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Diplopia after retinal detachment surgery
1Department of Ophthalmology, St Thomas's Hospital, London.
The British Journal of Ophthalmology
|July 1, 1987
Summary
Persistent diplopia after retinal detachment surgery can be treated. Most patients regained binocular single vision through prisms, scleral buckle removal, or strabismus surgery.
Area of Science:
- Ophthalmology
- Retinal Surgery
- Oculomotor Function
Background:
- Diplopia is a potential complication following retinal detachment surgery.
- Persistent diplopia requires effective management strategies.
Purpose of the Study:
- To evaluate the efficacy of different treatment modalities for chronic diplopia after retinal detachment repair.
- To determine the success rates of prisms, scleral buckle removal, and strabismus surgery in restoring binocular single vision.
Main Methods:
- Retrospective analysis of 15 patients with diplopia lasting over three months post-retinal detachment surgery.
- Stepwise treatment approach including prisms, scleral buckle removal, and strabismus surgery.
- Evaluation of binocular single vision restoration and follow-up.
Main Results:
- Binocular single vision was restored in 12 out of 15 patients (80%) over a mean four-year follow-up.
- Prisms alone were effective in 40% of cases.
- Scleral buckle removal and subsequent strabismus surgery yielded consistent positive outcomes.
Conclusions:
- Diplopia following retinal detachment surgery is often manageable with a stepwise treatment algorithm.
- Strabismus surgery, particularly on the untreated eye, offers a high success rate for persistent diplopia.
- A significant majority of patients can achieve binocular single vision restoration.