Two Cases of Acutely Developed Cataract in Diabetes Mellitus

Vinding, Troels; Nielsen, Niels Vesti

doi:10.1111/j.1755-3768.1984.tb08417.x

Cited by 20 publications

(13 citation statements)

References 7 publications

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“…Myopic changes have been observed predominantly in relation to poor glycemic control, 37 while hyperopic refractive error is associated with stricter glycemic control. [38][39][40] We observed that the baseline HbA 1c levels were 0.2% lower in those with incident PSC, which was statistically significant. A strict control of blood glucose in subjects with diabetes is associated with: (1) hydration of the lens cortex, 38 and (2) an increased risk of PSC.…”

Section: Discussionmentioning

confidence: 51%

Incidence, Progression, and Risk Factors for Cataract in Type 2 Diabetes

Srinivasan¹,

Raman²,

Swaminathan³

et al. 2017

Invest. Ophthalmol. Vis. Sci.

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PURPOSE.We report the 4-year incidence, progression, and risk factors of cataract subtypes in type 2 diabetes. METHODS.A total of 779 subjects completed baseline and 4-year follow-up.RESULTS. The incidences of nuclear opalescence (NO), nuclear color (NC), cortical cataract (CC), and posterior subcapsular cataract (PSC) were 70%, 55.2%, 25.7%, and 7.3%, respectively. One-step progressions of NO, NC, CC, and PSC were 14.3%, 16.1%, 8.8%, and 8.1%, respectively, and two-step or more progressions were 5.0%, 6.0%, 0.8%, and 6.0%, respectively. Incident NO was seen in patients 50 to 59 (odds ratio [OR] ¼ 3.3), NC in those 50 to 59 (OR ¼ 2.7) and 60 to 69 (OR ¼ 3.9), and CC in those 60 to 69 (OR ¼ 3.3) years old. A lower hemoglobin A 1c (HbA 1c ; OR ¼ 0.7), longer diabetes duration (OR ¼ 1.1), and hyperopia (OR ¼ 4.0) were associated with incident PSC. Women (OR ¼ 1.7) and patients with higher total cholesterol (OR ¼ 1.3) at baseline showed one-step NO progression. Patients 60 to 69 (OR ¼ 2.8) and ‡70 (OR ¼ 3.8) years old showed one-step NC progression, while those 60 to 69 years old showed one-step CC progression (OR ¼ 6.3). A lower HbA 1c (OR ¼ 0.3) was associated with one-step PSC progression. A higher low-density lipoprotein (OR ¼ 1.6) was associated with two-step or more NO progression. Patients 60 to 69 years old (OR ¼ 6.7) had a greater risk, while those with hyperopia at baseline (OR ¼ 0.2) had lower risk of two-step or more NC progression. Patients 40 to 49 years old constituted the reference group for all.CONCLUSIONS. The 4-year cumulative incidence of cataract is higher than that of progression. Greater age is a risk factor for incidence and progression of most types of cataract.

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Section: Discussionmentioning

confidence: 51%

Incidence, Progression, and Risk Factors for Cataract in Type 2 Diabetes

Srinivasan¹,

Raman²,

Swaminathan³

et al. 2017

Invest. Ophthalmol. Vis. Sci.

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show abstract

“…This type of cataract is less commonly seen today because it is usually associated with long-term untreated hyperglycemia [112]. Posterior lens opacifications have been reported to clear in diabetic patients who achieve tight glycemic control [113–115]. …”

Section: Lensmentioning

confidence: 99%

Comprehensive review of the effects of diabetes on ocular health

Skarbez

Priestley

Hoepf

et al. 2010

Expert Review of Ophthalmology

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“…3 Acute-onset diabetic cataracts rarely appear among DM patients, with an estimated incidence of less than 1%. 4 Cases have been reported sporadically [5][6][7][8] and have occurred in patients previously diagnosed with types 1 and 2 DM. Taskapili et al 5 report a case of a young girl with acute cataracts as an initial presentation of DM.…”

Section: Discussionmentioning

confidence: 96%