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Bilateral cataracts as the presenting feature of type 1 diabetes in an 11-year-old girl
  1. Daniel Edward Robert Beck,
  2. Frederick R Burgess,
  3. Conrad L L Schmoll
  1. Princess Alexandra Eye Pavilion, Edinburgh, UK
  1. Correspondence to Dr Daniel Edward Robert Beck, danielbeck{at}


Paediatric cataracts can present a diagnostic dilemma to ophthalmologists. Next-generation DNA sequencing (NGS) has been promoted as a tool to expedite the diagnosis of an underlying cause in such cases.1 The authors present an unusual case of bilateral cataracts in an 11-year-old girl as the first presenting feature of new type 1 diabetes mellitus. Prompt diagnosis and subsequent management of this potentially life-threatening condition were achieved through careful history taking and targeted biochemical testing. The authors feel this case highlights the significance of simple measures such as thorough history taking in the assessment of paediatric cataracts. It is important that these skills are not lost through the availability of clinical tools such as NGS.

  • diabetes
  • ophthalmology
  • anterior chamber
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  • Contributors DERB has contributed to concept, background research, writing and review. FRB has contributed to background research, writing and review. CLLS has contributed to concept, background research, review and consenting the patient and the family.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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