Disturbances of ocular motility after retinal detachment surgery

In a series of 562 patients who underwent surgery for retinal detachment, 17 (3.02%) had significant post-operative muscle imbalance. On the basis of the patients histories and clinical examinations, it is possible to classify the disturbances of ocular motility according to the symptoms (type, time of onset) and the pathogenesis (lesion of muscular sheats or bodies, capsulo-conjunctival cicatricial retractions, prolonged muscular compression, decompensation of pre-existing squints). If diplopia does not cease spontaneously, treatment consists of use of temporary prisms, but in some cases surgery is required.