Ayed S, Jeddi A, Daghfous F, el Euch M, Ben Osman N, Marrakchi S, Nacef L
Service Pr Ayed, Institut d'ophtalmologie Hédi Rais, Tunisie.
J Fr Ophtalmol. 1992;15(8-9):474-7.
The course of diabetic retinopathy (DR) was studied in 93 pregnant patients. Results were compared with data from 98 diabetic non pregnant women. Worsening of initial retinal lesions was observed in 16% of the pregnant group whereas only 6% of the control group showed a similar aggravation. The difference between the two groups was statistically significant (p < 0.05). Argon laser panretinal photocoagulation of pre-proliferative and proliferative DR resulted in no subsequent DR-induced complications. On the other hand, the risk of appearance of DR and/or its worsening during pregnancy depends on initial network but mostly on the duration of diabetes mellitus. In conclusion, regular ophthalmologic examination of diabetic patients especially during pregnancy seems crucial for the early screening of any worsening. Furthermore, the importance of pregnancy planning is emphasized.
对93例糖尿病视网膜病变（DR）孕妇的病程进行了研究。将结果与98例非糖尿病孕妇的数据进行了比较。在孕妇组中，16%的患者初始视网膜病变出现恶化，而对照组中只有6%的患者出现类似加重情况。两组之间的差异具有统计学意义（p < 0.05）。对增殖前期和增殖期DR进行氩激光全视网膜光凝，未引发后续DR相关并发症。另一方面，孕期DR出现和/或加重的风险取决于初始病情，但主要取决于糖尿病病程。总之，糖尿病患者定期眼科检查，尤其是孕期检查，对于早期筛查病情恶化似乎至关重要。此外，强调了妊娠计划的重要性。
