Une rétinopathie diabétique proliférante inaugurant un diabète gestationnel

Introduction. - Diabetic retinopathy is one of the diabetic microangiopathy complications generally occurring after insulin-dependent diabetes has evolved for a few years. Observation, - We report a 24-year-old pregnant woman with severe proliferative diabetic retinopathy discovered at the time of the gestational diabetes diagnosis. Argon laser photocoagulation of retinal ischemic territories was initiated. The disease progressed to vitreous haemorrhage in the right eye. Discussion. - Proliferative diabetic retinopathy is exceptionally present at the time of the gestational diabetes. We did not find any similar case in the literature. Conclusion. - Fundus examination seems necessary at the onset of gestational diabetes. It can prevent blindness in young women. (C) 2008 Elsevier Masson SAS. Tons droits reserves.