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May 1973

Transient Accommodative Paralysis and Hyperopia in Diabetes

Author Affiliations

From the Department of Ophthalmology, Harvard Medical School and Massachusetts Eye and Ear Infirmary, Boston.

Arch Ophthalmol. 1973;89(5):419-421. doi:10.1001/archopht.1973.01000040421014

Transient paralysis of accommodation developed in a 7-year-old diabetic four days after beginning treatment with insulin. Symptomatology this severe is rare in diabetes, and only five similar cases have been reported. However, this case serves as a reminder that milder changes in both refraction and accommodation are frequent at the onset of diabetes (most often after treatment has been started) and may be associated with either a rise or fall in blood sugar.