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Diabetic oculomotor paresis with pupil fixed to light

Department of Neurology, University of New Mexico School of Medicine, and the Neuro-Ophthalmology Section, Veterans Administration Medical Center, Albuquerque, NM.

The pupillary near response should always be evaluated when the light response is defective. We present a case of diabetic third-nerve paresis with concomitant light-near dissociation. Without careful evaliation of the near response, angiography would have been indicated to rule out a posterior communicating artery aneurysm. Pharmacologic and slit lamp testing can be used to verify light-near dissociation.

Address correspondence and reprint requests to Dr. Thomas J. Carlow, Veterans Administration Medical Center, Neuro-Ophthalmology Section, 2100 Ridgecrest S.E., Albuquerque, NM 87108.

Accepted for publication January 31, 1980.

This article has been cited by other articles:

				D. M. Jacobson Pupil Involvement in Patients With Diabetes-Associated Oculomotor Nerve Palsy Arch Ophthalmol, June 1, 1998; 116(6): 723 - 727. [Abstract] [Full Text] [PDF]