Pregnancy Can Temporarily Affect Your Eyes

Here's what to expect and what to do if you experience changes to your vision and comfort


Published:

Photo courtesy of Kudla/Shutterstock.com

Stretch marks and an increased shoe size are expected, but few women realize that pregnancy can impact the way they see the world. In fact, the same hormones that are responsible for your enhanced bust line and first-trimester nausea can cause fluctuations in vision, dry eyes and increased eye irritation.

Vision changes are typical during pregnancy, says Dr. Valerie Kattouf, O.D., chief of the Pediatrics and Binocular Vision Service and a clinical instructor at the University of Chicago. Even though every pregnant woman doesn't experience blurriness or need new lenses, many find the hormonal fluctuations can cause a myriad of vision symptoms during pregnancy and throughout nursing, Kattouf says.

Temporary Discomfort

According to the American Optometric Association, dry eyes are expectant women's most common eye-related complaint. Dry eyes are caused by fluctuations of estrogen and androgen that decrease the production of natural tears. Symptoms may include dryness, irritation, burning and a gritty feeling.

Dry eyes are troublesome for any mom-to-be, but if you wear contacts, the condition can be especially bothersome. To relieve the discomfort, wear glasses one day and contacts the next; avoid wearing your contacts for extended time periods; and try switching to a different brand of contacts.

Changes in Vision

Although most trips to the eye doctor are because of dry eyes, pregnant women also commonly experience thickening of the cornea, the dome-shaped outer layer of the eye that helps you put images in focus, Kattouf says. Retained fluids cause this thickening, which can result in refractive changes like blurred vision.

These changes may occur suddenly, worsen gradually or come on intermittently. Like dry eyes, this alteration in the cornea can make wearing contact lenses uncomfortable.

Depending on when during the pregnancy refractive changes occur, and the severity of the changes, eye doctors may either alter the prescription for contacts or eye glasses or suggest a woman wait until she delivers to make changes, Kattouf says.

This might seem frustrating, but experts recommend you don't make changes to your lenses during the last trimester and for six to nine months after delivery or you stop nursing.

Because hormonal spikes and surges usually drive pregnancy vision issues, you may experience changes at any time during pregnancy, but they usually correct after childbirth. In fact, if your eye doctor does alter your lenses, keep your original contacts or glasses for when your vision returns to its pre-pregnancy state.

Women who experience refractive changes may also find that the blurriness or trouble focusing is sporadic, depending on the amount of water they're retaining. In this case, many doctors might not alter prescriptions, Kattouf says.

More Serious Complications

Although most pregnancy-related vision issues are not serious, experts caution that significant vision changes can be the first signs of gestational diabetes and high blood pressure.

Diabetics should be seen by an eye doctor at least once per trimester or more, says Janet S. Sunness, M.D., medical director of the Hoover Rehabilitation Services for Low Vision and Blindness at the Greater Baltimore Medical Center.

Women who've been diagnosed with preeclampsia, the next step after gestational hypertension, may also experience blurred vision, see spots, or have decreased or partial vision in one or both eyes. This is due to the increased fluid under the retina, which can actually detach it. Sunness recommends monitoring this during pregnancy, although most problems should reverse after childbirth.

If you lose vision in one or both eyes, whether you have preeclampsia or not, see an eye doctor. These symptoms may be related to the eye or to the brain, Sunness says.

Eye Exams When Pregnant

Optometrists recommend annual eye exams for anyone older than 18, including pregnant women, Kattouf says. So don't put off going to the eye doctor when you're pregnant, but as long as you keep up with annual exams, you don't have to make a special trip just because you're expecting.

However, if you experience any changes in your vision or eye-related discomfort, including blurriness or dry eyes, Kattouf says you should have your eyes checked, even if it's not time for your yearly exam.

If you visit the eye doctor when pregnant, the exam won't vary much from a typical one. However, you may have to decide whether or not to have your eyes dilated. Although there isn't any evidence dilation causes complications, some women opt not to have their eyes dilated because the drops can be absorbed into the bloodstream.

Dilation is safe during pregnancy, and there is virtually no risk to the mother or unborn child. However, it is not always necessary when examining for dry eyes or minor refractive changes, Sunness says.

She also says that a complete exam of the eye and retina cannot be performed without dilation. If you need dilation and the drops concern you, she suggests putting pressure between the eye and the nose, at the tear duct, which helps block off the passage and prevent the drops from entering the bloodstream.

A new screening technology, Optomap, provides an alternative to dilation. The Optos instrument allows an eye doctor to view most of the retina without dilation. Because this technology is relatively new, it may not be available in all practices and it may not be covered by insurance.

 

Gina Roberts-Grey is a freelance magazine writer who lives in New York with her husband and son. She started wearing glasses during her pregnancy and decided she liked seeing clearly so much she continued after delivering her son.

 

This article was first published Aug. 1, 2009, and updated on Feb. 25, 2019.

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Just in time to keep up with those home improvement resolutions for 2020, the Downtown Raleigh Home Show returns to downtown’s Raleigh Convention Center January 24-26, 2020  with a jam-packed...

Cost: Tickets are $12 for adults and free for children under 12. Advance $9 tickets

Where:
Raleigh Convention Center
500 S. Salisbury St.
Raleigh, NC  27601
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Sponsor: Marketplace Events
Telephone: 904-608-3823
Contact Name: Liz Morgan

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Skate on an ice trail or free skate on 17,000 sq. ft of ice. Located in the Upper Pond of the Whitewater Center, the skating environment features three distinct programming areas and an on-ice...

Cost: 20

Where:
USNWC
5000 Whitewater Center Pkwy
Charlotte, NC  28214
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Sponsor: USNWC
Telephone: 704-391-3900
Website »

More information

Lights is a half-mile walking trail that leads viewers through a series of immersive light installations featuring  honeycombs, vines, crystals, and other natural features integrated into the...

Cost: Free

Where:
USNWC
5000 Whitewater Center Pkwy
Charlotte, NC  28214
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Sponsor: USNWC
Telephone: 704-391-3900
Website »

More information

Sign up for a Raleigh scavenger hunt and put on your best Nick Cage impression as you seek out the national treasures hidden in Raleigh. Via an app, be guided through the cultural, historical,...

Cost: See website for fees

Where:
Downtown Raleigh
500 S. Salisbury St.
Raleigh, NC  27601
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Sponsor: LetsRoam!
Telephone: 833-202-7626
Contact Name: LetsRoam!
Website »

More information

Triangle Restaurant Week (January 20-26, 2020) is a week-long celebration of culinary excellence designed to incorporate the premier Raleigh, Durham, Chapel Hill and surrounding area restaurants....

Cost: $15-$35

Where:
Participating Restaurants
, NC


Sponsor: Triangle Blvd
Telephone: 919-673-5784
Website »

More information

Take a hike after dark and enjoy the sights and sounds of a quiet night along the American Tobacco Trail. We will walk to the Beaver Creek bridge and back (about one mile total). Free for ages 4...

Cost: Free

Where:
American Tobacco Trail
1309 New Hill-Olive Chapel Rd.
Apex, NC  27502
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Sponsor: Harris Lake County Park and the American Tobacco Trail
Telephone: 919-387-4342
Contact Name: Joanne St. Clair
Website »

More information

Hounded by Death, the character of Everybody desperately seeks out everyone and everything they know in hope of finding something meaningful to take to the grave. These 90 minutes of theatrical...

Cost: Ticket prices start at $15

Where:
PlayMakers' Repertory Company
120 Country Club Rd
Chapel Hill, NC  27599
View map »


Telephone: 919-962-7529

More information

Rumpelstiltskin-A Tale of Gold Book by Ellie FaggionMusic and Lyrics written by Brian Shrager and Ellie FaggionProduced by special arrangement with the author.Directed by Beth Wilson...

Cost: varies

Where:
Spiritual Twist Productions
1250 Aversboro Road
Garner, NC  27529
View map »


Sponsor: Spiritual Twist Productions
Telephone: 919-977-1976
Contact Name: Kathy MacDonald
Website »

More information

David Burney, lead singer for the acclaimed Johnny Cash tribute band Johnny Folsom 4, brings his one-man show to The ArtsCenter for three shows, January 24-26, 2020.  In “Hello, I’m...

Cost: $15 to $20

Where:
The ArtsCenter
300-G East Main St.
300-G East Main Street.
Carrboro, NC  27510
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Sponsor: The ArtsCenter
Telephone: 919-929-2787
Contact Name: Patrick Phelps-Mckeown
Website »

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Forget tourist-filled museums, make your own memories with a photo scavenger hunt tour in Raleigh! On a Let’s Roam scavenger hunt, you and your team will work together to wander throughout...

Cost: $11

Where:
500 S Salisbury St
raleigh, NC  27601
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Sponsor: Let's Roam
Website »

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Amongst the ancient oak trees is the heart of Raleigh. We'll help you see the forest for the trees and all its magic splendor. Tourist, local, or new to town, this is a lively small group activity...

Cost: $11

Where:
Downtown
500 S Salisbury St
Raleigh, NC  27601
View map »


Sponsor: Let's Roam
Telephone: 833-202-7626
Contact Name: Kelly
Website »

More information

Join the Museum and the Raleigh Astronomy Club to help you see the big picture — of the Universe! From comet crafts to solar observing, lectures to rocket launches, space enthusiasts of all ages...

Cost: Free

Where:
NC Museum of Natural Sciences
11 W. Jones St.
Raleigh, NC  27601
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Website »

More information

Join us for the Kids Exchange Spring/Summer Consignment Sale in February!   This FREE ADMISSION event is the largest kids consignment sale in the nation and is held at the NC State Fairgrounds...

Cost: Free

Where:
Jim Graham Building
1025 Blue Ridge Road
Raleigh, NC  27607
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More information

Join us for the Kids Exchange Spring/Summer Consignment Sale in July! This FREE ADMISSION event is the largest kids consignment sale in the nation and is held at the NC State Fairgrounds at...

Cost: 0 – $10

Where:
Jim Graham Building
1025 Blue Ridge Road
Raleigh, NC  27607
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Website »

More information

RALEIGH (Jan. 16, 2020) – The North Carolina Association for Public Charter Schools will host its first school fair during National School Choice Week on Saturday, Jan. 25. The fair will take...

Cost: Free

Where:
Raleigh Convention Center
500 S. Salisbury Street
Raleigh, NC  27610
View map »


Sponsor: NC Association of Public Charter Schools
Telephone: 336-669-9996
Contact Name: Rhonda Dillingham
Website »

More information

Kindermusik is a research-based early childhood curriculum that includes 45-minute classroom lessons with materials and resources that encourages parental involvement . Research has linked...

Cost: $70/month

Where:
Hope Community Building
2080 E Williams St
Hope Community Building, Fuquay Varina Room
Apex/Holly Springs, NC  27539
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Telephone: 191-990-25432
Contact Name: Leigh Hamm
Website »

More information

Family Wildlife Series: Tricky Tracks Saturday, January 25 10-11 a.m. Come dressed for the weather so you can roam the park learning the fine art of “tracking”.   Make a cast of an animal...

Cost: Free

Where:
Blue Jay Point County Park
3200 Pleasant Union Church Road
Raleigh, NC  27614
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Telephone: 919-870-4330
Website »

More information

Join the statewide kickoff to Black History Month at the North Carolina Museum of History in Raleigh. Named a Top 20 Event by the Southeast Tourism Society since 2015, the 19th...

Cost: 0

Where:
North Carolina Museum of History
5 East Edenton Street
Raleigh, NC
View map »


Website »

More information

Just in time to keep up with those home improvement resolutions for 2020, the Downtown Raleigh Home Show returns to downtown’s Raleigh Convention Center January 24-26, 2020  with a jam-packed...

Cost: Tickets are $12 for adults and free for children under 12. Advance $9 tickets

Where:
Raleigh Convention Center
500 S. Salisbury St.
Raleigh, NC  27601
View map »


Sponsor: Marketplace Events
Telephone: 904-608-3823
Contact Name: Liz Morgan

More information

Skate on an ice trail or free skate on 17,000 sq. ft of ice. Located in the Upper Pond of the Whitewater Center, the skating environment features three distinct programming areas and an on-ice...

Cost: 20

Where:
USNWC
5000 Whitewater Center Pkwy
Charlotte, NC  28214
View map »


Sponsor: USNWC
Telephone: 704-391-3900
Website »

More information

Lights is a half-mile walking trail that leads viewers through a series of immersive light installations featuring  honeycombs, vines, crystals, and other natural features integrated into the...

Cost: Free

Where:
USNWC
5000 Whitewater Center Pkwy
Charlotte, NC  28214
View map »


Sponsor: USNWC
Telephone: 704-391-3900
Website »

More information

Sign up for a Raleigh scavenger hunt and put on your best Nick Cage impression as you seek out the national treasures hidden in Raleigh. Via an app, be guided through the cultural, historical,...

Cost: See website for fees

Where:
Downtown Raleigh
500 S. Salisbury St.
Raleigh, NC  27601
View map »


Sponsor: LetsRoam!
Telephone: 833-202-7626
Contact Name: LetsRoam!
Website »

More information

Spanish Alive is providing Family Spanish classes starting in January! Join us to learn Spanish as an entire family in an immersive, fun environment. Our teachers are trained Spanish educators and...

Cost: $75-$216

Where:
Spanish Alive
156 E. Chatham St
Cary, NC
View map »


Website »

More information

Winter days find many animals curled up in their dens. They sleep warmly, awakening in spring ready to enjoy the renewed Earth. Discover how animals deal with cold weather and which ones hibernate...

Cost: For all ages; FREE. Registration is required for all family members,& childre

Where:
Historic Yates Mill County Park
4620 Lake Wheeler Road
Raleigh, NC  27603
View map »


Telephone: 919-856-6675
Website »

More information

Rumpelstiltskin-A Tale of Gold Book by Ellie FaggionMusic and Lyrics written by Brian Shrager and Ellie FaggionProduced by special arrangement with the author.Directed by Beth Wilson...

Cost: varies

Where:
Spiritual Twist Productions
1250 Aversboro Road
Garner, NC  27529
View map »


Sponsor: Spiritual Twist Productions
Telephone: 919-977-1976
Contact Name: Kathy MacDonald
Website »

More information

Come support your NC State Gymnastics team as they open the 2020 home season against the Towson Tigers on January 25th at 4 PM. Tickets start at just $3!

Cost: $3-$7

Where:
Reynolds Coliseum
2411 Dunn Ave
Raleigh, NC  27607
View map »

More information

Triangle Restaurant Week (January 20-26, 2020) is a week-long celebration of culinary excellence designed to incorporate the premier Raleigh, Durham, Chapel Hill and surrounding area restaurants....

Cost: $15-$35

Where:
Participating Restaurants
, NC


Sponsor: Triangle Blvd
Telephone: 919-673-5784
Website »

More information

Join us in Arendelle for Frozen-inspired STEAM activities for the whole family! Included in the ticket cost is dinner and dessert for the whole family, make your own sock Olaf and Frozen bouncy...

Cost: $35 per family

Where:
Kidzu Children's Museum
201 S. Estes Dr.
Chapel Hill, NC  27514
View map »


Sponsor: Kidzu Children's Museum
Telephone: 919-933-1455
Website »

More information

AML Wrestling presents our 5th Anniversary Celebration! WHEN: Saturday, January 25th, 2020WHERE: Winston-Salem Fairgrounds in theHome & Garden Building 408 27th Street NW/Gate #9 Winston-Salem, NC...

Cost: $5

Where:
Winston-Salem Fairgrounds
408 27th Street NW/Gate #9
Winston-Salem, NC  27105
View map »


Sponsor: AML Wrestling
Telephone: 336-831-0646
Contact Name: Tracy Myers
Website »

More information

Hounded by Death, the character of Everybody desperately seeks out everyone and everything they know in hope of finding something meaningful to take to the grave. These 90 minutes of theatrical...

Cost: Ticket prices start at $15

Where:
PlayMakers' Repertory Company
120 Country Club Rd
Chapel Hill, NC  27599
View map »


Telephone: 919-962-7529

More information

David Burney, lead singer for the acclaimed Johnny Cash tribute band Johnny Folsom 4, brings his one-man show to The ArtsCenter for three shows, January 24-26, 2020.  In “Hello, I’m...

Cost: $15 to $20

Where:
The ArtsCenter
300-G East Main St.
300-G East Main Street.
Carrboro, NC  27510
View map »


Sponsor: The ArtsCenter
Telephone: 919-929-2787
Contact Name: Patrick Phelps-Mckeown
Website »

More information

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Education Guide

The 2019-20 Education Guide offers 718 education resources in the Triangle, including area preschools, private schools, public school systems, charter schools, boarding schools and academic resources.

The Triangle Go-To Guide

Our Triangle Go-To Guide connects you to family fun resources across the Triangle. In our 2019-20 issue, explore 1,028 resources for family fun.