WHAT HAPPENED TO THAT CATARACT?

Title WHAT HAPPENED TO THAT CATARACT?
Author, Co-Author Ruth Manny
Topic
Year
1992
Day
Sunday
Program Number
Poster 43
Room
Great Hall
Affiliation
Abstract Baby Jordan presented at 11 months of age with a chief complaint of an intermittent eye turn first noted by his parents at 9 months. Examination revealed bilateral lamellar cataracts, more marked in the left eye, with a dense central opacity in the left eye. Cycloplegic refraction indicated a moderate to high myopic anisometropia with amblyopia as measured by Teller Acuity Cards. Birth history suggests that the cataracts may be related to an 11 day course of hypoglycemia secondary to maternal gestational diabetes. Although it is not clear when the cataracts first occurred, hospital records note a positive red reflex OU on the second day of life. Measurement of the size of the lamellar cataracts is also consistent with an onset after birth. What is atypical about this case is the photodocumented disappearance of the central opacity in the left eye during the management of the Jordan's refractive error, amblyopia, and binocular anomaly. A search of the literature uncovered no previous reports of hypoglycemic cataract regression although regression has been reported for cataracts induced by diabetes and galactosemia. This case documents a cataract regression late in infancy, and demonstrates the strategies employed to manage the refractive error, amblyopia, and binocular anomaly secondary to the cataracts.
Affiliation of Co-Authors
Outline