[Diplopia complicating scleral buckling surgery for retinal detachment]

Area of Science:

• Ophthalmology
• Retinal Surgery
• Strabismus

Context:

• Diplopia (double vision) is a known complication following scleral buckling surgery for retinal detachment.
• Ocular motility disturbances are the primary cause of post-surgical diplopia.

Purpose:

• To evaluate the outcomes of managing diplopia that arises after scleral buckling surgery.
• To assess the efficacy of different treatment modalities for post-scleral buckling diplopia.

Summary:

• A retrospective study reviewed 821 patients undergoing scleral buckling, identifying 12 who developed persistent diplopia.
• Treatments included scleral buckle removal (successful in 6/12), prism correction (successful in 3/12), and strabismus surgery (successful in 3/12).
• Hypertropia was the most common diagnosis, often associated with esotropia or exotropia.

Impact:

• Diplopia following scleral buckling surgery generally responds well to conservative and surgical interventions.
• Prompt treatment, including buckle removal, prism correction, or strabismus surgery, can effectively resolve functional deficits and restore binocular vision.