Table 1 Timeline of our patient’s clinical course
From: Transient bilateral cataract during intensive glucose control: a case report
Dates | Past medical history | |
|---|---|---|
| Â | High blood glucose level 1 year before initial visit | |
Date | Symptoms and medical findings | Ophthalmic findings |
Day 1 | Fasting plasma glucose: 555 mg/dL | Best corrected visual acuity: 20/20 in both eyes |
HbA1c: 14.9% | Refractive error: -3.25 diopters (D) in both eyes | |
Begins oral hypoglycemic agent | Clear lenses | |
Diabetic retinopathy (-) | ||
Day 2 | Feels blurred vision | Â |
Switches to insulin | ||
Day 4 | Fasting plasma glucose: 214 mg/dL | Best corrected visual acuity: 20/40 in the right eye; 20/50 in the left eye |
Bilateral subcapsular cataract | ||
Retinal hemorrhage and exudates | ||
Day 11 | Cannot see well with his own glasses | Visual acuity with his glasses: 20/40 in the right eye; 20/50 in the left eye Best corrected visual acuity: 20/25 in both eyes |
Refractive error: +1.0D in both eyes | ||
Day 29 | Better visual acuity | Best corrected visual acuity: 20/25 |
Refractive error: -1.75D in both eyes | ||
Clearer lens | ||