Vision changes during pregnancy

Visual acuity problems are common complaints in pregnancy. However, most cases are just related to physiology of pregnancy and do not need serious medical treatment and most symptoms will reverse within several months of delivery.

Some cases suggest the presence of underlying diseases including preeclampsia, diabetes, or refractive eye disorders. Doctors should be able to distinguish between the pathologic and normal physiologic changes of visions during pregnancy to avoid unnecessary treatment.

The visual acuity alterations during pregnancy, which can start in the first trimester, can be caused by changes in the thickness of cornea, it happens to as much as 15 percent of all pregnant women. Changes in hormones, metabolism, fluid retention, and blood circulation that occur during pregnancy can affect your eyes.

If you think your vision has changed significantly, see an eye doctor (ophthalmologist) for the examination.

What can you do about blurred vision?

pregnancy-safe eye drops. Also known as “artificial tears,” are often safe.
Rest.
Don't shell out for a new prescription. Wait until after you have had your baby, when your vision should go back to normal.
Don't over-correct.

How else can pregnancy affect the eyes?

Dryness and irritation
During pregnancy and breast-feeding, the eyes may be irritated and drier.
Visual disturbances from migraines
One cause is a condition called migraine headache with aura, which some women experience for the first time during pregnancy , notice as a flashing lights or blind spots
Eye disease
Some women with an otherwise healthy pregnancy develop an eye disease; fluid builds up under the retina. Layers of the retina then detach and distort vision, creating blind spots and this is called central serous chorioretinopathy

This condition due to stress hormones and usually develops in late pregnancy, vision usually returns to normal at the end of your pregnancy or within a few months after delivery.
Changes to current eye conditions
Pregnancy can improve or worsen eye conditions, with diabetes this condition often worsens during pregnancy. Glaucoma, sometimes improves during pregnancy, so the dose can be decreased.

Concern of vision changes during pregnancy?

Some changes in vision can be symptoms of dangerous conditions, such as high blood pressure

25 % of women with severe preeclampsia and 50% of women with eclampsia develop visual symptoms; include blurred vision, blind spots, and inability to focus the eyes, double vision, and flashes of light.

Dr Najeeb Layyous F.R.C.O.G

Consultant Obstetrician, Gynecologist and Infertility Specialist

Vision changes during pregnancy | Dr N Layyous