Diabetic ophthalmoplegia

Domínguez, Dinorah; Gomensoro, J. B.; Temesio, P; Rodríguez-Barrios, Raúl

doi:10.1007/bf02581417

Cited by 5 publications

(3 citation statements)

References 14 publications

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“…In a study of 24 patients with diabetic ophthalmoplegia, Zorilla and Kozak [3 ]reported 9 with NPDR (37.5%) and 2 with PDR (8.3%). Dominguez et al[ 4] noted no retinopathy in a report of 10 patients with diabetic ophthalmoplegia. In another report of 3 patients with simultaneous, multiple diabetic cranial neuropathies (which may suggest severer or extensive microvascular compromise), Eshbaugh et al [5] reported similarly that none had any retinopathy.…”

Section: Discussionmentioning

confidence: 99%

Retinopathy in Patients with Diabetic Ophthalmoplegia

Acaroğlu¹,

Akıncı

Zilelioğlu

2008

Ophthalmologica

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Purpose: To compare patients with palsy of the 3rd, 4th or 6th cranial nerve due to diabetes mellitus (DM) with controls matched for age, sex and disease duration in terms of the presence and severity of diabetic retinopathy. Patients and Method: Thirty-three diabetic patients with cranial nerve palsies and 33 age- and sex-matched controls with the same duration of disease were included in this case-control study. Groups were evaluated in terms of the type of DM, presence and level of diabetic retinopathy and coexisting systemic diseases. Outcomes were compared by χ² and paired-sample tests. Results: Eleven patients had diabetic retinopathy in the study group. In the control group, 23 patients had diabetic retinopathy. Differences in the presence and severity of diabetic retinopathy between the two groups were found to be statistically significant (p = 0.028 and p = 0.018, respectively). Conclusion: Presence and level of diabetic retinopathy are significantly lower in diabetics with cranial nerve palsy than in the age-, sex- and disease-duration-matched controls.

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Section: Discussionmentioning

confidence: 99%

Retinopathy in Patients with Diabetic Ophthalmoplegia

Acaroğlu¹,

Akıncı

Zilelioğlu

2008

Ophthalmologica

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“…This might imply a different pathophysiologic mechanism for these two microvascular complications of DM. Zorilla and Kozak [17], in a study of 24 patients with diabetic ophthalmoplegia, reported 9 with NPDR (37.5 %) and 2 with PDR (8.3 %) while Dominguez et al [11], noted no retinopathy in a report of 10 patients with diabetic ophthalmoplegia. In another report of 3 patients with simultaneous, multiple diabetic cranial neuropathies (which may suggest more severe or extensive microvascular compromise), Eshbaugh et al [18], reported similarly that none had any retinopathy.…”

Section: Discussionmentioning

confidence: 95%

“…Diabetic mononeuropathy should be considered in the presence of signs and symptoms of cranial nerve disturbances in diabetic patients when other causes are excluded [5]. Paralysis of the sixth cranial nerve is recognized as the most common type in most of the series throughout the literature [6,7,8] even though in some series, the third cranial nerve was the most affected [9,10,11]. The incidence of ocular muscle palsy among diabetics in the present study was 0.32 %, while that of facial palsy was 0.21 %.…”

Section: Discussionmentioning

confidence: 99%

Ocular muscle palsy in diabetic patients

Al-Sharkawy¹,

Hassan²

2012

Oftalmol Zh

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Diabetic changes of the extra-ocular muscles in man

Zrůstová¹,

Vrabec²,

Rostlapil³

1979

Acta diabet. lat

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Axonal and myelin changes of the degenerative type were found in the extra-ocular muscles of 21 out of 23 diabetics of all ages (30--74 years). In all these 21 cases both axonal and myelin changes were observed; they did not correlate with the duration, degree of severity or treatment of diabetes. In 19 of the 23 cases (82.6%) nervous changes were accompanied by vascular changes. In 10 controls (50--80 years) nervous and vascular changes were of a slight degree. The findings of the alteration of peripheral nerve endings in the extra-ocular muscle corroborate and complete the description of the central nervous changes in diabetics with ophthalmoplegia given by several authors. We agree with Domínguez et al. that ophthalmoplegia may appear in the preclinical stage of diabetes and may be the first manifestation of the disease.

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Diabetic ophthalmoplegia

Cited by 5 publications

References 14 publications

Retinopathy in Patients with Diabetic Ophthalmoplegia

Retinopathy in Patients with Diabetic Ophthalmoplegia

Ocular muscle palsy in diabetic patients

Diabetic changes of the extra-ocular muscles in man

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