Skip to main content
NCBI home page
The British Journal of Ophthalmology logoLink to The British Journal of Ophthalmology
. 1980 Feb;64(2):87–93. doi: 10.1136/bjo.64.2.87

Peripheral retinal ablation in the treatment of proliferative diabetic retinopathy during pregnancy.

B L Hercules, M Wozencroft, I I Gayed, J Jeacock
PMCID: PMC1039355  PMID: 6153905

Abstract

The course of proliferative diabetic retinopathy involving the optic disc was followed, and the response to peripheral retinal photocoagulation monitored by argon laser in 11 patients during and after 13 pregnancies. Traditional obstetric practice assumes that pregnancy is a stimulus to irreversible progression of proliferative diabetic retinopathy, and that timely abortion and sterilisation are essential in order to achieve control of the neovascular process. Extensive photocoagulation will cause significant regression of neovascular complexes in 63% of cases, and it confers sufficient benefits to make ophthalmic indications for therapeutic abortion and sterilisation no longer tenable.

Full text

PDF
87

Images in this article

89Image
on p.89
89Image
on p.89
90Image
on p.90
90Image
on p.90
90Image
on p.90
90Image
on p.90

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Beetham W. P., Aiello L. M., Balodimos M. C., Koncz L. Ruby laser photocoagulation of early diabetic neovascular retinopathy. Preliminary report of a long-term controlled study. Arch Ophthalmol. 1970 Mar;83(3):261–272. doi: 10.1001/archopht.1970.00990030263001. [DOI] [PubMed] [Google Scholar]
  2. Beetham W. P. Diabetic Retinopathy in Pregnancy. Trans Am Ophthalmol Soc. 1950;48:205–219. [PMC free article] [PubMed] [Google Scholar]
  3. Burt R. L., Weaver R. G. Proliferative diabetic retinopathy in pregnancy. Obstet Gynecol. 1972 Aug;40(2):199–201. [PubMed] [Google Scholar]
  4. Caird F. I., Burditt A. F., Draper G. J. Diabetic retinopathy. A further study of prognosis for vision. Diabetes. 1968 Mar;17(3):121–123. doi: 10.2337/diab.17.3.121. [DOI] [PubMed] [Google Scholar]
  5. Deckert T., Poulsen J. E. Prognosis for juvenile diabetics with late diabetic manifestations. Acta Med Scand. 1968 Apr;183(4):351–356. doi: 10.1111/j.0954-6820.1968.tb10490.x. [DOI] [PubMed] [Google Scholar]
  6. Hercules B. L., Gayed I. I., Lucas S. B., Jeacock J. Peripheral retinal ablation in the treatment of proliferative diabetic retinopathy: a three-year interim report of a randomised, controlled study using the argon laser. Br J Ophthalmol. 1977 Sep;61(9):555–563. doi: 10.1136/bjo.61.9.555. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. JANERT H., MOHNIKE G., GEORGI P. Ophthalmologische Diabetesstudien. III. Retinopathia proliferans und Iridopathie. Klin Wochenschr. 1957 Feb 1;35(3):110–119. doi: 10.1007/BF01488761. [DOI] [PubMed] [Google Scholar]
  8. Kohner E. M., Hamilton A. M., Tunbridge W. M. Diabetic retinopathy managed through a pregnancy. Proc R Soc Med. 1973 May;66(5):442–444. doi: 10.1177/003591577306600512. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. L'Esperance F. A., Jr An opthalmic argon laser photocoagulation system: design, construction, and laboratory investigations. Trans Am Ophthalmol Soc. 1968;66:827–904. [PMC free article] [PubMed] [Google Scholar]
  10. Lawrence R. D. ACUTE RETINOPATHY WITHOUT HYPERPIESIS IN DIABETIC PREGNANCY. Br J Ophthalmol. 1948 Aug;32(8):461–465. doi: 10.1136/bjo.32.8.461. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Laws H. W., Harpur E. R., Belmonte M. M., Adams K. W. A long term study of retinal changes in the pre-puberty and puberty onset diabetic. Can J Ophthalmol. 1966 Apr;1(2):104–111. [PubMed] [Google Scholar]
  12. Patz A., Berkow J. W. Visual and systemic prognosis in diabetic retinopathy. Trans Am Acad Ophthalmol Otolaryngol. 1968 Mar-Apr;72(2):253–258. [PubMed] [Google Scholar]
  13. STEPHENS J. W., PAGE O. C., HARE R. L. Diabetes and pregnancy. A report of experiences in 119 pregnancies over a period of ten years. Diabetes. 1963 May-Jun;12:213–219. doi: 10.2337/diab.12.3.213. [DOI] [PubMed] [Google Scholar]
  14. Taylor E., Dobree J. H. Proliferative diabetic retinopathy. Site and size of initial lesions. Br J Ophthalmol. 1970 Jan;54(1):11–18. doi: 10.1136/bjo.54.1.11. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. WHITE P. PREGNANCY AND DIABETES, MEDICAL ASPECTS. Med Clin North Am. 1965 Jul;49:1015–1024. doi: 10.1016/s0025-7125(16)33292-8. [DOI] [PubMed] [Google Scholar]

Articles from The British Journal of Ophthalmology are provided here courtesy of BMJ Publishing Group

RESOURCES