Neuro-Ophthalmic Disorders in Pregnancy

Aubrey L Gilbert; Sashank Prasad; Robert M Mallery

doi:10.1016/j.ncl.2018.09.001

Neuro-Ophthalmic Disorders in Pregnancy

Neurol Clin. 2019 Feb;37(1):85-102. doi: 10.1016/j.ncl.2018.09.001.

Authors

Aubrey L Gilbert¹, Sashank Prasad², Robert M Mallery³

Affiliations

¹ Department of Ophthalmology, The Permanente Medical Group, Northern California, 975 Sereno Drive, Vallejo, CA 94589, USA.
² Department of Neurology, Brigham and Women's Hospital, 60 Fenwood Road, Boston, MA 02115, USA.
³ Department of Neurology, Brigham and Women's Hospital, 60 Fenwood Road, Boston, MA 02115, USA; Department of Ophthalmology, Massachusetts Eye and Ear, 243 Charles Street, Boston, MA 02114, USA. Electronic address: rmallery@partners.org.

PMID: 30470277
DOI: 10.1016/j.ncl.2018.09.001

Abstract

The physiologic changes that accompany pregnancy can have important implications for neuro-ophthalmic disease. This article discusses pregnancy-related considerations for meningioma, pituitary disorders, demyelinating disease, myasthenia gravis, thyroid eye disease, idiopathic intracranial hypertension, cerebral venous sinus thrombosis, stroke, migraine, and cranial neuropathies. The article also details the potential neuro-ophthalmic complications of preeclampsia and eclampsia and reviews the use of common diagnostic studies during pregnancy.

Keywords: Hormonally sensitive tumor; Neuro-ophthalmology; Postpartum relapse; Pregnancy.

Publication types

Review

MeSH terms

Eye Diseases / complications*
Female
Humans
Nervous System Diseases / complications*
Pregnancy
Pregnancy Complications*