Complete ophthalmoplegia in a hypertensive diabetic patient

Combined paresis of all three ocular motor nerves is a rare ocular manifestation in diabetic patients. We present a case of a 73-year-old female with complete ophthalmoplegia. There was no evidence of peripheral neuropathy. Diagnostic angiography showed atherosclerotic stenosis in the cavernous segment of left internal carotid artery. The ophthalmoplegia had a self-limited course despite the severe vascular lesions.