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October 1966

Ocular Abnormalities in Juvenile Diabetics: Frequent Occurrence of Abnormally High Tensions

Author Affiliations

New York
From the departments of ophthalmology (Drs. Safir, Klayman, and Gerstenfeld) and pediatrics (Dr. Paulsen), Albert Einstein College of Medicine, Yeshiva University, New York. Dr. Safir is now at the Department of Ophthalmology, The Mount Sinai Hospital, New York.

Arch Ophthalmol. 1966;76(4):557-562. doi:10.1001/archopht.1966.03850010559014

There have been several studies1,2 of the incidence of elevated ocular tension in adult diabetics. Though the evidence is far from complete, it indicates that there is a higher incidence of ocular hypertension among diabetics than among nondiabetics.

The ocular tension of children has been studied very little, and that of diabetic children even less. This is understandable. Abnormalities of ocular tension are not common in childhood. After infancy, there is a long period, reaching well into adult life, during which the routine measurement of ocular tension will disclose few abnormalities. In addition, children are often not amenable to tonometry. Hence, tonometry is frequently omitted from the examination of young people. Even in an active ophthalmological practice, diabetic children are not often seen. Abnormalities of their ocular tension might easily escape notice. We believe that this has happened.

This report describes the occurrence of an unusual case and how

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