Transient cataract and hypermetropization in diabetes mellitus: case report

Trindade, Fernando Cançado

doi:10.1590/s0004-27492007000600030

Cited by 8 publications

(12 citation statements)

References 5 publications

(6 reference statements)

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“…The anterior subcapsular cataract in our case showed a thin and widespread fine vacuole pattern early on after exposure to the distilled water. The cataract decreased in a centripetal pattern as time passed, similar to cases of reversal of diabetic posterior subcapsular cataracts [ 8 , 10 ]. We used anterior segment photography and anterior segment OCT to clarify the reversible change in the anterior subcapsular cataract.…”

Section: Discussionmentioning

confidence: 92%

Reversible cataract after exposure to distilled water: a case report

et al. 2018

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BackgroundTo report a case of a reversible cataract after intracameral infusion of distilled water during full-thickness astigmatic keratotomy.Case presentationA 20-year-old male whose bilateral anterior chambers were exposed to distilled water during astigmatic keratotomy developed bilateral corneal edema, inflammation of the anterior chambers, and an anterior subcapsular cataract in the right eye. After 1 month of topical administration of 0.1% prednisolone acetate and 5% NaCl, the bilateral inflammation of the cornea and anterior chambers cleared; endothelial cell density decreased by 41.1% in the right eye and 12.7% in the left eye. The cataract in the right eye decreased centripetally. Small incision lenticule extraction surgery was performed at 2 months after the astigmatic keratotomy; the patient’s uncorrected distance visual acuity 3 months later was 20/25 in both eyes.ConclusionsThis case suggests that a cataract that develops as a result of instantaneous intracameral exposure to distilled water is reversible.

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Section: Discussionmentioning

confidence: 92%

Reversible cataract after exposure to distilled water: a case report

et al. 2018

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“…In general, lens clouding is irreversible and progressive and causes a steady decline in vision. However, in rare cases, spontaneous cataracts regression has been reported [2–15] . Among the various cataract types, most spontaneous resolution has been reported in posterior subcapsular cataract (PSC) that show dynamic changes unlike other types of cataracts [16] .…”

Section: Introductionmentioning

confidence: 99%

Spontaneous resolution of a unilateral cataract in an adult

Choe

Kim²,

Kim

2022

Medicine

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Rationale: Cataracts are a disease that is usually caused by aging and involve the irreversible degeneration of the lens material. On the other hand, transient cataracts have also been reported, mainly due to systemic hyperglycemia, which often occurs bilaterally. However, reports of the spontaneous regression of unilaterally occurring cataracts in patients with normal blood glucose levels are rare. Here, we report a rare case of spontaneous regression of unilateral posterior subcapsular cataracts in an adult with normal blood glucose levels.Patient concerns: A 42-year-old woman presented with distorted vision in her right eye. The patient was taking medication for diabetes, and her blood sugar level was well-controlled.Diagnosis: Upon examination, her uncorrected visual acuity and best-corrected visual acuity were 20/70 in her right eye. Slit lamp microscopy revealed fine, feathery, and streak-like posterior subcapsular opacities. Color fundus photography revealed a starshaped shadow due to the cataract, and no diabetic retinopathy was observed. Her two hour postprandial glucose level was 115 mg/dL. The patient was diagnosed with posterior subcapsular cataracts, and cataract surgery was planned. The patient was scheduled to visit the clinic again after seven days.Interventions: Close observation for one week without any intervention.Outcomes: After one week, most of the posterior subcapsular opacities disappeared, and the uncorrected visual acuity and bestcorrected visual acuity in the right eye improved to 20/40 and 20/30, respectively.Lessons: This case report demonstrates that unilateral posterior subcapsular cataracts may spontaneously regress in patients with normal blood glucose levels. Therefore, it is important to check whether cataracts improve spontaneously through short-term close follow-up before planning cataract surgery to avoid unnecessary surgery.Abbreviations: BCVA = best corrected visual acuity, PSC = posterior subcapsular cataract, SE spherical equivalent, UCVA = uncorrected visual acuity,.

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“…There are some case reports regarding the development of transient diabetic cataracts while the patients were in a hyperglycemic state, which regressed after good glycemic control [3]. …”

Section: Introductionmentioning

confidence: 99%

Transient bilateral cataract during intensive glucose control: a case report

Park

2017

J Med Case Reports

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BackgroundCataracts are generally known to occur in hyperglycemic conditions in diabetic patients. In this case, cataract occurred in the course of glucose level control in a patient who had been in a hyperglycemic state.Case presentationA 42-year-old Korean man who had uncontrolled diabetes for more than a year presented with bilateral posterior subcapsular cataracts, which developed within days of initiating antihyperglycemic therapy. With control of his serum glucose level for several weeks, the cataracts regressed.ConclusionsTransient cataracts can develop during the hypoglycemic state; prompt surgery should be deferred.

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Transient cataract and hypermetropization in diabetes mellitus: case report

Cited by 8 publications

References 5 publications

Reversible cataract after exposure to distilled water: a case report

Reversible cataract after exposure to distilled water: a case report

Spontaneous resolution of a unilateral cataract in an adult

Transient bilateral cataract during intensive glucose control: a case report

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