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Diabetes Care 26:3197-3198, 2003
© 2003 by the American Diabetes Association, Inc.

Letter: Observations

Acute Angle Closure Glaucoma Following Rapid Correction of Hyperglycemia

Deirdre R. Blake, MB, MRCPI and David M. Nathan, MD

From the Diabetes Unit and Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts; and Harvard Medical School, Boston, Massachusetts

Address correspondence to Deidre R. Blake, Massachusetts General Hospital, Diabetes Unit, Bulfinch 408, Boston, MA 02114. E-mail: drblake@partners.org

The first 20% of the full text of this article appears below.

Chronic hyperglycemia, associated with diabetes, leads to many ocular complications. The effects on the eye of rapidly correcting acute hyperglycemia, however, are less well appreciated.

A 59-year-old man with no prior history of diabetes presented to our hospital with several weeks of polyuria, polydipsia, and blurred vision. He had last seen an ophthalmologist 3 years previously when, in addition to his known hyperopia, he was diagnosed with bilateral cataracts; intraocular pressures (IOPs) were normal at that time, and corrected visual acuity was 20/50 in oculus dexter (OD) and 20/20 in oculus sinister (OS).

Laboratory data on presentation included 118 mmol/l serum sodium, 5.7 mmol/l potassium, 54 mg/dl BUN, 1.6 mg/dl creatinine, and a normal anion gap of 10. The serum glucose was 1,550 mg/dl. Calculated . . . [Full Text of this Article]


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Copyright © 2003 by the American Diabetes Association.