Progression of diabetic retinopathy in pregnancy

Czech version

Authors: J. Studnička ^1,2; L. Hejsek ^1,2
Authors‘ workplace: Oční klinika Lékařské fakulty UK a FN Hradec Králové, přednosta prof. MUDr. Pavel Rozsíval, CSc., FEBO ¹; VISUS, spol. s r. o., Police nad Metují, přednosta prim. MUDr. Karel Havlíček, MBA ²
Published in: Vnitř Lék 2013; 59(3): 224-226
Category: Case Reports

Overview

Pregnancy is a risk factor for the development of diabetic retinopathy and diabetic macular edema. Ideally, it is appropriate to perform laser treatment of advanced forms diabetic retinopathy before pregnancy, but in case of progression of diabetic retinopathy during pregnancy is laser treatment also indicated. The authors present a case of a young diabetic, who unexpectedly became pregnant. During pregnancy were accelerated changes of diabetic retinopathy. The visual acuity improved in both eye after repeated retinal laser treatment and pars plana vitrectomy in the left eye. The course of disease was documented with digital color fundus pictures, fluorescein angiography and optical coherence tomography.

Key words:
diabetic retinopathy – diabetic macular edema – pregnancy