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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


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.


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


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).


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 ).


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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