Turner White CommunicationsAbout TWCSubscribeContact TWCHomeSearch
Hospital PhysicianJCOMSMPBRMsCart
Current Contents
Past Issue Archives
Self-Assessment Questions
Review of
Clinical Signs
Clinical Review
Pediatric Rounds
Resident Grand Rounds
Article Archives
Case Reports
Clinical Practice
Pediatric Rounds
Resident Grand Rounds
Review of
Clinical Signs

Guide to Reading
Hospital Physician
Editorial Board
Information for Authors

Reprints, Permissions, & Copyright
Site Map
Self-Assessment Questions


Answer 2
  1. Close follow-up with frequent fundoscopic examinations throughout the pregnancy. Women with diabetes should be screened for retinopathy during the first trimester and then every 3 months thereafter while pregnant. Even in patients with no history of retinopathy prior to pregnancy, retinopathy can develop progressively throughout pregnancy. Nonproliferative diabetic retinopathy produces increased capillary permeability, microaneurysms, hemorrhages, and exudates. It can be treated with focal laser therapy when clinically significant macular edema develops. Both laser therapy and vitreous surgery can be performed safely during pregnancy. Women should be advised that despite the short-term exacerbation during pregnancy, the long-term risk of progressive retinopathy remains unchanged. Thus, glycemic control should remain a priority during pregnancy. Of note, women who develop gestational diabetes are not at risk for retinopathy.

Click here to return to the questions


Hospital Physician     JCOM     Seminars in Medical Practice
Hospital Physician Board Review Manuals
About TWC    Subscribe    Contact TWC    Home    Search   Site Map

Copyright © 2009, Turner White Communications
Updated 7/18/08 • nvf