Fig. 14. Ischemic (diabetic) right oculomotor ophthalmoplegia of mild degree. A. Note failure of adduction on left gaze and unusual lack of ptosis. B. Pupil is spared, with intact light reaction. C. Superior rectus weakness. D. Inferior rectus weakness. Mild pain accompanied onset of diplopia, with complete resolution in 3 weeks. This was the second episode in a 62-year-old patient with known diabetes.