Studnicka J, Hejsek L
Ocní klinika Lékarské fakulty UKa FN Hradec Králové.
Vnitr Lek. 2013 Mar;59(3):224-6.
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.
妊娠是糖尿病视网膜病变和糖尿病黄斑水肿发生发展的一个危险因素。理想情况下，在妊娠前对晚期糖尿病视网膜病变进行激光治疗是合适的，但如果在妊娠期间糖尿病视网膜病变进展，激光治疗是否也适用呢？作者介绍了一例年轻糖尿病患者意外怀孕的病例。在妊娠期间，糖尿病视网膜病变的变化加速。经反复视网膜激光治疗及左眼玻璃体切割术后，双眼视力均有改善。通过数字彩色眼底照片、荧光素血管造影和光学相干断层扫描记录了疾病的病程。
