Abstract

to assess the progression of diabetic retinopathy among pregnant diabetic women during gestational period and its correlation with glycemic control. Materials and method: this was a cross-sectional observational cohort study conducted at a tertiary eye care of solan H.P. and included 37 pregnant females with pre-existing DM for the presence and progression of DR. The history of the pregnant women was taken and all necessary routine investigations were done during each of the 3 trimesters and 3 months postpartum. The data was compared between those with progressive (in which diabetic retinopathy progressed post-partum) and non-progressive (in which diabetic retinopathy did not progress post-partum) Results: The mean age of the study population was 32.91±5.02 years. The mean duration of diabetes (years) was 6.59±3.19 and mean HbA1c (%) was 7.85±1.06. Diabetic retinopathy was present among 7 (18.9%) women with 4 cases each of Mild NPDR, 1 cases of Moderate NPDR, Pre-proliferative NPDR and Proliferative retinopathy each. Age more than 30 years, Duration of diabetes for more than 5 years and HbA1c (%) ≥ 7 were significantly (p-value < 0.05) associated with occurrence of Retinopathy Conclusion: Our findings raise the issue of poor visual outcomes among older pregnant females with long-standing DM. Guidelines need to be developed for managing the pregnancy in women with untreated and advanced PDR.

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