Consequence 8: Potential for Worsening of Diabetic Retinopathy
Diabetic retinopathy, a complication of diabetes caused by damage to the blood vessels of the retina, can worsen during pregnancy. The alterations in blood volume and circulation that occur during pregnancy can exacerbate this condition, potentially leading to vision changes or loss.
Expectant mothers with pre-existing diabetes are usually referred to an ophthalmologist for a comprehensive eye exam during the early stages of pregnancy. Follow-up visits are scheduled to monitor any progression of retinopathy throughout the pregnancy and in the postpartum period.
Controlling blood sugar levels remains the cornerstone of preventing the progression of diabetic retinopathy. Women are often counseled on the importance of maintaining glycemic control to protect their vision, alongside regular monitoring of blood pressure and cholesterol, which can also impact eye health.
In cases where retinopathy progresses during pregnancy, treatment options such as laser therapy may be considered. These decisions are made with careful consideration of the timing and potential risks and benefits to both the mother and the developing fetus.
Through preemptive screening and diligent management of diabetes, the risks to vision can be mitigated, allowing mothers to focus on the joys of pregnancy and motherhood without the added strain of visual impairment. (8)
