Macular edema and pregnancy in insulin-dependent diabetes.
Publication/Presentation Date
2-1-1984
Abstract
Seven women with insulin-dependent diabetes (mean age, 26 years; mean duration of diabetes, 15.4 years) had minimal or no retinopathy before becoming pregnant but developed severe macular edema associated with preproliferative or proliferative retinopathy during the course of their pregnancies. The edema was associated with significant macular capillary nonperfusion, and often with significant proteinuria and mild hypertension. Although proliferation was controlled with panretinal photocoagulation, the macular edema continued to worsen until delivery in all cases and was often aggravated by the photocoagulation. Macular edema and retinopathy both regressed after delivery in some patients but persisted in others, causing significant visual loss. Pregnant women with retinopathy, nephropathy, or hypertension should undergo ophthalmoscopy at least once a month. If proliferative retinopathy develops, panretinal photocoagulation should be applied even if the macular edema is aggravated.
Volume
97
Issue
2
First Page
154
Last Page
167
ISSN
0002-9394
Published In/Presented At
Sinclair, S. H., Nesler, C., Foxman, B., Nichols, C. W., & Gabbe, S. (1984). Macular edema and pregnancy in insulin-dependent diabetes. American journal of ophthalmology, 97(2), 154–167. https://doi.org/10.1016/s0002-9394(14)76085-4
Disciplines
Medicine and Health Sciences
PubMedID
6696026
Department(s)
Department of Medicine
Document Type
Article