Conduite à tenir chez une patiente présentant un glaucome pendant la grossesse

Management of glaucoma in pregnant women can be a challenge for the ophthalmologist. The literature is poorly informed and controversial. The risk and benefits to the mother and the fetus must be evaluated. When it is decided that treatment is necessary, there is no consensus of orientation to the safest treatment. However, when surgery or trabeculoplasty cannot be performed before pregnancy, a number of rules can be established: good follow-up, good communication with the patient, differentiation of the three phases of the pregnancy, and applying pressure on the lacrimal points during the instillation of the eye drops. Finally, the betablockers are the molecules for which longest experience has been accumulated and trabeculoplasty seems to be a beneficial alternative.