Title: Study of progression of diabetic retinopathy in pregnancy & its correlation with glycemic control in a tertiary health care center in state of Odisha

Authors: Dr Debasish Hota, Dr Suresh Chandra Swain, Prof. (Dr) Jayant Kumar Panda, Dr Deepak Choudhury, Prof. (Dr) Prabhat Kumar Padhi, Prof. (Dr) Maya Padhi, Dr Nikita Dash

 DOI: https://dx.doi.org/10.18535/jmscr/v7i12.03

Abstract

Purpose: The objective of this study is to assess the rapidity of progression of retinopathy in pregnant diabetic women during gestational period with correlation with glycemic control.

Materials & Methods: This was a prospective observational study of patients admitted/ visited to the department of Medicine, Endocrinology, Ophthalmology & Obstetrics & Gynecology in a tertiary health care system in State of Odisha during January 2016 to December 2017. The study included total 50 pregnant with diabetes vs 50 non-pregnant diabetes for progression of retinopathy during their gestational period.

Results: At the end of study, 32.5% of cases in the study group showed progression of retinopathy staging during pregnancy as compared to 14% in non-pregnant women. The glycosylated hemoglobin, duration of diabetes, current age was evaluated as risk factors for progression of diabetic retinopathy.

Conclusion: Pregnancy, level of glycemia (HbA1c) & age are risk factors for acceleration of Retinopathy progression.

Keywords: Pregnancy, Diabetic retinopathy, HbA1c.

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Corresponding Author

Dr Suresh Chandra Swain

Associate Professor, Dept. of Ophthalmology, SCB Medical College, Cuttack