Bilateral vision loss in a child recently diagnosed with type 1 diabetes mellitus

A boy, 12 years of age, was referred to the ophthalmology department in the state capital tertiary-referral paediatric hospital with bilateral vision loss and dull red reflexes. Two weeks earlier, he was diagnosed with type 1 diabetes mellitus (T1DM) after presenting to a regional centre base hospit...

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Published inAustralian family physician Vol. 46; no. 6; pp. 393 - 394
Main Authors Roderick Francis Justin O'Day, John Ross Rocke, Janaka Tennakoon, Shivanand Sheth, Christolyn Raj
Format Journal Article
LanguageEnglish
Published Australia Copyright Agency Limited (Distributor) 01.06.2017
Subjects
Age
Case reports
Cataracts
Diabetes
Diabetes in children
Diabetic retinopathy
Diagnosis
Glaucoma
Glucose
Hyperglycemia
Medical diagnosis
Ophthalmology
Oxidative stress
Patients
Pediatrics
Treatment
Vision disorders in children
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Summary:A boy, 12 years of age, was referred to the ophthalmology department in the state capital tertiary-referral paediatric hospital with bilateral vision loss and dull red reflexes. Two weeks earlier, he was diagnosed with type 1 diabetes mellitus (T1DM) after presenting to a regional centre base hospital, 150 km outside the nearest capital city, with a four-day history of lethargy, vomiting, polyuria and polydipsia. He was found to be in diabetic ketoacidosis (DKA), with a pH of 6.8, blood glucose of 37.3 mmol/L and glycated haemoglobin (HbA1c) of 9.2%. He had no significant past medical history, no regular medications and no known allergies, and was discharged after 48 hours on a regimen of insulin aspart 30 units twice daily.
Bibliography:AFP.jpg
Australian Family Physician, Vol. 46, No. 6, Jun 2017: 393-394
ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
content type line 23
ObjectType-Report-1
ObjectType-Article-3
ISSN:0300-8495
2208-7958