https://doi.org/10.1097/iae.0000000000003909

This retrospective cohort study evaluated the risk of retinal redetachment in women after vaginal delivery versus cesarean delivery. The researchers analyzed 967 women diagnosed with retinal detachment (RD) who later gave birth at a tertiary medical center, with 66 patients meeting inclusion criteria.

The mean age at RD diagnosis was 22.64 years for the vaginal delivery group and 21.75 years for the cesarean section group.

No patients had prior eye surgery or trauma. All detached retinas were surgically reattached initially.

The study found a ۵% rate (2 cases) of RD recurrence after vaginal delivery compared to a ۷.۵% rate (2 cases) after cesarean delivery, with no statistically significant difference (p=0.654). Based on these results, the authors conclude there is no increased risk of retinal redetachment after vaginal delivery versus cesarean delivery in women with prior RD.

They state there is no ophthalmic benefit to recommending cesarean section for women with a history of RD. The article provides important clinical evidence on a topic with limited prior research. The strengths include the relatively large initial sample size and focus on a specific obstetric question. Limitations include the retrospective design and small number of redetachment events. While the findings suggest vaginal delivery is not contraindicated for women with prior RD, larger prospective studies would be beneficial to confirm these results and further evaluate risk factors. Overall, this research provides valuable data to guide evidence-based care recommendations for pregnant women with a history of retinal detachment.