A case report of homocysteinuria with endophthalmitis and diabetes

Abstract

Homocysteinuria is a rare inherited metabolic disorder that leads to the accumulation of homocysteine, which is toxic to blood vessels and other tissues. We present the case of a 29-year-old female with homocysteinuria and recently diagnosed diabetes mellitus presented with sudden eye symptoms and was diagnosed with endophthalmitis. High blood glucose levels were detected and further investigation revealed that the patient had a history of childhood vision difficulties and elevated plasma homocysteine levels. This case report highlights the importance of considering homocysteinuria in patients presenting with endophthalmitis in aphakic eyes and diabetes, and underscores the need for close monitoring of blood glucose levels and insulin therapy in patients with homocysteinuria and diabetes.