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Acute irreversible cataracts in diabetes mellitus.

Abstract

AIM

To report an unusual cause of blindness in a patient newly diagnosed with insulin-dependent diabetes mellitis (IDDM).

METHOD

A 19-year-old man presented with classical symptoms of hyperglycaemia. On presentation his visual acuity and ophthalmic examination were normal. He was prescribed twice-daily insulin therapy and six weeks later presented with visual loss. He had only light and dark perception and was noted to have bilateral, dense, mature cataracts.

OUTCOME

Right cataract extraction and intraocular lens implant was performed with restoration of vision. Despite good diabetic control the left cataract did not resolve. Seven months later the patient had left cataract extraction and intraocular lens implant, again with good result.

CONCLUSION

Mature dense cataracts rarely occur and appear not to resolve with control of hyperglycaemia, as in this case, and require surgical treatment.

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  • Publisher Full Text
  • Authors+Show Affiliations

    ,

    Princess Alexandra Hospital, Woolloongabba, Qld.

    Source

    MeSH

    Acute Disease
    Adult
    Cataract
    Cataract Extraction
    Diabetes Mellitus, Type 1
    Humans
    Insulin
    Lenses, Intraocular
    Male

    Pub Type(s)

    Case Reports
    Journal Article

    Language

    eng

    PubMed ID

    8534448

    Citation

    Cornwell, M, and F Lepre. "Acute Irreversible Cataracts in Diabetes Mellitus." Australian and New Zealand Journal of Ophthalmology, vol. 23, no. 3, 1995, pp. 221-2.
    Cornwell M, Lepre F. Acute irreversible cataracts in diabetes mellitus. Aust N Z J Ophthalmol. 1995;23(3):221-2.
    Cornwell, M., & Lepre, F. (1995). Acute irreversible cataracts in diabetes mellitus. Australian and New Zealand Journal of Ophthalmology, 23(3), pp. 221-2.
    Cornwell M, Lepre F. Acute Irreversible Cataracts in Diabetes Mellitus. Aust N Z J Ophthalmol. 1995;23(3):221-2. PubMed PMID: 8534448.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Acute irreversible cataracts in diabetes mellitus. AU - Cornwell,M, AU - Lepre,F, PY - 1995/8/1/pubmed PY - 1995/8/1/medline PY - 1995/8/1/entrez SP - 221 EP - 2 JF - Australian and New Zealand journal of ophthalmology JO - Aust N Z J Ophthalmol VL - 23 IS - 3 N2 - AIM: To report an unusual cause of blindness in a patient newly diagnosed with insulin-dependent diabetes mellitis (IDDM). METHOD: A 19-year-old man presented with classical symptoms of hyperglycaemia. On presentation his visual acuity and ophthalmic examination were normal. He was prescribed twice-daily insulin therapy and six weeks later presented with visual loss. He had only light and dark perception and was noted to have bilateral, dense, mature cataracts. OUTCOME: Right cataract extraction and intraocular lens implant was performed with restoration of vision. Despite good diabetic control the left cataract did not resolve. Seven months later the patient had left cataract extraction and intraocular lens implant, again with good result. CONCLUSION: Mature dense cataracts rarely occur and appear not to resolve with control of hyperglycaemia, as in this case, and require surgical treatment. SN - 0814-9763 UR - https://www.unboundmedicine.com/medline/citation/8534448/Acute_irreversible_cataracts_in_diabetes_mellitus_ L2 - https://onlinelibrary.wiley.com/resolve/openurl?genre=article&sid=nlm:pubmed&issn=0814-9763&date=1995&volume=23&issue=3&spage=221 DB - PRIME DP - Unbound Medicine ER -