Laser refractive surgery in pregnant or breastfeeding patients. Issue 8 (August 2021)

• Record Type: Journal Article
• Authors: Zamorano-Martín, Francisco; Sánchez-González, José-María; García-Lorente, María; Rachwani-Anil, Rahul; Peraza-Nieves, Jorge; Rodríguez-Calvo-de-Mora, Marina; Borroni, Davide; Rocha-de-Lossada, Carlos
• Is Part Of: Journal of cataract and refractive surgery. Volume 47:Issue 8(2021)
• Page Start: 1081
• Page End: 1087
• Publication Date: 2021-08
• Subjects: 617.7
• DOI: 10.1097/j.jcrs.0000000000000606
• Languages: English
• ISSNs: 0886-3350

Abstract

Abstract : Photorefractive keratectomy and LASIK seem to be stable procedures that are not modified during pregnancy and safe to perform during breastfeeding. However, the lack of weight studies prevents having greater certainty. Abstract : This systematic review reported the outcomes of laser corneal refractive surgery in pregnant or breastfeeding patients. This study was performed by searching in PubMed, Web of Science, and Scopus databases, on June 15, 2020. Included were 128 eyes from a total of 64 patients, with the mean maximum follow-up was 39.2 ± 36.14 months. Time from surgery to complication ranged from 1 to 67 months, with a mean value of 23.42 ± 22.23 months. Photorefractive keratectomy and laser in situ keratomileusis surgery seem to be stable procedures that are not modified during pregnancy and safe to complete during breastfeeding. Nevertheless, the lack of weight prospective research avoids having a greater certainty on this matter, and because of transitory nature of pregnancy and breastfeeding, it could still be contemplated that surgery risk outweigh the benefits. Additional investigation will be necessary to clarify these issues.