The devastating, blinding effects of diabetic retinopathy have been well publicized. Although individually less common, many neuro-ophthalmologic complications are also associated with diabetes. The vascular effects of diabetes contribute to nonarteritic ischemic optic neuropathy, vasculopathic cranial neuropathies, and strokes affecting both afferent visual function and ocular motility. The neuropathic effects of diabetes primarily affect pupillary function, and the immunosuppressive effects of diabetes predispose to certain infections, such as mucormycosis. Diabetes is also associated with numerous congenital syndromes. This paper reviews the literature published in the past year on the neuro-ophthalmologic effects of diabetes.
Chairman, Department of Neurosensory Sciences, Albert Einstein Medical Center and Professor and Senior Associate Chairman, Department of Neurology, Temple University School of Medicine, Philadelphia, Pennsylvania, USA
Correspondence to M.L. Moster, Albert Einstein Medical Center, Department of Neurosensory Sciences, 300 Klein Building, 5401 Old York Road, Philadelphia, PA 19141, USA; e-mail: email@example.com