Mirkiewicz-Sieradzka B, Romanowska B, Kalita J, Sieradzki J
Kliniki Okulistycznej AM, Krakowie.
Klin Oczna. 1992 May-Jun;94(5-6):147-8.
The authors observed a group of 16 pregnant women aged 22-38 years with insulin-dependent diabetes of D, R, RF class (accor. to White). All the patients were treated by conventional insulin therapy. The fundus in 8 of them (16 eyes--group 1) was normal, in following 8 the fundus showed changes of the type of simple retinopathy (13 eyes--group 2) and proliferative retinopathy (3 eyes--group 3). Laser photocoagulation of the fundus changes was executed in 9 eyes. In the final period of gravidity the group 1 and 2 did not exhibit any new changes or intensification of the already existing; this could be connected with application of an intensive conventional insulin therapy. All the eyes (group 1 and 2) except one showed stabilization of the retinal changes after laser treatment.
作者观察了一组16名年龄在22 - 38岁之间、患有D、R、RF级（根据怀特分类法）胰岛素依赖型糖尿病的孕妇。所有患者均接受常规胰岛素治疗。其中8名患者（16只眼——第1组）眼底正常，另外8名患者眼底出现单纯性视网膜病变（13只眼——第2组）和增殖性视网膜病变（3只眼——第3组）。对9只眼的眼底病变进行了激光光凝治疗。在妊娠末期，第1组和第2组未出现任何新的变化或已有病变的加重；这可能与强化常规胰岛素治疗的应用有关。除一只眼外，所有（第1组和第2组）眼睛在激光治疗后视网膜病变均得到稳定。
