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Retinopathy in patients with diabetic ophthalmoplegia

Poster Details

First Author: D.Aghadoost IRAN

Co Author(s):    H. Aghadooost   E. Koochacki           

Abstract Details



Purpose:

To review the clinical characteristics, and severity of retinopathy in diabetic patients with cranial nerve (CN) 3,4 and or 6 palsies, this study carried out.

Setting:

Department of Ophthalmology Matini Hospital, Amirkabir Ave. Kashan, Iran.

Methods:

In this prospective noncomperative, consecutive case series 96 patients with diabetic ophthalmoplegia qualified for study (in Matini hospital of Kashan, Iran) during 2004-2012. Demographic and clinical data including type of DM, stage of diabetic retinopathy, involved cranial nerve, duration of resolution evaluated. statistical analysis were performed using spss software (version 11 chicago , IL , USA).

Results:

Of 96 patients 54(56%) were male with mean age 62.9±7.3 with frequency of 6th nerve involvement was 50(52%), 3rd nerve 41(43%) , and 4th nerve 5(5.2%). There was no statically significant association between stage of diabetic retinopathy (DR) and diabetic ophthalmoplegia (P=0.92 ).

Conclusions:

In this study ,diabetic ophthalmoplegia most commonly involves 6th cranial nerve and rarely 4th nerve. Diabetic patients with cranial nerve palsies (3,4 or 6) may have mild retinopathy. This may imply a different pathophysiologic mechanism for these two microvascular complications of DM. FINANCIAL INTEREST: NONE

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