Abstract
Transient hyperopic changes were observed in two adult-type uncontrolled diabetics. Case 1: A 53-year-old man with diabetes mellitus of 5 years' duration was admitted to our hospital for regulation of diabetes. He was treated with diet and exercise therapy. On the 7th hospital day, he noticed he could not see well with his glasses (right-2.75 D, left-3.0 D). On the 17th hospital day, his refraction revealed hyperopic change: V. d., 1.0 with+0.75 D-cyl-0.75 D Ax. 40°; V. s., 1.0 with+0.75 D-cyl-0.5 D Ax. 140°. Case 2: A 56-year-old woman with diabetes of 3 years' duration was admitted to our hospital, and was treated with glibenclamide (2.5mg/1×d) and dietary therapy. On the 4th hospital day, she noticed she could not see well with her glasses (right-1.5 D-cyl-0.75 D Ax. 135° left-1.25 D-cyl-0.75 D Ax. 50°). On the 18th hospital day, her refraction revealed hyperopic change: V. d., 0.9 with+0.5 D-cyl-1.0 D Ax. 135°; V. s., 0.9 with+0.5 D-cyl-1.0D Ax. 50°. These hyperopic changes were improved after blood glucose levels had become normalized. Eye glasses should not be prescribed for diabetics unless their blood glucose is controlled and stabilized.
