The Ophthalmology Unit,  Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.

The Ophthalmology Department, Sarawak General Hospital, Kuching, Sarawak, East Malaysia.



Proliferative diabetic retinopathy

by Professor Chua Chung Nen


This 30 year-old pregnant woman had poor diabetic control. She developed bilateral proliferative diabetic retinopathy in the second trimester and had laser photocoagulation. Nonetheless, the prolifeative diabetic retinopathy progressed due to poor diabetic control and necessitated further laser therapy. She eventually agreed to see the endocrinologist to tighten her diabetes. However, the left eye might require vitrectomy to clear the vitreous haemorrhage after delivery.


Right fundus in the second trimester.


Right fundus in the third trimester.



Left fundus in the second trimester.


Left fundus in the third trimester with increased vitreous haemorrhage.

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