Reversible unilateral lens opacities in a diabetic patient
D. L. Epstein
Following one month of poor diabetic control, a 54-year-old patient
presented with a unilateral posterior subcapsular cataract, consisting of
numerous fine, feathery, streak-like opacities radiating from a dense,
round, central, posterior, subcapsular plaque. Except for extensive
pseudoexfoliation, the fellow lens was clear. After a subsequent week of
strict diabetic control, the feathery streak-like opacities had almost
disappeared. The findings are discussed in relation to the experimentally
induced sugar cataract in which sugar alcohol accumulation and subsequent
lens swelling result in a potentially reversible lens opacification.
