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Oculomotor palsy in diabetics
H Lajmi1, W Hmaied1, W Ben Jalel1
1Internal security forces hospital, Mohamed Fadhel Ben Achour street, Marsa Safsaf, Tunis, Tunisia.
Journal Francais D'Ophtalmologie
|January 2, 2018
Summary
Diabetic oculomotor palsy, often involving the VIth nerve, is linked to poorly controlled diabetes and associated conditions. Prompt diagnosis and management are crucial for better outcomes in diabetic patients.
Area of Science:
- Ophthalmology
- Neurology
- Endocrinology
Background:
- Diabetic oculomotor palsy is a frequent neuro-ophthalmologic complication.
- It receives less attention compared to other diabetic ocular manifestations.
- Understanding its characteristics is vital for patient care.
Purpose of the Study:
- To investigate the clinical, epidemiological, therapeutic, and prognostic features of oculomotor palsy in diabetic patients.
- To highlight the significance of this complication in diabetes management.
Main Methods:
- Retrospective study of 24 diabetic patients with oculomotor palsy.
- Ophthalmological and orthoptic assessments, including Hess-Lancaster testing.
- Neuro-imaging utilized for specific nerve involvements; data analyzed using SPSS.
Main Results:
- Mean age 58.5 years; VIth nerve palsy most common (50%).
- Binocular diplopia was the primary symptom.
- Poorly controlled diabetes (75%) and diabetic retinopathy (56%) were prevalent.
Conclusions:
- Long-standing, uncontrolled type 2 diabetes is a major risk factor.
- VIth nerve involvement is common; pupillary reflex aids in differentiating IIIrd nerve injuries.
- Effective glucose management is key for prognosis.
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