Wydanie 1/2008

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Contact Lenses and Pregnancy

Ewa Langwińska-Wośko, Anna Wójcik-Gryciuk, Anna M. Ambroziak

Katedra i Klinika Okulistyki II Wydziału Lekarskiego Warszawskiego Uniwersytetu Medycznego Samodzielny Publiczny Kliniczny Szpital Okulistyczny w Warszawie Kierownik: prof. dr hab. n. med. Jerzy Szaflik

Summary: Visual changes are common during pregnancy. Hormones produced during pregnancy may cause dramatic fluctuations in most women?s refractive state. Many women develop contact lenses intolerance during pregnancy. Discomfort is the commonest complaint associated with contact lenses wear. Other symptoms include persistent greasing of the contact lenses, increased lens awareness, reduced wearing time and ocular irritation. Corneal thickness and curvature increase and changes in tear film may be the main factors in contact lenses intolerance development during pregnancy. Also other changes i.e conjunctival modification and lid oedema may also contribute to discomfort with contact lens wear. Pregnant women should be advised to reduce wearing time and choose daily disposable contact lenses if reported symptoms are mild to moderate. Positive slit lamp finding and severe symptoms require immediate contact lens wear discontinuation.


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