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Learning points • Ophthalmic pathologies are well-recognised complications of Diabetes Mellitus • Retinopathy screening is indicated at all ages2 • Alternative ophthalmic/non-ophthalmic aetiologies must be considered • Diabetes Mellitus with optic atrophy should be investigated for Wolfram Syndrome • Additional diagnoses cause cumulative stresses on the child and family, which can hinder disease management and treatment compliance Smith TD,† Mukherjee A,† Dr S Ehtisham,‡ Tomlinson ND† † Royal Oldham Hospital, Pennine Acute Hospitals NHS Trust ‡ Central Manchester University Hospitals NHS Foundation Trust

Visual disturbance in diabetes mellitus: don't be blind to alternatives to retinopathy