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March 1997

Insulin-dependent Diabetes Mellitus Appearing as Bilateral Mature Diabetic Cataracts in a Child

Author Affiliations

Los Angeles, Calif

Arch Ophthalmol. 1997;115(3):422-423. doi:10.1001/archopht.1997.01100150424021

It is unusual for bilateral mature cataracts of rapid onset to be the initial manifestation of insulindependent diabetes mellitus. We describe who we believe to be 1 of the youngest children who appeared well but whose rapid cataract progression led to the diagnosis of diabetes mellitus.

Report of a Case.  A 9-year-old girl had progressive loss of vision in the left eye during a period of 11 days and in the right eye during a period of 6 days. Ocular history revealed that she had been examined by an ophthalmologist since age 2 years, and no lens abnormalities were ever noted. There was no family history of cataracts, diabetes, or other metabolic diseases.The patient was alert and healthy except for bilateral lenticular opacities. Visual acuity was hand motion OU. The pupils reacted normally to light. Findings from biomicroscopic examination revealed swollen lenses with bilateral diffuse dense opacities. Water clefts,

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