Quando uma Catarata é Mais do que Aparenta
DOI:
https://doi.org/10.48560/rspo.45988Palavras-chave:
Catarata, Cetoacidose Diabética, Complicações da Diabetes, CriançaResumo
Type 1 diabetes is a chronic condition associated with many ocular complications. Although cataracts are rare in children, they can occur early in the course of the disease.
A 9-year-old girl was admitted to the emergency department with dyspnea, altered consciousness, polyuria and polydipsia for 5 days. Laboratory findings include severe metabolic acidosis (pH 6.83, HCO3 1.8 mmol/L), blood glucose 675 mg/dL, ketonemia 7 mmol/L and hemoglobin A1c 15.9%. Further investigation revealed vision loss complaints for seven months, which led to an ophthalmology consultation and a diagnosis of bilateral cataracts. After metabolic stabilization, she underwent surgery with marked improvement in vision.
This case illustrates an unusual presentation of diabetes in children. This severe complication highlights the importance of appropriate screening and early eye examination to detect and manage visual complications, to preserve visual function and improve clinical outcomes.
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Direitos de Autor (c) 2026 Revista Sociedade Portuguesa de Oftalmologia
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