Indications for natural delivery in pregnant women with retinoschisis and peripheral chorioretinal degeneration

Introduction: According to Russian statistics, 30 % of women of reproductive age have varying degrees of myopia. In recent years, there has been an increase in the frequency of cesarean sections; one of the indications for this option of delivery is pathology of the organ of vision, including retinoschisis and peripheral retinal degenerations. Materials and methods: To analyze literature data to form an idea of the course of retinoschisis in pregnant women, as well as to describe current treatment methods and establish criteria for admitting women to natural childbirth. Results: In case of flat peripheral retinoschisis, as a rule, laser coagulation of the retina (LCR) is not indicated, but in case of ruptures in retinoschisis, the presence of tractions, in order to allow natural delivery, LCR is mandatory for pregnant women. In a situation where there is less than 2 weeks between the LCR and the preliminary date of delivery, delivery by cesarean section may be recommended. Conclusion: To date, treatment and monitoring tactics for retinoschisis are still being studied. In the absence of tears or traction components, retinoschisis is usually observed. Recent studies have shown no relationship between vaginal birth and retinal detachment.