EFFICACY OF LASER PHOTOCOAGULATION IN PREGNANT WOMEN WITH DIABETES MELLITUS

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Abstract

Background: In the modern world, diabetes mellitus is a disease that is growing in epidemic proportions. Numbers of women of childbearing age with this disease are also increasing. 

Aim: To develop a dose-defining algorithm for laser photocoagulation treatment of diabetic retinopathy and diabetic macular edema in pregnant women ensuring optimal efficacy and sustained effects. 

Materials and methods: 12 pregnant women with type I diabetes decompensation before and during pregnancy (НbА1с > 8 %, group 1), 10 women with compensated type I diabetes before and during pregnancy (НbА1с 4.5–6%, group 2), 10 women with type I diabetes decompensation before pregnancy and compensation of diabetesachieved during the 1st  trimester (НbА1c  6.5%, group 3) were enrolled. In all patients, routine  ophthalmological examination and optical coherent tomography were performed. 

Results: 39 eyes were treated with laser photocoagulation of the retina including 3 panretinal,  16 focal and 20 grid laser procedures. In the group 1, stabilization of the funduscopic picture was observed during the 3 trimester and in the longtermafter the laser treatment. During the 3rd  trimester, additional laser procedure was required in 4 eyes (16%) in the group 1 and in 2 eyes (10%) in the group 2.

Conclusion: Laser photocoagulation results in significant improvement of visual acuity. Visual function changes are dependent from diabetes compensation status, presence of macular edema and volume of the procedure.

About the authors

E. N. Khomyakova

Moscow Regional Research and Clinical Institute (MONIKI)

Author for correspondence.
Email: veritas.elena@gmail.com

PhD, Research Associate, Ophthalmology Department

Russian Federation

S. G. Sergushev

Moscow Regional Research and Clinical Institute (MONIKI)

Email: fake@neicon.ru
MD, PhD, Leading Research Associate, Ophthalmology Department Russian Federation

A. A. Ryabtseva

Moscow Regional Research and Clinical Institute (MONIKI)

Email: fake@neicon.ru
MD, PhD, Professor, the Head of the Ophthalmology Department Russian Federation

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Copyright (c) 2016 Khomyakova E.N., Sergushev S.G., Ryabtseva A.A.

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