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    Health conditions

    Eye changes during pregnancy: what is normal and what is not

    Pregnancy can cause dry eyes and small vision changes. Learn which changes are temporary and which symptoms need urgent care.

    Medically reviewed by Dr. Vinay Patil, MBBS, MS (Ophthalmology), founder of Sankalp Nethralaya. Last reviewed .

    Hormonal and fluid changes during pregnancy can affect the eyes. Most changes are mild and temporary.

    Common, usually harmless changes

    • Dry, gritty eyes
    • Contact lenses feeling less comfortable
    • Slight changes in glasses power
    • Puffy eyelids

    These usually settle after delivery and breastfeeding. It is best to wait a few months before getting new glasses, and to postpone laser vision correction.

    Diabetes in pregnancy

    If you had diabetes before pregnancy, diabetic retinopathy can progress during pregnancy. Have a dilated eye exam early in pregnancy and as advised.

    Warning signs: seek urgent care

    • Blurred vision, flashing lights or spots
    • Especially with headache, swelling of the face or hands, or pain below the ribs
    These can be signs of pre-eclampsia, a serious condition. Contact your obstetrician or go to hospital immediately.

    Eye drops

    Tell your eye doctor if you are pregnant or breastfeeding before using any eye drops.

    Frequently asked questions

    Is it safe to have an eye exam during pregnancy?

    Yes. Routine eye exams are safe. Tell your doctor you are pregnant.

    Can I wear contact lenses during pregnancy?

    Usually, though they may feel less comfortable. Lubricating drops or switching to glasses can help.

    Sources

    1. Diabetic retinopathy, National Eye Institute (NIH)
    2. Dry eye, National Eye Institute (NIH)
    This article is for general information and does not replace an examination by an eye doctor. If you have symptoms, please book a consultation.

    Book an eye check-up at a clinic near you.