Obstetric Medicine > Volume 2, Number 2 > Pp. 81-83

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Case reports

Acute unilateral cataract in a postpartum adolescent with poorly-controlled type 1 diabetes

S S Ahmad MBChB (Hons)   ^*, A Misra MBBS MRCOphth   , A Glenn FRCS FRCOphth    and R C Temple MBBS FRCP   ^* 

^* Elsie Bertram Diabetes Centre, Norfolk and Norwich University Hospital; Department of Ophthalmology, Norfolk and Norwich University Hospital, Colney Lane, Norwich, UK

Correspondence to: Dr R C Temple, Elsie Bertram Diabetes Centre, Norfolk and Norwich University Hospital, Colney Lane, Norwich NR4 7UY, UK Email: rosemary.temple{at}nnuh.nhs.uk

Acute cataract is recognized as a rare complication in adolescents with type 1 diabetes mellitus and may be associated with rapid improvement in glycaemia in patients with newly diagnosed diabetes. Transient cataracts, which resolve following improved metabolic control, and irreversible cataracts requiring surgery have also previously been documented. Development or progression of retinopathy may complicate pregnancy in women with diabetes. To our knowledge, we present the first case report of an acute cataract developing postpartum in a woman with type 1 diabetes.

This rare case serves to demonstrate a possible association between acute cataract and altered glycaemic control in pregnancy. Acute cataract should be considered in any woman with diabetes who develops sudden visual loss following pregnancy.

Key Words: type 1 diabetes • pregnancy • glycaemic control • cataract • adolescence

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