| Diabetic papillopathy in pregnancy: a marker for progression to proliferative retinopathy. | |
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MedLine Citation:
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PMID: 21768853 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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BACKGROUND: : Diabetic papillopathy is an uncommon cause of transient acute optic disc edema, and during pregnancy it may be easily confused with other more serious disorders that may result in acute visual loss. CASE: : We present a case of acute bilateral optic disc edema attributable to diabetic papillopathy in a young woman with an unplanned pregnancy and childhood-onset type 1 diabetes mellitus. The patient presented 16 months after fetal death of unknown etiology at 26 weeks of gestation with acute visual impairment in both eyes; severe proliferative retinopathy was diagnosed. Despite immediate therapeutic intervention with panretinal laser photocoagulation, the patient is legally blind. CONCLUSION: : Early recognition of diabetic papillopathy in pregnancy is important to prevent unnecessary testing, invasive procedures, and inappropriate treatment. Patients with diabetic papillopathy should be monitored closely even after delivery because this condition may be associated with rapid progression to proliferative retinopathy. |
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Authors:
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Alexandra Bargiota; Maria Kotoula; Evangelia Tsironi; Georgios Koukoulis |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Obstetrics and gynecology Volume: 118 ISSN: 1873-233X ISO Abbreviation: Obstet Gynecol Publication Date: 2011 Aug |
Date Detail:
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Created Date: 2011-07-19 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0401101 Medline TA: Obstet Gynecol Country: United States |
Other Details:
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Languages: eng Pagination: 457-60 Citation Subset: AIM; IM |
Affiliation:
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From the Departments of Endocrinology and Metabolic Diseases and Ophthalmology, University Hospital of Larissa, Larissa Greece. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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