Rapid progression to hypermature cataract in two diabetic patients Takeshi Tabira 1 , Hideo Mori 1 , Mari Akashi 1 , Masayuki Hosoi 2 1Department of Ophthalmology, Osaka City General Hospital 2Department of Diabetes Medicine, Osaka City General Hospital pp.881-885
Published Date 2020/7/15
DOI https://doi.org/10.11477/mf.1410213619
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Abstract Purpose:To report 2 diabetic patients who showed rapid progression to hypermature cataract.

Cases:One was a male and the other was a female. They were aged 48 and 50 years respectively. The male patient noted blurred vision since 6 months before. Visual acuity was 0.1 right and 0.04 left. Both eyes showed advanced opacity in the cortex and subcortical area. Blood sugar level was 375 mg/dl with HbA1c of 16.6%. Cataract had further advanced when surgery was made one week later. The female patient had noted poor health since one months before. She had been diagnosed with diabetic ketoacidosis one month before when blood sugar was found to be 906 mg/dl with HbA1c of 19.2%. Visual acuity was 0.05 right and 0.6 left. Both eyes showed opacified cortex. When cataract surgery was performed one week later, the left visual acuity was counting fingers. The fundus was free of diabetic retinopathy after surgery in both cases.

Conclusion:Both cases illustrate that cataract may rapidly progress when advanced diabetes mellitus has remained unnoticed in presenile adults.

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