Indian Journal of Ophthalmology

REVIEW ARTICLE
Year
: 2020  |  Volume : 68  |  Issue : 3  |  Page : 420--426

Trabeculectomy in pregnancy: Case studies and literature review


Nandini R Banad, Nikhil Choudhari, Siddharth Dikshit, Chandrasekhar Garudadri, Sirisha Senthil 
 VST Center for Glaucoma Care, L V Prasad Eye Institute, Hyderabad, Telangana, India

Correspondence Address:
Dr. Sirisha Senthil
V Prasad Eye Institute, Kallam Anji Reddy Campus, L V Prasad Marg, Road No: 2, Banjara Hills, Hyderabad - 500 034, Telangana
India

Glaucoma management during pregnancy is a challenge for the patient and doctor. During pregnancy, the intraocular pressure (IOP) decreases. However, some women with preexisting glaucoma have elevated IOP requiring enhanced medical treatment. Glaucoma refractory to medical treatment combined with disease progression may necessitate laser trabeculoplasty or surgical intervention. Surgery during pregnancy has potential risks for both the mother and fetus. The challenges include problems with anesthesia, positioning for surgery, difficulties in the surgical procedure, potential risk with antimetabolites, and concerns with the management of postoperative complications. We report two case scenarios that highlight the challenges associated with trabeculectomy in pregnant women and the modifications that can be adopted to improve safety and the efficacy of glaucoma filtering surgery during pregnancy.


How to cite this article:
Banad NR, Choudhari N, Dikshit S, Garudadri C, Senthil S. Trabeculectomy in pregnancy: Case studies and literature review.Indian J Ophthalmol 2020;68:420-426


How to cite this URL:
Banad NR, Choudhari N, Dikshit S, Garudadri C, Senthil S. Trabeculectomy in pregnancy: Case studies and literature review. Indian J Ophthalmol [serial online] 2020 [cited 2020 Jun 3 ];68:420-426
Available from: http://www.ijo.in/article.asp?issn=0301-4738;year=2020;volume=68;issue=3;spage=420;epage=426;aulast=Banad;type=0