Verougstraete C
Clinique Ophtalmologique, Université libre de Bruxelles, Hôpitaux Brugmann et Saint-Pierre.
Bull Soc Belge Ophtalmol. 1995;256:33-41.
Pregnancy is an important independent risk factor for diabetic retinopathy. This risk is increased with diabetes duration, bad metabolic control, diastolic hypertension, renal disease, anemia, rapid reduction of Hb A1c level and severity of baseline retinopathy. Retinal examination must be done at onset of pregnancy and every 3 months thereafter until 3 months after delivery. Eye fundus will be controlled every month if retinopathy occurs in patients with risk factors. Laser treatment is as efficient during pregnancy as usually.
妊娠是糖尿病视网膜病变的一个重要独立危险因素。随着糖尿病病程延长、代谢控制不佳、舒张期高血压、肾脏疾病、贫血、糖化血红蛋白A1c水平迅速降低以及基线视网膜病变的严重程度增加,这种风险也会升高。妊娠开始时以及此后每3个月直至产后3个月都必须进行视网膜检查。如果有危险因素的患者发生视网膜病变,眼底将每月检查一次。激光治疗在孕期与通常情况一样有效。