[Mode of delivery and eye diseases]

Klinika Okulistyki, Uniwersytet Friedricha-Alexandra w Erlangen-Norymberdze, Niemcy.
Ginekologia polska (Impact Factor: 0.6). 08/2012; 83(8):613-7.
Source: PubMed


There are many controversies among ophthalmologists and obstetricians regarding indications for caesarean section due to preexisting eye diseases. Many ophthalmologists still believe myopia, retinal detachment, glaucoma or diabetic retinopathy to be indications for a caesarean section. There is a discrepancy between clinical practice and evidence-based medicine, as none of the published trials have reported any retinal changes after vaginal delivery This report provides information on the influence of physiological changes on eye diseases during the final stage of the delivery. We conclude that an eye disease is not an indication for a caesarean section.

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    ABSTRACT: Objectives: Regional anesthesia is considered a 'gold standard' for cesarean sections. However, it is very often contraindicated in patients with coexistent neurological diseases. This article attempts to review the specific concerns for administration of anesthesia for cesarean section posed by spinal diseases, epilepsy sclerosis multiplex and others. Materials and methods: We present 85 cases of parturients with pre-existing neurological diseases, who received anesthesia for caesarean section at the First Clinic of Anesthesia and Intensive Care in the last 10 years. We compared those cases with the medical literature. Results: We successfully used general as well as regional anesthesia. The decision about the anesthetic technique was based on the neurological state of each patient. Conclusion: No guidelines for anesthesiologist concerning the best anesthetic technique for patients with neurological diseases have been designed so far. The choice of the safest method is made individually and depends on a variety of factors.
    Ginekologia polska 04/2014; 85(4):294-9. DOI:10.17772/gp/1726 · 0.60 Impact Factor

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