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Journal of Education, Health and Sport

Pregnancy as an important risk factor for the progression of diabetic retinopathy
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Pregnancy as an important risk factor for the progression of diabetic retinopathy

Authors

  • Kinga Gurdak Medical University of Warsaw, Żwirki i Wigury 61, 02-091 Warszawa https://orcid.org/0009-0009-1474-9630
  • Urszula Kopczyńska Powiatowe Centrum Medyczne w Grójcu, Piotra Skargi 10, 05-600 Grójec, Poland https://orcid.org/0009-0009-7443-5975
  • Cezary Kopczyński Samodzielny Publiczny Zespół Zakładów Opieki Zdrowotnej w Lipsku, Jędrzeja Sniadeckiego 2, 27-300 Lipsko, Poland https://orcid.org/0009-0005-2620-4874
  • Aleksandra Partyka Centralny Szpital Kliniczny. ul. Banacha 1A, 02-097 Warsaw, Poland https://orcid.org/0009-0000-6583-1110
  • Ewa Błaszczak Szpital Kliniczny Dzieciątka Jezus, Williama Heerleina Lindleya 4, 02-005 Warsaw, Poland https://orcid.org/0009-0003-5173-5285
  • Jakub Wójcik Szpital Kliniczny Dzieciątka Jezus, Williama Heerleina Lindleya 4, 02-005 Warsaw, Poland https://orcid.org/0009-0001-9732-9632
  • Martyna Dyrek Szpital Czerniakowski, Stępińska 19/25 00-739 Warsaw, Poland https://orcid.org/0009-0000-6182-7835
  • Martyna Dydyk Centralny Szpital Kliniczny. ul. Banacha 1A, 02-097 Warsaw, Poland https://orcid.org/0009-0005-5906-3406
  • Piotr Malinowski Mazowiecki Szpital Bródnowski, Ludwika Kondratowicza 8, 03-242 Warsaw, Poland https://orcid.org/0009-0002-9835-6621
  • Aleksander Małachowski Samodzielny Publiczny Zespół Opieki Zdrowotnej w Mińsku Mazowieckim, Szpitalna 37 05-300 Mińsk Mazowiecki, Poland https://orcid.org/0000-0002-4924-0000

DOI:

https://doi.org/10.12775/JEHS.2024.70.55822

Keywords

diabetes, diabetic retinopathy, pregnancy, diabetic retinopathy in pregnancy

Abstract

Diabetic retinopathy, also defined as diabetic eye disease is one of the main causes of eye complications and blindless in the world therefore leads to irreversible vision disorder and vision loss. A pregnant women as a patient is always a real challenge for doctors of various specialties. During this period, numerous systemic changes occur, such as increased blood pressure in the third trimester, increased blood volume insulin resistance with worsening glycemic control and excessive coagulation. The above complication may be reflected in the image of the fundus of the eye. Pregnancy may induce retinal disease such as diabetic retinopathy. This review article presents the incidence, pathogenesis and risk factors associated with diabetic retinopathy during pregnancy. More over in the following paper discussed management of diabetic retinopathy in pregnancy and guidelines are recommended based on the achievable evidence.

References

International Diabetes Federation (IDF) Online Atlas. 10th ed. 2021.

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Rasmussen, K.L., et al., Progression of diabetic retinopathy during pregnancy in women with type 2 diabetes. Diabetologia, 2010. 53(6): p. 1076-83.

Hadden, D.R., Diabetes in pregnancy 1985. Diabetologia, 1986. 29(1): p. 1-9.

Niżankowska, M.H., Okulistyka. Podstawy kliniczne. 2007.

Chew, E.Y., et al., Metabolic control and progression of retinopathy. The Diabetes in Early Pregnancy Study. National Institute of Child Health and Human Development Diabetes in Early Pregnancy Study. Diabetes Care, 1995. 18(5): p. 631-7.

Villatte-Cathelineau, B., [Diabetic retinopathy and pregnancy]. Diabete Metab, 1990. 16(2 Pt 2): p. 131-6.

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Effect of pregnancy on microvascular complications in the diabetes control and complications trial. The Diabetes Control and Complications Trial Research Group. Diabetes Care, 2000. 23(8): p. 1084-91.

Rosenthal, J.M. and M.W. Johnson, Management of Retinal Diseases in Pregnant Patients. J Ophthalmic Vis Res, 2018. 13(1): p. 62-65.

Polizzi, S., et al., Inadvertent use of bevacizumab in pregnant women with diabetes mellitus type 1. J Basic Clin Physiol Pharmacol, 2015. 26(2): p. 161-3.

Klein, B.E., S.E. Moss, and R. Klein, Effect of pregnancy on progression of diabetic retinopathy. Diabetes Care, 1990. 13(1): p. 34-40.

Standards of medical care in diabetes--2008. Diabetes Care, 2008. 31 Suppl 1: p. S12-54.

Kitzmiller, J.L., et al., Managing preexisting diabetes for pregnancy: summary of evidence and consensus recommendations for care. Diabetes Care, 2008. 31(5): p. 1060-79.

Diabetes in pregnancy: Management from preconception to the postnatal period, NICE guidelines Published:25 February 2015. .

Rosenn, B., et al., Progression of diabetic retinopathy in pregnancy: association with hypertension in pregnancy. Am J Obstet Gynecol, 1992. 166(4): p. 1214-8.

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Published

2024-10-31

How to Cite

1.
GURDAK, Kinga, KOPCZYŃSKA, Urszula, KOPCZYŃSKI, Cezary, PARTYKA, Aleksandra, BŁASZCZAK, Ewa, WÓJCIK, Jakub, DYREK, Martyna, DYDYK, Martyna, MALINOWSKI, Piotr and MAŁACHOWSKI, Aleksander. Pregnancy as an important risk factor for the progression of diabetic retinopathy. Journal of Education, Health and Sport. Online. 31 October 2024. Vol. 70, p. 55822. [Accessed 28 June 2025]. DOI 10.12775/JEHS.2024.70.55822.
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Issue

Vol. 70 (2024)

Section

Medical Sciences

License

Copyright (c) 2024 Kinga Gurdak, Urszula Kopczyńska, Cezary Kopczyński, Aleksandra Partyka, Ewa Błaszczak, Jakub Wójcik, Martyna Dyrek, Martyna Dydyk, Piotr Malinowski, Aleksander Małachowski

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

The periodical offers access to content in the Open Access system under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0

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