Vnitr Lek 2013, 59(3):224-226

Progression of diabetic retinopathy in pregnancy

J. Studnička^1,2,*, L. Hejsek^1,2

¹ Oční klinika Lékařské fakulty UK a FN Hradec Králové, přednosta prof. MUDr. Pavel Rozsíval, CSc., FEBO

² VISUS, spol. s r.o., Police nad Metují, přednosta prim. MUDr. Karel Havlíček, MBA

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.

Keywords: diabetic retinopathy; diabetic macular edema; pregnancy

Received: December 28, 2012; Published: March 1, 2013  Show citation