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Received: 12 April 2021; Published on-line: 21 December 2021

A case of OCT evidence of retinal breaks in a myopic patient woman at 38 weeks of gestation

O. V. Ivanytska, O. Iu. Terletska, G. V. Levytska

SI "The Filatov Institute of Eye Diseases and Tissue Therapy of the NAMS of Ukraine"; Odesa (Ukraine)

TO CITE THIS ARTICLE: Ivanytska OV,. Terletska OIu, Levytska GV. A case of OCT evidence of retinal breaks in a myopic patient woman at 38 weeks of gestation. J.ophthalmol.(Ukraine). 2021;6:69-72. http://doi.org/10.31288/oftalmolzh202166972


Background: An eye examination of a pregnant woman is a mandatory phase of her preparation for delivery, with a special attention given to ophthalmic symptoms and relevant recommendations for delivery management.

Purpose: To examine spectral domain ocular coherence tomography (SD-OCT) changes in retinal periphery and to provide grounds for the tactics of preparing a pregnant woman for delivery by performing preventive peripheral laser photocoagulation (PPLP).

Material and Methods: A 35-year-old myopic woman at 38 weeks of gestation underwent a routine eye examination (visual acuity assessment, refractometry, tonometry, perimetry, biomicroscopy, and ophthalmoscopy), ultrasound biometry and SD-OCT (Heidelberg Engineering).

Results: The patient was diagnosed with mild myopia along with peripheral lattice degeneration and peripheral cystic degeneration of the retina in both eyes and local retinal detachment with atrophic retinal breaks in the right eye. The peripheral vitreoretinal lattice degeneration was arrested and the local retinal detachment was limited by laser-induced chorioretinal adhesions.

Conclusion: Spectral domain ocular coherence tomography provides an objective picture of the state of both the macular and the periphery of the retina, and, along with biomicroscopy and ophthalmoscopy, provides grounds for the tactics of care for pregnant women for preventing retinal detachment. The outcome of timely preventive laser treatment allowed us to conclude that the patient had no ocular contraindications to vaginal delivery.

Keywords: peripheral retinal degeneration, rhegmatogenous retinal detachment, spectral domain ocular coherence tomography, myopia, pregnancy, retinal laser photocoagulation



1.[Order of the Minister of Health of Ukraine No. 977 of December 27, 2002 “An Obstetrics Protocol for Cesarean Delivery”]. Ukrainian. 

2.Pasyechnikova NV. [Laser treatment for pathology of the fundus]. Kyiv: Naukova Dumka; 2007. Ukrainian.

3.Popova NV, Fabrikantov OL, Goidin AP. [Frequencies of various clinical forms of peripheral vitreoretinal lattice degeneration for myopia of different severities]. Vestnik TGU. 2017;22(6):1484-6. Russian.

4.Astakhov IS, Lukovskaia NG. [Retinoschisis. 1. Diagnosis, classification, examination methods]. Vestn Oftalmol. Jan-Feb 2004;120(1):26-9. Russian.

5.Neroev VV, Zakharova GY, Kondratieva YP. [Laser photocoagulation for retinoschisis]. In: [Proceedings of the 6th Russian National Ophthalmological Forum: Collection of Papers]. Moscow; October 1-3, 2013. p.59-62. Russian. 

6.Shaimova VA, Pozdeeva OG, Shaimov TB, et cal. [Optical hoherence tomography in the diagnosis of peripheral vitreoretinal degeneration]. Oftalmologiia. 2013;10(4):32-9. Russian.

7.Dragoumis I, Richards A, Alexander P, et al. Retinal detachment in severe myopia. Lancet. Lancet. 2017 Jul 8;390(10090):124.


8.Kottow M. Peripheral retinal degenerations and breaks. Albrecht Von Graefes Arch Klin Exp Ophthalmol. 1980;214(1):53-60.

Crossref   PubMed

9.Kolenko OV, Sorokin EL, Fil AA. [Ophthalmological criteria for choice of optimal mode of delivery in pregnant women with myopia]. Akusherstvo, ginekologiia i reproduktsiia. 2019;13(2):155-163. https://doi.org/10.17749/2313-7347.2019.13.2.156-163. Russian.


Conflict of Interest: The authors declare no conflict of interest which could influence their opinions on the subject or the materials presented in the manuscript.