Diabetic Retinopathy and pregnancy

Pregnancy associated with rapid progress of D.R.

Stages of retinopathy in first trimester : if

1. No retinopathy  can develop 10% BDR.
2. Mild BDR can develop 20% moderate or worse BDR.
3. moderate to sever BDR will develop  25% BDR.
4. diabetic maculopathy resolve spontaneous after pregnancy don't need if develop late in pregnancy.

Predicating factors include:

1. poor control before pregnancy.
2. Too rapid control during early stage of pregnancy.
3. Development of pre eclampsia.

so the diabetic woman should achieved good control before conception, and monthly screening.

Pregnant patient can do FL angiography it hasn't terotogenic effect but ICG can't do.

It can do laser for treatment of DR without fear.

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