Rogell G D
Arch Ophthalmol. 1979 May;97(5):904-5. doi: 10.1001/archopht.1979.01020010462014.
Internal ophthalmoplegia was found in eight eyes of four patients with juvenile-onset diabetes. All eight eyes had received argon laser panretinal photocoagulation (PRP) for proliferative diabetic retinopathy. Internal ophthalmoplegia was not found in any of the 14 eyes of seven patients with juvenile diabetes who had not had photocoagulation treatment. This group included one patient in whom internal ophthalmoplegia was present after treatment. Laser injury to the short ciliary nerves, as they course anteriorly on the inner surface of the sclera, is the probable cause of internal ophthalmoplegia in these patients. To my knowledge, this complication has not been reported previously, but it appears to be a common side effect of PRP.
在4例青少年糖尿病患者的8只眼中发现了眼内肌麻痹。所有这8只眼均因增殖性糖尿病视网膜病变接受了氩激光全视网膜光凝（PRP）治疗。7例未接受光凝治疗的青少年糖尿病患者的14只眼中均未发现眼内肌麻痹。该组中有1例患者在治疗后出现了眼内肌麻痹。短睫状神经在巩膜内表面向前走行时受到激光损伤，可能是这些患者发生眼内肌麻痹的原因。据我所知，此前尚未报道过这种并发症，但它似乎是PRP的常见副作用。
