulsion efforts at the end of delivery.

7. Hemorrhage in the retina can occur during expulsion?

  • More than the retinal detachments, it is the haemorrhages that are to be feared at the time of the thrust efforts at the time of birth. Vigilance is appropriate, and not only for future mothers who are myopic. Fortunately, these haemorrhages resolve quickly. In rare cases, they require intervention, but never in an emergency.

8. What other precautions to take during pregnancy?

  • Some diseases have an impact on vision during these nine months. If you have diabetes, you are more likely to develop or worsen retinopathy (retinal disease, which is characterized by hemorrhaging). The older your diabetes is, the more likely it is. Get monitored regularly.
  • Arterial hypertension can be responsible for haemorrhages and hematomas in the eyes, especially during childbirth. This is a serious problem that will require constant medical supervision throughout your pregnancy and especially enhanced at birth.

9. Are contact lenses compatible with pregnancy?

  • Yes, nothing prevents you from continuing to wear your contact lenses speaker, but you may find a slight discomfort in use, especially with rigid lenses. During pregnancy, the production of tears is less important (another effect of the hormonal upheaval).
  • A tip, try to wear less, eight hours instead of the usual twelve, for example. this will avoid irritation problems.
  • If you do not really support them anymore, do not insist and temporarily put on your glasses.

Maryse Damiens