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Tenuous Ocular Perfusion From Orthostatic Hypotension Associated With Diabetic Neuropathy

Tenuous Ocular Perfusion From Orthostatic Hypotension Associated With Diabetic Neuropathy Abstract To the Editor. —Diabetic retinopathy, papillopathy, keratopathy, and early cataract formation are the principal ocular changes in diabetes mellitus attributed to vascular and biochemical changes. Ten percent of cases of oculomotor palsy are attributed to diabetes mellitus, which is due to atherosclerosis of the vasa nervora of the cranial nerves and nuclei.1 Retinal vascular changes associated with severe diabetic neuropathy have not been emphasized in the ophthalmic literature. We herein report a case of ocular hypoperfusion associated with severe diabetic neuropathy and orthostatic hypotension. Report of a Case. —A 45-year-old man with a ten-year history of diabetes mellitus was referred for additional panretinal laser photocoagulation of the left eye to treat proliferative diabetic retinopathy. He had previously received a short session of laser applications that was discontinued because of severe ocular pain. His visual acuity was 20/30 OU, and intraocular pressure was 9 mm Hg in both eyes. Red References 1. Dreyfus R, Hakim S, Adams R: Diabetic ophthalmoplegia . Arch Neurol Psychiatry 1957;77:337-349.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Tenuous Ocular Perfusion From Orthostatic Hypotension Associated With Diabetic Neuropathy

Archives of Ophthalmology , Volume 103 (12) – Dec 1, 1985

Tenuous Ocular Perfusion From Orthostatic Hypotension Associated With Diabetic Neuropathy

Abstract

Abstract To the Editor. —Diabetic retinopathy, papillopathy, keratopathy, and early cataract formation are the principal ocular changes in diabetes mellitus attributed to vascular and biochemical changes. Ten percent of cases of oculomotor palsy are attributed to diabetes mellitus, which is due to atherosclerosis of the vasa nervora of the cranial nerves and nuclei.1 Retinal vascular changes associated with severe diabetic neuropathy have not been emphasized in the ophthalmic...
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Publisher
American Medical Association
Copyright
Copyright © 1985 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1985.01050120012002
Publisher site
See Article on Publisher Site

Abstract

Abstract To the Editor. —Diabetic retinopathy, papillopathy, keratopathy, and early cataract formation are the principal ocular changes in diabetes mellitus attributed to vascular and biochemical changes. Ten percent of cases of oculomotor palsy are attributed to diabetes mellitus, which is due to atherosclerosis of the vasa nervora of the cranial nerves and nuclei.1 Retinal vascular changes associated with severe diabetic neuropathy have not been emphasized in the ophthalmic literature. We herein report a case of ocular hypoperfusion associated with severe diabetic neuropathy and orthostatic hypotension. Report of a Case. —A 45-year-old man with a ten-year history of diabetes mellitus was referred for additional panretinal laser photocoagulation of the left eye to treat proliferative diabetic retinopathy. He had previously received a short session of laser applications that was discontinued because of severe ocular pain. His visual acuity was 20/30 OU, and intraocular pressure was 9 mm Hg in both eyes. Red References 1. Dreyfus R, Hakim S, Adams R: Diabetic ophthalmoplegia . Arch Neurol Psychiatry 1957;77:337-349.Crossref

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Dec 1, 1985

References