Publication details

Bilateral cataract as the first feature of type1 diabetes in a 12 year old girl: A case report



Year of publication 2019
Type Conference abstract
MU Faculty or unit

Faculty of Medicine

Description Background: Diabetic cataract is a rare early ocular complication of type 1 diabetes (T1DM) in pediatrics patients with an estimated prevalence of 0.7% to 3.4%. It is mostly seen in adolescent patients. Activation of the polyol pathway and acute osmotic stress due to hyperglycaemia are implicated in the opacification of the lens in patients with diabetes. Case report: We present a case report a 12 year old girl with progressive deterioration of vision in both eyes during one month. She was initially diagnosed with bilateral cataract but a medical examination confirmed new onset T1DM with mild ketosis. The HbA1C value was 179 mmol/mol, plasma glucose level was 15 mmol/l, bicarbonate 16 mmol/l and base excess - 8 mmol/l. She started on a basal and bolus insulin regimen before surgical correction of her cataract. Conclusions: We suppose that cataract development is associated with longer prodromal period and high level of HbA1C on diagnosis. All pediatric patients presenting with bilateral cataract should be examined to determine the etiology of their cataract before surgical correction.

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