Oculomotor paralyses in the course of diabetes - About 12 cases

Purpose: Our purpose is to study the clinical features of the oculomotor pa ralyses in the course of the diabetes, to assess the risk factors and to sh ow the importance of the diagnosis and the cerebral imaging. Materiel and methods: We report a series of 12 diabetic patients with OMP c ollected at the department of ophthalmology in UHC lbn Rochd in Casablanca between 1995 and 1998. Result: Our study was about 9 men and 3 women, the mean age was 58 years 6 months. The diabetes was type I in 2 cases and type II in 10 cases. All the patients complained of diplopia with headache. The paralysis of VI has bee n noticed in 8 cases, it was bilatral in 5 cases. Unilateral iii palsy occu rred in 4 cases. Brain computed tomography was normal in 10 cases and patho logic in 2 cases. Treatment consisted in alternating occlusion in all patie nts. Concomitance was achieved, after 4 to 6 months of treatment. Conclusion: The metabolic abnormalities due to hyperglycemia and the ischem ic phenomena due to the diabetic macroangiopathy explain these palsies.