Veselovska N.M.^1,2, Kukhar N.V.^1,2
1Kyiv City Ophthalmologic Center, Kyiv City Clinical Hospital no. 1, Kyiv, Ukraine
²Kyiv Medical University of UAFM, Kyiv, Ukraine

Summary. The paper presents an analysis of modern views on the problem of glaucoma in pregnant and lactating women. Pregnancy and lactation is a complicated complex of the physiological state in a woman’s life that influent on the nature of the biological reactions occurring in all organs and systems. The authors show the need to consider that the number of pharmacological drugs have teratogenic effects and the fact of their impact on the body of a newborn if it enters into it with his mother’s milk. It is represented an extremely difficult drug treatment of glaucoma for a long enough period of time in the work are the key provisions and the most appropriate and safe approaches to the diagnosis, monitoring and treatment of glaucoma, including surgical and laser techniques during pregnancy and lactation.

Thus, to minimize the negative influence of medical events it is reasonable to:

– use the glaucoma medications only in cases with high intraocular pressure and objective evidence of disease progression ordering the minimal frequency of the schedule;

– recommend the glaucoma surgery (preferably laser treatment) and preferably to carry out with consider in the term of pregnancy;

– minimize the systemic effects of glaucoma drops using the nazolacrimal compression or the temporary occlusion of the lacrimal points.

Keywords: glaucoma, pregnancy, lactation, antihypertensive drugs, teratogenic effect.

 
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