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A Case of Infantile Cataract and Neonatal Hypoglycemia
Rym Maamouri1,2, Molka Ferchichi1,2, Amel Ben Chehida2,3
1Department of Ophthalmology, Habib Thameur Hospital, Tunis, Tunisia.
Insights
Neonatal hypoglycemia can lead to infantile cataracts in children. Meticulous history-taking is crucial for identifying at-risk children before cataract surgery.
Area of Science:
- Ophthalmology
- Pediatrics
- Metabolic Disorders
Background:
- Congenital and infantile cataracts are significant causes of visual impairment in children.
- Neonatal hypoglycemia is a critical condition that can have long-term health implications.
- The link between metabolic derangements and cataract formation in pediatric populations warrants further investigation.
Purpose:
To describe a case of lamellar cataract in a child with a history of neonatal hypoglycemia and illustrate the importance of meticulous history-taking in children with cataracts, especially before planning surgery.
Methods:
A single case report.
Results:
A 7-year-old girl with a history of neonatal hypoglycemia and ketoacidosis with high suspicion of a primary defect in ketone body utilization who presented with bilateral progressive blurred vision. Her best-corrected visual acuity (BCVA) was 20/200 in her right eye (OD) and 20/400 in her left eye (OS). Slit-lamp examination showed the presence of bilateral dense lamellar cataract. Fundus examination was unremarkable in both eyes (OU). She underwent cataract surgery with intraocular lens implantation under general anesthesia without prolonged fasting. Final BCVA was 20/82 in OD and 20/63 in OS.
Conclusion:
Our aim through this case is to emphasize the importance to screen for episodes of hypoglycemic attacks in children with infantile cataracts.
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