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Re: visual disturbancesFrom: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)Sun, 28 Nov 1999 20:51:20 -0600 (CST)
At Fri, 26 Nov 1999, Nikki wrote: > >When I was pregnant with my first child, I had a strange visual >disturbance in which I saw what would normally be described as >"floaters," except there were many of them and they shot by really fast. >I actually jumped out of my seat, thinking there were bugs crawling on >the wall next to me. Next I had a strange visual sensation, like >spinning pinwheels of light, and then a slow eclipse of my peripheral >vision, followed by a spitting headache. I went to the doc: no high >blood pressure or any other problems related to the pregnancy. So I >went to the opthalmologist. She said that the viscosity of my vitreous >humour (the fluid in the eyeball) was slightly too thin. This was >allowing my retinas, used to a certain level of pressure to keep them >pressed firmly to the back of they eyeball, to float ever so slightly >away from their normal position. This can cause black spots and loss of >peripheral vision. It can also lead to blindness if the retinas become >detached. > >She told me to get immediate attention should I ever receive a blow to >the head, in order to avoid a detached retina. She also said that as I >age this tendency will become more pronounced. SHe seemed to discount >pregnancy as a possible cause. I continued to have the strange, >shooting "floaters" throughout my pregnancy, but have never had symptoms >since, until last week (I am pregnant again.) Once again, there is no >high blood pressure. I wonder if the changes in the eyeball which >naturally occur during pregnancy are related to this problem. I know >the shape of the eyeball can change during pregnancy, but the viscosity >of the fluid? Weird. > >Are there women who only get migraines during pregnancy, but not at any >other time? Yes. I'm familiar with visual or ocular migraines in pregnancy as well as visual changes associated with changes in the cornea and possibly the lens during pregnancy but I am not familiar with changes in the vitreous humor associated with pregnancy.
-- Harvey S. Marchbein, M.D. FACOG, FACS Great Neck, New York
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