Blurry Vision During Pregnancy: What You Need To Know

Pregnancy is an exciting and transformative time, but it also comes with many unexpected changes — including possible shifts in vision. While most people are prepared for common pregnancy symptoms like morning sickness and fatigue, many do not realize that hormonal fluctuations, fluid retention, and changes in blood circulation can also affect eye health. About 15% of women experience changes in vision like blurry vision, dry eyes, or increased sensitivity to light, while others may notice more serious concerns linked to conditions like preeclampsia or gestational diabetes.

The good news is most pregnancy-related vision changes are temporary and resolve after childbirth or once hormone levels stabilize. However, understanding what’s normal — and when to seek medical attention — is key to protecting your eye health during and after pregnancy. In this guide, we’ll explore the most common vision changes expectant mothers may face, how breastfeeding can impact eyesight, and practical ways to maintain clear, healthy vision throughout this journey.

Common vision changes during pregnancy

Blurry vision during pregnancy is one of the most frequently reported vision changes. Increased fluid retention can alter the curvature of the cornea, making it difficult for some pregnant women to see clearly. This may cause their glasses or contact lens prescriptions to feel off, though the changes typically resolve after childbirth. If blurred vision persists postpartum, an eye exam may be necessary.

Another common issue is dry eyes. Hormonal fluctuations can reduce tear production, leading to dryness, irritation, and discomfort, especially for contact lens wearers. Using preservative-free artificial tears can help alleviate these symptoms.

Some women also experience increased light sensitivity, which can cause discomfort, especially in bright environments. Wearing UV-protective sunglasses can help manage this sensitivity. Additionally, pregnancy can lead to changes in intraocular pressure (IOP). In some cases, IOP decreases, which may temporarily improve vision for women with glaucoma. However, pregnant women with pre-existing glaucoma should consult their eye doctor about safe treatment options.

More serious complications can arise from pregnancy-induced hypertension (high blood pressure). This condition can cause vision disturbances such as blurred vision, light sensitivity, or even temporary vision loss. Preeclampsia, a severe pregnancy complication, can lead to swelling in the retina and other ocular issues, and seeing spots while pregnant or flashing lights are symptoms that require immediate medical attention.

Women diagnosed with gestational diabetes may experience vision changes due to fluctuating blood sugar levels affecting the eye’s blood vessels. If left untreated, diabetic retinopathy can develop, leading to vision loss. Managing blood sugar levels through diet and medical care is essential for preventing vision complications.

Postpartum and breastfeeding vision changes

After childbirth, many vision changes resolve as hormone levels return to normal. However, some issues may persist while breastfeeding due to ongoing hormonal fluctuations. One of the most persistent symptoms of postpartum is dry eyes, which can continue affecting tear production. This makes contact lenses uncomfortable for many new mothers. Switching to glasses or using lubricating eye drops can help alleviate discomfort.

Blurry vision can also linger postpartum, particularly if pregnancy-related fluid retention has not yet fully subsided. While some women see their vision return to normal within a few months, others may need a new prescription for glasses or contact lenses.

Postpartum preeclampsia, a condition that can develop after delivery, may cause ongoing vision problems such as blurred vision, seeing spots, or light sensitivity. If these symptoms occur, medical evaluation is necessary to rule out complications.

Easy ways to protect your vision during pregnancy and beyond

To maintain healthy vision before, during, and after pregnancy, it’s always good to keep in mind the following tips:

• Schedule regular eye exams – Inform your eye doctor if you are pregnant or breastfeeding, as they may adjust treatment recommendations accordingly. If vision changes persist postpartum, an updated prescription may be necessary.
• Stay hydrated – Drinking plenty of water can help maintain healthy tear production and reduce dry eye symptoms.
• Use lubricating eye drops – Safe, preservative-free artificial tears can relieve dryness and irritation.
• Wear sunglasses – Protect your eyes from increased light sensitivity by wearing UV-blocking sunglasses outdoors.
• Monitor blood pressure and blood sugar levels – Regular monitoring can help prevent complications related to gestational diabetes or hypertension.
• Limit screen time and take breaks – Following the 20-20-20 rule can reduce digital eye strain. Every 20 minutes, look at something 20 feet away for 20 seconds.
• Consult your doctor before using medications – Some eye drops and medications may not be safe during pregnancy or breastfeeding. Always check with a healthcare provider before using new treatments.

When to seek medical attention

If you experience any of the following symptoms, seek medical help as soon as possible:

• Sudden vision loss
• Persistent or severe blurry vision
• Seeing flashes of light or floaters
• Double vision
• Severe eye pain or redness
• Swelling around the eyes

These could indicate serious conditions such as retinal detachment, optic nerve issues, or complications from hypertension or diabetes.

While pregnancy and breastfeeding can bring temporary vision changes, understanding these effects and taking proactive steps can help manage symptoms. Most eye-related changes resolve postpartum, but persistent issues should be evaluated by an eye care professional. Prioritizing regular eye exams, maintaining a healthy lifestyle, and addressing concerns can ensure long-term vision health during and after pregnancy.

Sources and References:
Deutsches Arzteblatt international
Cleveland Clinic
Optometrist Network
American Academy of Ophthalmology
CDC
BMC Pregnancy Childbirth
Prevent Blindness