HRT and neovascularization Posted By Dr. Ravin N. Das Date : 14-Aug-01
I have received the following query from a patient, could any of the eminent retina specialists please advise? Thanking you all in anticipation...
Dear Dr. Das:
I don't know who else to ask. I hope you can help me. My own opthamologist does not seem to know what caused the neovascularization that occurred in my left eye two weeks after my daughter was born. This was 18 years ago when I was 30. The ensuing months brought severe post-partum depression and my hormones were all unbalanced. I was almost producing milk a year later when I had stopped breast feeding two weeks after she was born (I can't remember what that hormone is called). Anyway, at the time, the doctor lasered my central vision and saved my peripheral, but I am now legally blind in that eye. I know this must have been hormone-related or because I was on the Pill before pregnancy or because I've always been a smoker or all of the above. I don't know. They said it was extremely rare.
Anyway, I'm at the age where I am having terrible symptoms of menopause and my doctors are suggesting hormone-replacement therapy. I am wondering if I should do this. They would put me on the lowest doses possible of estrogen and progesterone. And, of course, they also advise that I quit smoking.
Have you ever heard of erratic hormones or pregnancy (I don't know what hormones elevate when you're pregnant) causing neovascularization? What do you think caused this? Do you think I should go for the HRT?
Thank you so much for all your help.