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Titolo:
Diabetic retinopaty and pregnancy
Autore:
Massin, P; Ben Mehidi, A; Paques, M; Gaudric, A;
Indirizzi:
Univ Paris 07, Serv Ophtalmol, Hop Lariboisiere, Assisatnce Publ Hop Paris, F-75475 Paris 10, France Univ Paris 07 Paris France 10 e Publ Hop Paris, F-75475 Paris 10, France
Titolo Testata:
DIABETES & METABOLISM
fascicolo: 4, volume: 27, anno: 2001,
parte:, 2
pagine: S48 - S52
SICI:
1262-3636(200109)27:4<S48:DRAP>2.0.ZU;2-C
Fonte:
ISI
Lingua:
FRE
Soggetto:
ENDOTHELIAL GROWTH-FACTOR; BLOOD-FLOW; PROGRESSION;
Keywords:
diabetic retinopathy; pregnancy; blood glucose control; retinal blood flow; growth factors;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Life Sciences
Citazioni:
32
Recensione:
Indirizzi per estratti:
Indirizzo: Massin, P Univ Paris 07, Serv Ophtalmol, Hop Lariboisiere, Assisatnce PublHop Paris, 2 Rue Ambroise Pare, F-75475 Paris 10, France Univ Paris 07 2 Rue Ambroise Pare Paris France 10 is 10, France
Citazione:
P. Massin et al., "Diabetic retinopaty and pregnancy", DIABETE MET, 27(4), 2001, pp. S48-S52

Abstract

Pregnancy may adversely affect the natural course of diabetic retinopathy (DR). Reported rates of new cases or progression of DR during pregnancy range from 10% to 70%. Regression of some of the nonproliferative vascular changes have been reported after delivery. Several risk factors contribute to the aggravation of DR, such as pregnancy itself, duration of the diabetes, elevated glycohemoglobin level, degree of retinopathy at the beginning of the pregnancy, rapid normalization of blood glucose level. The mechanisms bywhich pregnancy may alter the course of DR is not elucidated: worsening ofDR may be due to modifications of retinal blood flow, or to increase in circulating growth factors levels. Careful ophthalmologic monitoring during pregnancy is required. Fundus examination should be performed before pregnancy or at the beginning of it. Inpatients with no retinopathy, fundus examination should be performed everythree months. In those with diabetic retinopathy, fundus examination should be repeated every month. In eyes with proliferative DR or severe nonproliferative DR before pregnancy or at its beginning, laser photocoagulation should be performed promptly.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 01/04/20 alle ore 22:42:38