Abstract THE PURPOSE of this paper is the presentation of a case of extraocular-muscle paralysis complicating long-standing diabetes mellitus. Since Dieulafoy,1 in 1905, first collected the cases of extraocular-muscle paralyses due to diabetes mellitus, the association of such paralyses with diabetes mellitus has been noted in large series of patients by several investigators. It is the consensus of most authors that this complication is uncommon. Waite and Beetham,2 in 1935, found only 16 cases of ocular-muscle paralyses in 4,001 eyes of diabetic patients, an incidence of 0.4%. Leopold,3 however, 10 years later, found an incidence of 5% in 100 cases. Most authors, nevertheless, agree with Waite and Beetham.2 Walsh4 and Weinstein and Dolger5 believed that a minute hemorrhage, either into the nerve trunk or about the nucleus of the oculomotor nerve, produced the paralysis. This idea is supported by the rapidity of onset in the References 1. Dieulafoy: Paralysie des nerfs moteurs de l'œil chez les diabetiques , Presse méd. 13:713-716 ( (Nov. 4) ) 1905. 2. Waite, J. H., and Beetham, W. P.: The Visual Mechanism in Diabetes Mellitus (a Comparative Study of 2,002 Diabetics and 457 Non-Diabetics for Control) , New England J. Med. 212:367-379 ( (Feb. 28) )Crossref 3. 429-443 (March 7) 1935. 4. Leopold, I. H.: Diabetes Mellitus as Observed in 100 Cases for 10 or More Years: Ocular Findings , A. J. M. Sc. 209:16-23 ( (Jan.) ) 1945.Crossref 5. Walsh, F. B.: Clinical Neuro-Ophthalmology , Baltimore, Williams & Wilkins Company, 1947. 6. Weinstein, E. A., and Dolger, H.: External Ocular Muscle Palsies Occurring in Diabetes Mellitus , Arch. Neurol. & Psychiat. 60:597-603 ( (Dec.) ) 1948. 7. Gray, W. A.: Ocular Conditions in Diabetes Mellitus , Brit. J. Ophth. 17:577-620 ( (Oct.) ) 1933. 8. Collier, James: Paralysis of Oculomotor Nerve-Trunks in Diabetes , Proc. Roy. Soc. Med. 23:627-630, 1930. 9. Walsh, F. B.: Personal communication to the authors.
A.M.A. Archives of Ophthalmology – American Medical Association
Published: May 1, 1952
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