Glaucoma Companion

Evidence-based glaucoma decisions in pregnancy and breastfeeding

Taking the history

Patient

Practice case

Illustrative patients for practice, not real ones.

Stage

Planning pregnancy Pregnant Delivered

Weeks of gestation

Breastfeeding?

Yes No

Disease

Ocular hypertension, or mild and stable Moderate Advanced or progressing

Target IOP (mmHg)

Current IOP (mmHg)

Current drops

KKESH order set Glaucoma 1, by its own names. A fixed combination is judged part by part.

Not on the KKESH list

Risk factors

Previous trabeculectomy or tube delivery discussed early Narrow angles laser iridotomy; labour can trigger closure Pre-eclampsia matters most in glaucoma suspects Asthma, slow pulse or heart block no timolol Oral beta-blocker, such as labetalol timolol adds to it Sulfa allergy no acetazolamide; CAI drops with care Kidney stones no acetazolamide Lives far or hard to follow up favour SLT or one stable drop She stopped her drops on her own

Plan

KeepWith careSwitch or stop Evidence synthesisClinical reasoning Numbers open the paper.

Patient note

Not saved, not sent. Patient details typed here stay in this page only. Nothing is stored or sent anywhere, and they clear when you reload or close the page.

Name

MRN

Age

Gestational age

G/P

Diagnosis

Next visit

Patient advice line

None English Arabic Both

For a handout, print the patient instructions poster (Arabic, A4).

Short note Full note

Patient instructions poster (Arabic, A4 PDF), or the two-sided print with a QR code to this page on the back.
Presentation slides on glaucoma in pregnancy: physicians can request them by email.

KKESH names follow the hospital's Glaucoma 1 order set; confirm compositions with the pharmacy.