Rapidly reversing bilateral macular edema associated with fluid overload in a young type 1 diabetic

Indian J Ophthalmol. 2019 Jul;67(7):1221-1223. doi: 10.4103/ijo.IJO_1805_18.

Abstract

We report a case of sudden onset bilateral diminution of vision in a young lady with type 1 diabetes. She was administered intravenous fluids for correction of diabetic ketoacidosis (DKA) prior to onset of her ocular symptoms. Dramatic resolution of macular edema was noted within a very short period after correction of fluid input-output ratio. Visual acuity was restored to baseline after 3 days without any active ocular intervention.

Keywords: Diabetic ketoacidosis; diabetic retinopathy; fluid overload; macular edema; type 1 diabetes.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Diabetes Mellitus, Type 1 / complications
  • Diabetes Mellitus, Type 1 / therapy*
  • Diabetic Retinopathy / complications*
  • Diabetic Retinopathy / diagnosis
  • Female
  • Fluid Therapy / adverse effects*
  • Follow-Up Studies
  • Humans
  • Macula Lutea / pathology*
  • Macular Edema / diagnosis
  • Macular Edema / etiology*
  • Remission, Spontaneous
  • Tomography, Optical Coherence
  • Visual Acuity