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

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