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[Ocular motility disorders after retinal surgery]
C A Lawin-Brüssel1, B Anhalt, H Markodimitrakis
1Universitäts-Augenklinik, Westfälischen Wilhelms-Universität, Münster, Bundesrepublik Deutschland.
Fortschritte Der Ophthalmologie : Zeitschrift Der Deutschen Ophthalmologischen Gesellschaft
|January 1, 1991
Summary
Motility disturbances like persistent diplopia are rare after retinal detachment surgery. Hypertrophic scarring, not the buckle itself, likely causes these rare complications following scleral buckling procedures.
Area of Science:
- Ophthalmology
- Surgical Complications
- Retinal Diseases
Context:
- Retinal detachment surgery is a common procedure.
- Scleral buckling is a surgical technique used to repair retinal detachments.
- Motility disturbances are infrequent but can impact patient outcomes.
Purpose:
- To investigate the causes of motility disturbances after scleral buckling surgery for retinal detachment.
- To identify risk factors and contributing elements to persistent diplopia post-surgery.
Summary:
- A retrospective study analyzed 2427 cases of retinal detachment treated with scleral buckling.
- Twelve patients (0.49%) developed persistent diplopia, requiring buckle removal.
- Five of these patients needed further strabismus surgery to achieve binocular single vision.
- Hypertrophic scarring was identified as the primary cause, outweighing issues with buckles, sutures, or muscle imbalance.
Impact:
- Findings suggest hypertrophic scarring is the main cause of motility issues post-scleral buckling.
- Highlights the importance of considering scar tissue in managing diplopia after retinal detachment repair.
- Informs surgical planning and post-operative care to mitigate rare motility complications.