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Article
February 1942

OCULAR DISTURBANCES IN A CASE OF ACROMEGALY COMPLICATED BY DIABETES

Arch Ophthalmol. 1942;27(2):330-341. doi:10.1001/archopht.1942.00880020114009
Abstract

The following case is interesting from both an ophthalmologic and an endocrinologic point of view.

When the patient, a man aged 35, came to the university ophthalmic clinic of Istanbul on April 16, 1939 he was almost blind.

He was 183 cm. tall (over 6 feet), had some exophthalmos (according to the exophthalmometer of Herter, 23 mm. at 110) and was a definite acromegalic type. The examination and the history indicated a tumor of the pituitary gland. He suffered from polyphagia and polyuria; in addition, the libido and the sexual potency had completely disappeared, and roentgenograms revealed a greatly enlarged sella turcica. The patient stated that he had had an illness with fever four months before and that sugar had been found in his urine at that time.

The vision of each eye was reduced to perception of movements of the hand. The ophthalmoscopic examination showed neither discoloration of the

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