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In this case report, we describe a 17-year-old boy presenting with fatigue and bilateral blurry vision, found to have hyperglycemia and subsequent DM on a laboratory draw before cataract surgery commenced. This patient also had an added complication of pseudophakic cystic macular edema of both eyes after uncomplicated cataract removal, which has not been described in previous case reports of pediatric patients with DM.<\/jats:p>","DOI":"10.1210\/jcemcr\/luag071","type":"journal-article","created":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T12:38:02Z","timestamp":1772195882000},"source":"Crossref","is-referenced-by-count":0,"title":["Cataracts as the presenting symptom of type 1 diabetes mellitus"],"prefix":"10.1210","volume":"4","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8554-3252","authenticated-orcid":false,"given":"Felicia","family":"Cooper","sequence":"first","affiliation":[{"name":"Department of Endocrinology, Nemours Children\u2019s Health , Orlando, FL 32827-7884 ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3187-3181","authenticated-orcid":false,"given":"Jamie","family":"Ikeda","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Nemours Children\u2019s Health , Orlando, FL 32827-7884 ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7125-7135","authenticated-orcid":false,"given":"Mauri","family":"Carakushansky","sequence":"additional","affiliation":[{"name":"Department of Endocrinology, Nemours Children\u2019s Health , Orlando, FL 32827-7884 ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"80","published-online":{"date-parts":[[2026,4,22]]},"reference":[{"issue":"3","key":"2026042204443835800_luag071-B1","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1111\/j.1399-5448.2008.00453.x","article-title":"Bilateral metabolic cataracts in 10-yr-old boy with newly diagnosed type 1 diabetes mellitus","volume":"10","author":"Patel","year":"2009","journal-title":"Pediatr Diabetes"},{"key":"2026042204443835800_luag071-B2","doi-asserted-by":"crossref","first-page":"6763586","DOI":"10.1155\/2018\/6763586","article-title":"Cataract as early ocular complication in children and adolescents with type 1 diabetes mellitus","volume":"2018","author":"\u0160imunovi\u0107","year":"2018","journal-title":"Int J Endocrinol"},{"issue":"2","key":"2026042204443835800_luag071-B3","doi-asserted-by":"crossref","first-page":"238","DOI":"10.1034\/j.1600-0420.1998.760223.x","article-title":"Diabetic cataract in children","volume":"76","author":"Falck","year":"1998","journal-title":"Acta Ophthalmol Scand"},{"issue":"2","key":"2026042204443835800_luag071-B4","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1046\/j.1440-1754.1998.00195.x","article-title":"Cataracts in insulin-dependent diabetes mellitus: sixteen years\u2019 experience in children and adolescents","volume":"34","author":"Montgomery","year":"1998","journal-title":"J Paediatr Child Health"},{"key":"2026042204443835800_luag071-B5","doi-asserted-by":"crossref","first-page":"11795514241275921","DOI":"10.1177\/11795514241275921","article-title":"Prevalence and predictors of diabetic retinopathy, its progression and regression in Indian children and youth with type-1 diabetes","volume":"17","author":"Oza","year":"2024","journal-title":"Clin Med Insights Endocrinol Diabetes"},{"issue":"12","key":"2026042204443835800_luag071-B6","doi-asserted-by":"crossref","first-page":"2457","DOI":"10.1016\/j.ophtha.2015.07.010","article-title":"Ocular complications in children with diabetes mellitus","volume":"122","author":"Geloneck","year":"2015","journal-title":"Ophthalmology"},{"issue":"5","key":"2026042204443835800_luag071-B7","doi-asserted-by":"crossref","first-page":"729","DOI":"10.1136\/bjophthalmol-2020-315886","article-title":"Epidemiology of visual impairment, sight-threatening or treatment-requiring diabetic eye disease in children and young people in the UK: findings from DECS","volume":"105","author":"Ibanez-Bruron","year":"2021","journal-title":"Br J Ophthalmol"},{"issue":"3","key":"2026042204443835800_luag071-B8","doi-asserted-by":"crossref","first-page":"362","DOI":"10.1111\/pedi.13316","article-title":"Cataract in children and adolescents with type 1 diabetes. Insights from the German\/Austrian DPV registry","volume":"23","author":"Reiter","year":"2022","journal-title":"Pediatr Diabetes"},{"issue":"7","key":"2026042204443835800_luag071-B9","doi-asserted-by":"crossref","first-page":"652","DOI":"10.1515\/jpem-2024-0005","article-title":"Early juvenile cataract in newly diagnosed type 1 diabetic patients: a description of two cases","volume":"37","author":"Wu","year":"2024","journal-title":"J Pediatr Endocrinol Metab"},{"issue":"2","key":"2026042204443835800_luag071-B10","doi-asserted-by":"crossref","first-page":"132","DOI":"10.1097\/PEC.0b013e318209bf0a","article-title":"Cataracts as the initial manifestation of type 1 diabetes mellitus","volume":"27","author":"Uspal","year":"2011","journal-title":"Pediatr Emerg Care"},{"issue":"2","key":"2026042204443835800_luag071-B11","doi-asserted-by":"crossref","first-page":"207","DOI":"10.1016\/j.jcrs.2016.11.047","article-title":"Risk factors for and diagnosis of pseudophakic cystoid macular edema after cataract surgery in diabetic patients","volume":"43","author":"Yang","year":"2017","journal-title":"J Cataract Refract Surg"},{"issue":"1","key":"2026042204443835800_luag071-B12","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1097\/ICU.0000000000001101","article-title":"Pseudophakic cystoid macular edema","volume":"36","author":"Fouad","year":"2025","journal-title":"Curr Opin Ophthalmol"},{"issue":"Suppl 1","key":"2026042204443835800_luag071-B13","doi-asserted-by":"crossref","first-page":"S283","DOI":"10.2337\/dc25-S014","article-title":"14. children and adolescents: standards of care in diabetes-2025","volume":"48","author":"American Diabetes Association Professional Practice Committee","year":"2025","journal-title":"Diabetes Care"},{"issue":"1","key":"2026042204443835800_luag071-B14","doi-asserted-by":"crossref","first-page":"94846","DOI":"10.4239\/wjd.v16.i1.94846","article-title":"Association between age at diagnosis of diabetes and ocular disease: insights from a recent article","volume":"16","author":"Liu","year":"2025","journal-title":"World J Diabetes"},{"issue":"2","key":"2026042204443835800_luag071-B15","doi-asserted-by":"crossref","first-page":"162","DOI":"10.1016\/j.jaapos.2005.10.005","article-title":"Cataract associated with type-1 diabetes mellitus in the pediatric population","volume":"11","author":"Wilson","year":"2007","journal-title":"J AAPOS"}],"container-title":["JCEM Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jcemcr\/article-pdf\/4\/5\/luag071\/68133771\/luag071.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jcemcr\/article-pdf\/4\/5\/luag071\/68133771\/luag071.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T08:44:45Z","timestamp":1776847485000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jcemcr\/article\/doi\/10.1210\/jcemcr\/luag071\/8660680"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,21]]},"references-count":15,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,4,21]]}},"URL":"https:\/\/doi.org\/10.1210\/jcemcr\/luag071","relation":{},"ISSN":["2755-1520"],"issn-type":[{"value":"2755-1520","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,5]]},"published":{"date-parts":[[2026,4,21]]},"article-number":"luag071"}}