Ocular Changes in Young Diabetic Patients

Juvenile Diabetes Starting as Focal Seizures and Acute Diabetic Cateract

“…However, Caird, Pirie 8c Ramsell (2) have reported that of 383 new cases of diabetes under 40 years of age, 2 had typical snowflake cataract. It has also been stated that the maturation of the cataract may be arrested, or at least delayed, when the diabetes is adequately treated (11). This certainly did not apply to our case, where the cataract progressed inexorably in spite of insulin therapy.…”

“…Lenticular opacitiesincluding very small, asymptomatic onesare observed in 2-50 per cent of all juvenile diabetics (2). O'Brien & Allen found 36 cases among 260 diabetics under 21 years of age (11). Most cases have been observed in older children and adolescents, but the finding has been made in infants as young as 11 months (8).…”

“…A characteristic feature of the snowflake cataract is that it usually occurs in poorly controlled diabeticswhich applies to all O'Brien & Allen's casesand that in such instances it may mature very rapidly, even more rapidly than in our patient. A stormy course of a few days is on record (5, 11). The great majority of the cases have occurred in persons with known diabetes of several years' duration.…”

Bilateral Metabolic Cataracts in 10-yr-old boy with newly diagnosed Type 1 Diabetes Mellitus

“… Abstract: Classic symptoms of diabetes mellitus in childhood prompting parents to seek medical attention include polydipsia, polyuria, polyphagia, weight loss and kussmal breathing. Cataracts with juvenile diabetes usually occur in patients with long‐standing, poorly controlled diabetes (1, 2). We describe a child in whom the acute loss of vision secondary to lenticular opacities was the initial sign of insulin‐dependent diabetes mellitus. …”