title: Cataract associated with type-1 diabetes mellitus in the pediatric population.
abstract: OBJECTIVE
  To report 14 cases (28 eyes) of cataract associated with type-1 diabetes mellitus in young children and adolescents.
  
  
  METHODS
  Retrospective review of the medical records of 14 patients from seven institutions. All patients under the age of 18 years who met the inclusion criteria of type-1 diabetes mellitus and cataract were included.
  
  
  RESULTS
  Mean age at the time of diabetes diagnosis was 9.8 years (range, 0.5-14 years), and mean age at cataract diagnosis was 11.7 years (range, 5-16 years). Two patients presented with cataracts one month before the diagnosis of diabetes; seven after the diagnosis of diabetes; and in five patients the cataract was found at the time the diabetes was diagnosed by the pediatrician. Nineteen out of 23 operated eyes had a best corrected post operative visual acuity of 20/40 or better. Two patients (4 eyes) developed diabetic retinopathy postoperatively.
  
  
  CONCLUSIONS
  Although cataract formation in type-1 diabetes is rare, it is treatable and potentially sight-saving in young children and adolescents.
authors.affiliation: Department of Ophthalmology, Storm Eye Institute, Medical University of South Carolina, Charleston, SC 29425, USA. wilsonme@musc.edu <wilsonme@musc.edu>
authors.forename: M Edward
authors.initials: ME
authors.lastname: Wilson
authors.forename: Alex V
authors.initials: AV
authors.lastname: Levin
authors.forename: Rupal H
authors.initials: RH
authors.lastname: Trivedi
authors.forename: Stacey J
authors.initials: SJ
authors.lastname: Kruger
authors.forename: Laurie A
authors.initials: LA
authors.lastname: Elliott
authors.forename: John R
authors.initials: JR
authors.lastname: Ainsworth
authors.forename: Steven
authors.initials: S
authors.lastname: Awner
authors.forename: Oscar A
authors.initials: OA
authors.lastname: Cruz
authors.forename: Jane
authors.initials: J
authors.lastname: Kivlin
authors.forename: David T
authors.initials: DT
authors.lastname: Vroman
authors.forename: William O
authors.initials: WO
authors.lastname: Young
mesh_terms: D000293:Adolescent; D002386:Cataract / Q000209:etiology*; D002387:Cataract Extraction; D002648:Child; D002675:Child, Preschool; D003922:Diabetes Mellitus, Type 1 / Q000150:complications*; D005260:Female; D006801:Humans; D019654:Lens Implantation, Intraocular; D008297:Male; D012189:Retrospective Studies; D014792:Visual Acuity