A case with diabetes who started strict blood sugar control during pregnancy and developed retinopathy that deteriorated rapidly and healed spontaneously Hideo Mori 1 , Hiromi Fukuda 1 , Masayuki Hosoi 2 , Mariko Fukumoto 2 1Dept of Ophthalmol, Osaka City Gen Hosp 2Dept of Metabol and Endocrinol, Osaka City Gen Hosp pp.1347-1351
Published Date 2015/9/15
DOI https://doi.org/10.11477/mf.1410211479
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Abstract. Purpose:To report a case of a pregnant woman with diabetes who developed retinopathy following strict blood sugar control. It deteriorated into a proliferative stage and then healed spontaneously without photocoagulation. Case:A woman developed type 2 diabetes at the age of 10. For the next 20 years the blood sugar level was high. She got pregnant at 30 and started strict blood sugar control. She developed diabetic retinopathy, that deteriorated into the status of vitreous hemorrhage(VH)in both eyes. Her retinopathy began to heal in the 5th month after beginning of the therapy. Her right eye followed a favorable course. She bore a boy in the 7th month from the beginning of the therapy. Then her left eye developed severe VH which was vitrectomized 10 months later. During surgery a neovascular membrane on the optic disc was excised. The retina's condition was good enough needing no photocoagulation. Visual acuity was 0.9 in either eye at the final visit. Conclusion:In pregnant women with diabetes who develop retinopathy following strict blood sugar control, the retinopathy, which even deteriorates into the status of VH, may heal spontaneously.

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