A 30-year-old female with poorly controlled type I diabetes and hypothyroidism on treatment followed up with the antenatal services at our hospital. This was her second pregnancy, having had a previous miscarriage. Three months into her pregnancy, our ophthalmology service was consulted to assess her and advise her regarding the safest mode of delivery for her. She was regularly following elsewhere for proliferating DR with previous interventions and a history of multiple and repeated vitreous haemorrhages (VHs).&nbsp;

Examination

On examination, her visual acuity (VA) without correction was 20/40 in both eyes, improving to 20/20 in the right eye and 20/30 in the left eye after refraction. Her intraocular pressure was normal. A dilated fundus examination (DFE) showed changes of high-risk proliferative DR in both eyes and a VH in the right eye. She required one session of pan-retinal photocoagulation (PRP) in her first-trimester visit. DFE showed improvement in VH when compared to her initial examination.&nbsp;

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MediSage Case Discussions

Explore the complexities of managing type I diabetes and proliferative diabetic retinopathy during pregnancy. Key insights for safe delivery.

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Proliferative diabetic retinopathy

Clinical case discussion shared for educational purposes and professional medical opinion.

Proliferative diabetic re...