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Diplopia after retinal detachment surgery.

P N Fison1, A H Chignell

  • 1Department of Ophthalmology, St Thomas's Hospital, London.

The British Journal of Ophthalmology
|July 1, 1987
PubMed
Summary
This summary is machine-generated.

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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.

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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.