Diabetic retinopathy and the effect of pregnancy

Pregnancy is associated with increased risk of development and progression of diabetic retinopathy (DR). Although pregnancy does not have any long term effect on DR, progression of retinopathy changes occur in 50%-70% of cases. The greatest risk of worsening occurs during the second trimester and pe...

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Main Authors: P.S, Mallika, Tan , A.K, Aziz, S., Asok, T., Syed Alwi, S.A.R, Intan, G.
Format: Article
Language:English
Published: Academy of Family Physicians of Malaysia 2010
Subjects:
Online Access:http://ir.unimas.my/id/eprint/2230/
http://ir.unimas.my/id/eprint/2230/1/Diabetic%20retinopathy%20and%20the%20effect%20of%20pregnancy.pdf
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author P.S, Mallika
Tan , A.K
Aziz, S.
Asok, T.
Syed Alwi, S.A.R
Intan, G.
author_facet P.S, Mallika
Tan , A.K
Aziz, S.
Asok, T.
Syed Alwi, S.A.R
Intan, G.
author_sort P.S, Mallika
building UNIMAS Institutional Repository
collection Online Access
description Pregnancy is associated with increased risk of development and progression of diabetic retinopathy (DR). Although pregnancy does not have any long term effect on DR, progression of retinopathy changes occur in 50%-70% of cases. The greatest risk of worsening occurs during the second trimester and persists as long as 12 months postpartum. The other factors found to be associated with its progression include duration of the diabetes, severity of retinopathy at conception, hyperglycaemic control, anaemia and progression of coexisting hypertension. Because of the increased risk of progression of the disease in pregnancy, conception should be delayed till the ocular disease is treated and stabilized and laser photocoagulation should be promptly instituted in all cases of severe non-proliferative retinopathy and should not be delayed till the patient develops early proliferative changes. Good diabetic control before and during pregnancy can help prevent this increase in the progression and serious vision loss.
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spelling unimas-22302015-03-19T07:07:24Z http://ir.unimas.my/id/eprint/2230/ Diabetic retinopathy and the effect of pregnancy P.S, Mallika Tan , A.K Aziz, S. Asok, T. Syed Alwi, S.A.R Intan, G. Q Science (General) R Medicine (General) Pregnancy is associated with increased risk of development and progression of diabetic retinopathy (DR). Although pregnancy does not have any long term effect on DR, progression of retinopathy changes occur in 50%-70% of cases. The greatest risk of worsening occurs during the second trimester and persists as long as 12 months postpartum. The other factors found to be associated with its progression include duration of the diabetes, severity of retinopathy at conception, hyperglycaemic control, anaemia and progression of coexisting hypertension. Because of the increased risk of progression of the disease in pregnancy, conception should be delayed till the ocular disease is treated and stabilized and laser photocoagulation should be promptly instituted in all cases of severe non-proliferative retinopathy and should not be delayed till the patient develops early proliferative changes. Good diabetic control before and during pregnancy can help prevent this increase in the progression and serious vision loss. Academy of Family Physicians of Malaysia 2010 Article NonPeerReviewed text en http://ir.unimas.my/id/eprint/2230/1/Diabetic%20retinopathy%20and%20the%20effect%20of%20pregnancy.pdf P.S, Mallika and Tan , A.K and Aziz, S. and Asok, T. and Syed Alwi, S.A.R and Intan, G. (2010) Diabetic retinopathy and the effect of pregnancy. Malaysian Family Physician , 5 (1). ISSN 1985-207X (print), 1985-2274 (electronic)
spellingShingle Q Science (General)
R Medicine (General)
P.S, Mallika
Tan , A.K
Aziz, S.
Asok, T.
Syed Alwi, S.A.R
Intan, G.
Diabetic retinopathy and the effect of pregnancy
title Diabetic retinopathy and the effect of pregnancy
title_full Diabetic retinopathy and the effect of pregnancy
title_fullStr Diabetic retinopathy and the effect of pregnancy
title_full_unstemmed Diabetic retinopathy and the effect of pregnancy
title_short Diabetic retinopathy and the effect of pregnancy
title_sort diabetic retinopathy and the effect of pregnancy
topic Q Science (General)
R Medicine (General)
url http://ir.unimas.my/id/eprint/2230/
http://ir.unimas.my/id/eprint/2230/1/Diabetic%20retinopathy%20and%20the%20effect%20of%20pregnancy.pdf