[Neuro-ophthalmological problems in the diabetic patient]

Neuro-ophthalmological complications in diabetic patients are relatively rare, and their prevalence seems to be much less important than the retinopathy and the cataract prevalence. Although the low frequency of the neuro-ophthalmological complications, these might induce severe loss of vision or oculomotor disturbance, as it is reported in acute anterior ischaemic optic neuropathy or in cranial neuropathy. The etiopathogenic mechanism is still uncertain, but actually a metabolic dysfunction seems to be the more plausible hypothesis. In absence of specific treatment, we emphasized the importance of a preventive treatment based on the best control of diabetes and the treatment of the vascular and infection risk factors.