How is diabetic retinopathy characterized in pregnant women with diabetes?

Updated: Sep 02, 2021
  • Author: Abdhish R Bhavsar, MD; Chief Editor: Romesh Khardori, MD, PhD, FACP  more...
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Answer

Pregnant women with proliferative diabetic retinopathy do poorly without treatment, but those who have had prior panretinal photocoagulation remain stable throughout pregnancy. Pregnant women without diabetic retinopathy run a 10% risk of developing NPDR during their pregnancy; of those with preexisting NPDR, 4% progress to the proliferative type. [21]

A study by Toda et al found that among pregnant women with diabetic retinopathy, those who showed progression of the eye disorder tended to have a longer duration of diabetes, to have had diabetic retinopathy prior to pregnancy, and to have higher blood pressure in the second trimester. [22]

For more information, see Diabetes Mellitus and Pregnancy.


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