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Wiley InterScience

Journal of Paediatrics and Child Health

Journal of Paediatrics and Child Health

Volume 34 Issue 2, Pages 179 - 182

Published Online: 31 Oct 2003

Journal compilation © 2010 Paediatrics and Child Health Division (Royal Australasian College of Physicians)



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Cataracts in insulin-dependent diabetes mellitus: Sixteen years' experience in children and adolescents
EL MONTGOMERY & JA BATCH
  1 Centre for Hormone Research,   2 Department of Paediatrics, University of Melbourne, Royal Children's Hospital, Parkville, Melbourne, Australia
Correspondence to: Professor J Batch
Copyright Blackwell Science Asia
KEYWORDS
cataracts • children • diabetes

ABSTRACT

Abstract

To report on cases of diabetic cataracts in a paediatric and adolescent population.

Methodology:  

Medical histories of children and adolescents attending the Royal Children's Hospital Diabetes Service who had developed cataracts between 1981 and 1996 were examined.

Results:  

Nine cases of diabetic cataracts have been managed over the 16-year time frame. Two cases presented at diagnosis of insulin-dependent diabetes mellitus (IDDM) and one 3 weeks after. The remaining six presented 1.7–13 years (mean 5.17±4.02) after diagnosis of IDDM. All but one had exhibited poor control of their diabetes with high HbA1C values.

Conclusions:  

Cataracts occurring in the paediatric and adolescent population, though uncommon, lead to marked morbidity. It is recommended that all children have an ophthalmological examination at diagnosis, particularly if they have had a long duration of symptoms before diagnosis. Persistently poor diabetes control and/or blurred vision are indications for prompt ophthalmological review.


DIGITAL OBJECT IDENTIFIER (DOI)
10.1046/j.1440-1754.1998.00195.x About DOI

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