Complications, Other


I’ve had type 1 for 19 years. I have developed posterior subcapsular cataract in both eyes. How long until this affects my vision? Are the results of cataract surgery for people with diabetes generally favorable in the absence of diabetic retinopathy?

From: St. Paul, Minnesota, USA

I am a 37-year-old person who's had type 1 diabetes for about 19 years. I'm generally healthy, with A1c's in the 6.7 to 7.1% range. Recently, an ophthalmologist told me that I have a type of cataract called a posterior subcapsular cataract in both eyes. This is a relatively new development after I've had very early and small cortical cataracts in both eyes as well. It's my understanding that the posterior subcapsular type is known to grow much faster than many other types of cataracts. I was wondering if there is an average or expected rate at which these grow, or how long it might take before this type of cataract affects vision enough that it interferes with daily functioning, driving at night, etc. Also, are the results of cataract surgery for people with diabetes generally favorable in the absence of diabetic retinopathy?

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