Rakhab M A, Chernev T
Akush Ginekol (Sofiia). 1996;35(3):31-2.
Diabetic retinopathy is the leading of blindness between the age of 24-64 years and we know the half of this period corresponding to the peak fertility and childbearing years. The prevalence and severity of the retinopathy is strongly related to the duration of the disease and patient age. The progression of diabetic retinopathy during pregnancy can vary from minimal to market deterioration of the retina. So in diabetic women full retinal evaluation must be done as a part of prepregnancy counseling procedure. Patient who already have proliferative retinopathy during pregnancy are monitored frequently by ophthalmologist and lesser photocoagulation can be done safely during pregnancy.
糖尿病视网膜病变是24至64岁人群失明的主要原因，我们知道这一时期的一半对应着生育高峰期和育龄期。视网膜病变的患病率和严重程度与疾病持续时间和患者年龄密切相关。糖尿病视网膜病变在孕期的进展程度可能从视网膜轻微病变到显著恶化不等。因此，对于糖尿病女性，在孕前咨询过程中必须进行全面的视网膜评估。孕期已患有增殖性视网膜病变的患者需由眼科医生密切监测，孕期可安全地进行较少次数的光凝治疗。
