Neuro–ophthalmic complications in pregnancy

Neuro–ophthalmic conditions associated with pregnancy challenge the ophthalmologist to make the correct diagnosis and recommend appropriate treatment. Pregnancy is a dynamic vascular state, making it likely that vascular disorders can occur. There are also conditions that occur more frequently in this age group (e.g., idiopathic intracranial hypertension), and the ophthalmologist will be instrumental in the evaluation of the condition. Other pregnancy-specific conditions, such as preeclampsia and eclampsia, present with neuro–ophthalmic findings. Diagnosis is crucial before appropriate treatment can be initiated. Treatment must consider the effect on both the woman and the fetus. This article explores the diagnosis and treatment of neuro–ophthalmic conditions in pregnancy.