Diabetes is intricately associated with vision loss, primarily due to its ability to affect various ocular structures, including the lens, which can become progressively opaque. This opacity, known as cataract formation, is a leading cause of preventable blindness globally (1). In this report, we present a case of sudden development of bilateral cataract, resulting in significant visual impairment, precipitated by a rapid decline in blood glucose levels.
A 49-year-old man from Aruba presented for a routine ophthalmology checkup with no relevant personal medical history. His father had succumbed to hepatocellular carcinoma, and his mother had chronic kidney disease of unspecified etiology requiring hemodialysis. Initial eye examination revealed no abnormalities, with both eyes having 20/20 visual acuity, clear lenses, and no signs of retinopathy.
Four days later, the patient attended an endocrinology clinic because he felt unwell and was experiencing polydipsia and polyuria. He denied experiencing recent weight loss....