[Diabetic papillopathy after intensification of insulin therapy: A case report].

Affiliation

Service d'endocrinologie, hôpital La Rabta, faculté de médecine de Tunis, université Tunis, El Manar, Tunisie. Electronic address: [Email]

Abstract

BACKGROUND : Diabetic papillopathy is a rare ocular complication of diabetes. Its pathophysiology is not well known. It is a unilateral or bilateral optic disc edema with variable degrees of visual loss.
METHODS : A 66-year-old woman, with a twelve years old type 2 diabetes mellitus, suddenly presented a unilateral decreased vision. Her ocular examination was normal eight months earlier. Ocular examination, radiological investigations and laboratory analysis were conclusive of diabetic papillopathy. Medical history revealed a recent rapid improvement of blood glucose control after intensification of insulin therapy. A visual acuity improvement with spontaneous regression of papillary edema was observed.
CONCLUSIONS : There is a risk of diabetic papillopathy associated with the rapid control of blood glucose levels after intensification of insulin therapy, even in diabetic patients without known retinopathy.

Keywords

Acuité visuelle,Diabète de type 2,HbA1c,Insulin,Insuline,Papilledema,Type 2 diabetes mellitus,Visual acuity,Œdème papillaire,