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March 1976

Reversible Unilateral Lens Opacities in a Diabetic Patient

Author Affiliations

From the Massachusetts Eye and Ear Infirmary, Harvard Medical School, 243 Charles St, Boston.

Arch Ophthalmol. 1976;94(3):461-463. doi:10.1001/archopht.1976.03910030231012

• Following one month of poor diabetic control, a 54-year-old patient presented with a unilateral posterior subcapsular cataract, consisting of numerous fine, feathery, streak-like opacities radiating from a dense, round, central, posterior, subcapsular plaque. Except for extensive pseudoexfoliation, the fellow lens was clear. After a subsequent week of strict diabetic control, the feathery streak-like opacities had almost disappeared. The findings are discussed in relation to the experimentally induced sugar cataract in which sugar alcohol accumulation and subsequent lens swelling result in a potentially reversible lens opacification.

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