Case Report: Pupil-Sparing Third Nerve Palsy Due to Diabetes Mellitus

Authors

  • Gordon E Searles

DOI:

https://doi.org/10.15353/cjo.v43i2-3.4166

Keywords:

Diabetes Mellitus, di­abetic oculomotor ophthalmoplegia., myasthenia gravis

Abstract

The symptoms and diagnosis of di­abetic oculomotor ophthalmoplegia are examined in a case study. The patient had a right ptosis with di­plopia and paresis o all muscles sub­served by the oculomotor nerve. Tests for diabetes were positive and patient was placed on therapy to control dia­betes, with resolution of palsy three months after initiation of treatment.
Diabetic ophthalmoplegia is a form of ischemic neuropathy that could be elicited from metabolic or vascular causes. Differential diag­nosis is essential to rule out aneu­rysms and myasthenia gravis. The cardinal sign of diabetic palsy is the sparing of pupillary function. The case points out the importance of a careful case history to determine the cause of the condition. 

Published

1981-09-01

How to Cite

Searles, G. E. (1981). Case Report: Pupil-Sparing Third Nerve Palsy Due to Diabetes Mellitus. Canadian Journal of Optometry, 43(2-3), 2. https://doi.org/10.15353/cjo.v43i2-3.4166

Issue

Section

Case Reports