Late-Pregnancy Retinal Detachment: A High-Risk Case Managed at Barraquer UAE
Case Title
Management of Proliferative Diabetic Retinopathy with Retinal Detachment in a Pregnant Patient with Type 2 Diabetes
2. Patient Background
A 39-year-old female patient with a medical history of Type 2 Diabetes Mellitus (DM) and high blood pressure.
3. Whereabouts
The patient first visited our facility on 18/07/2024 for follow-up and further management.
4. Clinical Presentation
At 8 months pregnant, the patient sought additional care after having undergone retinal surgery on her right eye in 2023.
5. Diagnosis & Challenges
The diagnosis revealed:
Type 2 Diabetes Mellitus with Proliferative Diabetic Retinopathy (PDR)
Traction retinal detachment not involving the macula in the right eye
Combined forms of age-related cataract in both eyes
Managing this condition was further complicated by the patient’s pregnancy and systemic health issues.
6. Treatment & Outcome
The following procedures were successfully performed on the right eye on 17/12/2024:
Phacoemulsification + IOL
ROSO
23G (PPV)
Delamination/Segmentation
Endolaser
5000 SO
The patient’s vision is currently stabilizing, with ongoing monitoring.
7. Key Takeaways
Managing complex ocular diseases such as Proliferative Diabetic Retinopathy with Traction Retinal Detachment, alongside Ocular Hypertension and Age-related Cataract, particularly in a pregnant patient, underscores the need for a specialized and multidisciplinary approach.
This case highlights the importance of:
Timely diagnosis
Individualized treatment planning
Coordinated care among ophthalmologists, endocrinologists, and maternal health specialists