Cranial mononeuropathy III - diabetic type - Treatment

Alternative Names

Diabetic third nerve palsy; Pupil-sparing third cranial nerve palsy

Treatment:

There is no specific treatment to correct the nerve injury.

Treatments may include:

Close control of blood sugar levels
Eye patch or glasses with prisms to reduce double vision
Pain medications
Surgery to correct eyelid drooping or eyes that are not aligned

Some people may recover without treatment.

Expectations (prognosis):

Many patients get better over 3 - 6 months, although some have permanent eye muscle weakness.

Complications:

Permanent eyelid drooping
Permanent vision changes

Calling your health care provider:

Call your health care provider if you have double vision and it doesn't go away in a few minutes, especially if you also have eyelid drooping.

Central nervous system

Reviewed last on: 6/15/2010
David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; and Daniel B. Hoch, PhD, MD, Assistant Professor of Neurology, Harvard Medical School, Department of Neurology, Massachusetts General Hospital. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Baloh RW. Neuro-ophthalmology. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier;2007:chap 450.

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