AIM: To report maternal and fetal adverse outcomes, in spite of appropriate treatment and regular follow up, in diabetic pregnant women with proliferative diabetic retinopathy. METHODS: Case series of four young pregn...AIM: To report maternal and fetal adverse outcomes, in spite of appropriate treatment and regular follow up, in diabetic pregnant women with proliferative diabetic retinopathy. METHODS: Case series of four young pregnant diabetics aged between 20 and 25 years with type 1 diabetes mellitus and proliferative diabetic retrinopathy. RESULTS: The maternal adverse outcomes were abortion in one patient, pre-eclampsia and preterm delivery in one patient, and renal failure requiring dialysis in one patient. The fetal adverse outcomes were neonatal death in one case and premature baby in another case. CONCLUSION: These cases highlight the fact that diabetic pregnant women should be closely followed up by the obstetricians and physicians when they have proliferative retinopathy. The proliferative diabetic retinopathy should be considered as a part of the assessment when counseling a diabetic woman in antenatal check up and also in the follow up visits during pregnancy.展开更多
Despite appropriate management of the systemic disease,patients with diabetes may develop severe forms of diabetic retinopathy that require surgery.Non-clearing vitreous haemorrhage(VH),traction retinal detachment inv...Despite appropriate management of the systemic disease,patients with diabetes may develop severe forms of diabetic retinopathy that require surgery.Non-clearing vitreous haemorrhage(VH),traction retinal detachment involving the macula,combined traction and rhegmatogenous retinal detachment,progressive fibrovascular proliferation(PFP)and rubeosis with acute VH represent the main indications for surgery.Vitrectomy techniques and surgical tools have developed dramatically in the last decade in order to help the surgeon succeed in these challenging cases.展开更多
文摘AIM: To report maternal and fetal adverse outcomes, in spite of appropriate treatment and regular follow up, in diabetic pregnant women with proliferative diabetic retinopathy. METHODS: Case series of four young pregnant diabetics aged between 20 and 25 years with type 1 diabetes mellitus and proliferative diabetic retrinopathy. RESULTS: The maternal adverse outcomes were abortion in one patient, pre-eclampsia and preterm delivery in one patient, and renal failure requiring dialysis in one patient. The fetal adverse outcomes were neonatal death in one case and premature baby in another case. CONCLUSION: These cases highlight the fact that diabetic pregnant women should be closely followed up by the obstetricians and physicians when they have proliferative retinopathy. The proliferative diabetic retinopathy should be considered as a part of the assessment when counseling a diabetic woman in antenatal check up and also in the follow up visits during pregnancy.
文摘Despite appropriate management of the systemic disease,patients with diabetes may develop severe forms of diabetic retinopathy that require surgery.Non-clearing vitreous haemorrhage(VH),traction retinal detachment involving the macula,combined traction and rhegmatogenous retinal detachment,progressive fibrovascular proliferation(PFP)and rubeosis with acute VH represent the main indications for surgery.Vitrectomy techniques and surgical tools have developed dramatically in the last decade in order to help the surgeon succeed in these challenging cases.
