Endocrine Abstracts

Introduction: Oculomotor palsies in diabetes are focal mononeuropathies. It is a diabetic neurological complication, relatively rare. The oculomotor nerves affected are mainly the external oculomotor nerve (VI), the common oculomotor nerve (III), and more rarely, the pathetic nerve (IV). We report the case of a type 2 diabetic patient in whom the diagnosis of oculomotor palsy was retained.

Observation: This is a 65-year-old diabetic patient, 4 years old, poorly followed under metformin and sulfonamide, was admitted for sudden onset ptosis associated with diplopia. Clinical examination: unilateral left ptosis, workup: hba1c at 7.5%; etiological workup: negative, ophthalmological examination and cerebral angiography: normal, therefore the diagnosis of common oculomotor palsy secondary to diabetic neuropathy was retained.

Discussion-Conclusion: Diabetes mellitus is the first cause of neuropathy in the world. Non-retinal diabetic complications including oculomotor damage represent 1 to 3% of the ocular manifestations of diabetes. It should be considered in any diabetic presenting with unexplained visual disorders. Its evolution is favorable in a few weeks, but recurrence on the same side or on the contralateral side is possible