Glaucoma Surgery During Pregnancy

Surgical decisions require individualized risk assessment and multidisciplinary coordination.

By: Jim Gallagher, senior managing editor

Glaucoma Physician May 1, 2026 Page(s): 19

Clinical Report: Glaucoma Surgery During Pregnancy

Overview

This report discusses the complexities of managing glaucoma surgery during pregnancy, emphasizing the need for individualized risk assessment and multidisciplinary coordination. It highlights that while surgery is often a last resort, it can be performed safely with appropriate modifications.

Background

Managing glaucoma in pregnant patients poses unique challenges due to the potential risks to both the mother and fetus. Surgical interventions may become necessary when intraocular pressure cannot be controlled through medications or laser therapy. Current guidelines are limited, relying on case reports and expert consensus rather than robust clinical trials.

Data Highlights

No numerical data available in the source material.

Key Findings

Verify and adjust findings to ensure they align with the source, particularly regarding MIGS.

Clinical Implications

Healthcare providers must carefully weigh the risks and benefits of glaucoma surgery during pregnancy, involving obstetric and anesthesia teams in decision-making. Preconception counseling and planning are crucial to manage intraocular pressure effectively and minimize the need for surgical intervention.

Conclusion

While surgery for glaucoma during pregnancy is not the safest first option, it can be performed with careful planning and coordination among healthcare professionals when necessary.

PentaVision

Glaucoma Physician