Reversal of bilateral rosette cataracts with glycemic control.
This case describes a diabetic with blood glucose levels in the 400s for 3 weeks with severe loss of visual acuity over the past 2 weeks. The exam showed only feather-shaped opacities in her lens, consistent with a cataract. With insulin and fluids alone, her visual acuity dramatically improved and her cataract reversed within 2 weeks. Glycemic control is effective and preferred to surgical intervention for acute hyperglycemia-induced cataracts.
Ramkumar
Hema
H
Department of Ophthalmology, Northwestern University Feinberg School of Medicine, Chicago, USA. hema@md.northwestern.edu
Basti
Surendra
S
D001786:Blood Glucose / Q000378:metabolism; D002386:Cataract / Q000097:blood / Q000150:complications* / Q000473:pathology*; D048909:Diabetes Complications / Q000097:blood / Q000150:complications / Q000473:pathology; D003924:Diabetes Mellitus, Type 2 / Q000097:blood / Q000150:complications / Q000473:pathology; D005260:Female; D006801:Humans; D006943:Hyperglycemia / Q000097:blood / Q000150:complications* / Q000473:pathology*; D008875:Middle Aged
D001786:Blood Glucose