PREGNANCY AND VISION
CHANGES, CAUSES, AND MORE BY DR. CASSANDRIA WARR
Congratulations! A baby is on the way! Pregnancy brings big physical changes to your body so it’s no surprise that it can have an effect on everything from your blood pressure to your dental health. But did you know that pregnancy can also cause changes to your eyesight? When you are pregnant, you might experience changes in the quality of your eyesight. Most changes are usually minor and may be temporary. Your eyesight should return to normal slightly after your baby is born, but some vision problems linked
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to pregnancy may require medical attention. regnancy involves an enormous surge of hormones, increased fluid retention, and often a change in blood pressure, all while your body is under considerable strain. The cascade of hormones flooding a pregnant woman’s body affects every tissue and organ, including the eyes.
Not every person will notice changes to their eyesight during pregnancy, since it affects people differently. It is impossible to predict whether you may be affected or not, but it is important to know the potential issues that could occur. Following is an explanation of the most common eye changes of pregnancy, what causes them, and what to do about them. BLURRY VISION AND DRY EYES: The surging hormones of pregnancy can cause the quality and amount of tear production in the eye to change, leading to dry eye syndrome. Symptoms can be excessive tearing, intermittent blurry vision, and often a burning sensation. Symptoms of dry eye can often be treated with warm compresses and over-the-counter artificial tears. If needed, your eye doctor can also prescribe medication to help. REFRACTIVE CHANGES: Clarity of vision depends on the way our eyes bend, or refract, light. When we need glasses or contact lenses to help with the clarity of vision, it is called a refractive error. Fluid retention in pregnancy can cause changes in refractive error by
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altering the thickness of the front of the eye (the cornea). This change will typically revert to normal once delivery has occurred. WEARING CONTACT LENSES: It is good to know that contact lenses, contact lens solutions, and enzymatic cleaners are safe to use while you are pregnant. If your eyes are dry and irritated while wearing contact lenses, you can use artificial tears with the contacts. Sometimes pregnancy can make the eyes dry enough that the contact lenses just feel too uncomfortable. After delivery of the baby, your eyes should return to normal. PREGNANCY AND LASIK: Doctors do not recommend LASIK during pregnancy, since most vision changes are often temporary. Also, because changes can occur due to swelling, this could cause the results of LASIK to not be correct. It is recommended to wait at least six months postpartum before having LASIK. PUFFY EYELIDS: Puffiness around the eyes is a common side effect of certain hormonal changes that women may have while pregnant. Drink plenty of water and stick to a moderate diet low in sodium and caffeine to help limit water retention and boost overall comfort. MIGRAINES AND INCREASED SENSITIVITY TO LIGHT: Around 40% of women will experience migraines at some point in their lives. Pregnant women who suffer from migraines often experience some relief in the second and third trimesters of pregnancy, but migraines may flare during the postpartum period due to abrupt declines in estrogen levels. Sensitivity to light, also called photophobia, is a common symptom of migraines. Wearing sunglasses or turning off lights when having this symptom is helpful. DIABETES: High blood sugar levels linked to diabetes can damage the small blood vessels that supply your retina, resulting in diabetic retinopathy. The chances of this happening increase as pregnancy progresses. Signs of diabetic retinopathy include blurred vision, floaters, and dark spots in the field of vision, fluctuating vision, and missing areas of vision. It is best to keep close tabs on your blood sugar while pregnant. Some women may develop gestational diabetes, which is typically a temporary form of diabetes. This can sometimes cause blurred
| July • August • September 2022
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