Skip to main content
The British Journal of Ophthalmology logoLink to The British Journal of Ophthalmology
. 1987 Jul;71(7):521–525. doi: 10.1136/bjo.71.7.521

Diplopia after retinal detachment surgery.

P N Fison 1, A H Chignell 1
PMCID: PMC1041218  PMID: 3651365

Abstract

Diplopia following retinal detachment usually responds to simple measures. Fifteen out of 311 cases developed diplopia lasting more than three months after conventional retinal detachment surgery. Binocular single vision was restored in 12 of the 15 cases (80%). The mean follow-up was four years. Diplopia was eliminated stepwise. If prisms were ineffective, our first surgical procedure was removal of the scleral buckle. If the retina was flat, we were prepared to remove the buckle early. When diplopia persisted after buckle removal, we proceeded to strabismus surgery. Our most consistent results followed strabismus surgery on the untreated eye. Prisms alone restored binocular single vision in six patients (40%), one of whom preferred to adopt a compensatory head posture. Removal of the scleral buckle restored binocular single vision in three patients (20%), with the help of a prism in one case and a compensatory head posture in another. Binocular single vision was restored after buckle removal and strabismus surgery in three further patients (20%), one requiring a prism in addition. Binocular single vision was not restored in three patients (20%).

Full text

PDF
521

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Arruga A. Binocularity after retinal detachment surgery. Doc Ophthalmol. 1973 Feb 21;34(1):41–45. doi: 10.1007/BF00151794. [DOI] [PubMed] [Google Scholar]
  2. Arruga A. Motility disturbances induced by operations for retinal detachment. Mod Probl Ophthalmol. 1977;18:408–414. [PubMed] [Google Scholar]
  3. Bell F. C., Pruett R. C. Effects of cryotherapy upon extraocular muscle. Ophthalmic Surg. 1977 Feb;8(1):71–75. [PubMed] [Google Scholar]
  4. Dunlap E. A. Plastic implants in muscle surgery. Plastic materials in the management of extraocular motility restrictions. Arch Ophthalmol. 1968 Aug;80(2):249–257. doi: 10.1001/archopht.1968.00980050251020. [DOI] [PubMed] [Google Scholar]
  5. Dunlap E. A. Plastic implants in muscle surgery: a study of the possible use of plastic materials in the management of extraocular motility restrictions. Trans Am Ophthalmol Soc. 1967;65:393–470. [PMC free article] [PubMed] [Google Scholar]
  6. Déodati F., Bec P., Béchac G. Complications oculo-motrices après cerclage. Bull Soc Ophtalmol Fr. 1972 Jul-Aug;72(7):703–708. [PubMed] [Google Scholar]
  7. Fells P. The use of adjustable sutures. Trans Ophthalmol Soc U K. 1981;101(Pt 2):279–283. [PubMed] [Google Scholar]
  8. Hamlet Y. J., Goldstein J. H., Rosenbaum J. D. Dehiscence of lateral rectus muscle following intrascleral buckling procedure. Ann Ophthalmol. 1982 Jul;14(7):694–697. [PubMed] [Google Scholar]
  9. Helveston E. M., Cofield D. D. Indications for marginal myotomy and technique. Am J Ophthalmol. 1970 Oct;70(4):574–578. doi: 10.1016/0002-9394(70)90891-3. [DOI] [PubMed] [Google Scholar]
  10. Jampolsky A. Strabismus reoperation techniques. Trans Sect Ophthalmol Am Acad Ophthalmol Otolaryngol. 1975 Sep-Oct;79(5):704–717. [PubMed] [Google Scholar]
  11. Kanski J. J., Elkington A. R., Davies M. S. Diplopia after retinal detachment surgery. Am J Ophthalmol. 1973 Jul;76(1):38–40. doi: 10.1016/0002-9394(73)90007-x. [DOI] [PubMed] [Google Scholar]
  12. Kutschera E., Antlanger H. Influence of retinal detachment surgery on eye motility and binocularity. Mod Probl Ophthalmol. 1979;20:354–358. [PubMed] [Google Scholar]
  13. Mets M. B., Wendell M. E., Gieser R. G. Ocular deviation after retinal detachment surgery. Am J Ophthalmol. 1985 Jun 15;99(6):667–672. doi: 10.1016/s0002-9394(14)76033-7. [DOI] [PubMed] [Google Scholar]
  14. Mühlendyck H., Linnen H. J. Analyse und Behandlung von Motilitätsstörungen nach Ablatio-Operationen. Mod Probl Ophthalmol. 1979;20:359–366. [PubMed] [Google Scholar]
  15. Pearlman J. T., Christensen R. E. Motility problems following retinal detachment surgery. Am Orthopt J. 1972;22:64–67. [PubMed] [Google Scholar]
  16. Peduzzi M., Campos E. C., Guerrieri F. Disturbances of ocular motility after retinal detachment surgery. Doc Ophthalmol. 1984 Aug 15;58(1):115–118. doi: 10.1007/BF00140908. [DOI] [PubMed] [Google Scholar]
  17. Portney G. L., Campbell L. H., Casebeer J. C. Acquired heterotropia following surgery for retinal detachment. Am J Ophthalmol. 1972 Jun;73(6):985–990. doi: 10.1016/0002-9394(72)90470-9. [DOI] [PubMed] [Google Scholar]
  18. ROMAINE H. H. Motility complications in buckling procedures. Trans Am Acad Ophthalmol Otolaryngol. 1961 Sep-Oct;65:718–723. [PubMed] [Google Scholar]
  19. Ridley H. SOME PRACTICAL POINTS IN THE TREATMENT OF SIMPLE DETACHMENT OF THE RETINA. Br J Ophthalmol. 1935 Feb;19(2):101–106. doi: 10.1136/bjo.19.2.101. [DOI] [PMC free article] [PubMed] [Google Scholar]
  20. Roth A. M., Sypnicki B. A. Motility dysfunction following surgery for retinal detachment. Am Orthopt J. 1975;25:118–121. [PubMed] [Google Scholar]
  21. Sewell J. J., Knobloch W. H., Eifrig D. E. Extraocular muscle imbalance after surgical treatment for retinal detachment. Am J Ophthalmol. 1974 Aug;78(2):321–323. doi: 10.1016/0002-9394(74)90096-8. [DOI] [PubMed] [Google Scholar]
  22. Shea M. Complications of cryotherapy in retinal detachment surgery. Can J Ophthalmol. 1968 Apr;3(2):110–115. [PubMed] [Google Scholar]
  23. Tassler G. E., Görtz H. Zur Binokularfunktion nach Amotio-Chirurgie. Klin Monbl Augenheilkd. 1978 Jul;173(1):42–44. [PubMed] [Google Scholar]
  24. Theodossiadis G., Chimonidou E., Nikolakis S., Apostolopoulos M., Velissaropoulos P. Einige klinische Aspekte der Diplopie nach Operation von Netzhautablösung vermittels Kryopexie und episkleraler Silasticplombe. Klin Monbl Augenheilkd. 1975 Apr;166(4):423–431. [PubMed] [Google Scholar]
  25. Theodossiadis G., Nikolakis S., Apostolopoulos M. Immediate postoperative muscular disturbance in retinal detachment surgery. Mod Probl Ophthalmol. 1979;20:367–372. [PubMed] [Google Scholar]
  26. WEEKERS R., DELVILLE-HACOURT J., WATILLON M. Les altérations de la motilité oculaire après résection sclérale. Arch Ophtalmol Rev Gen Ophtalmol. 1958 Jun;18(4):409–413. [PubMed] [Google Scholar]

Articles from The British Journal of Ophthalmology are provided here courtesy of BMJ Publishing Group

RESOURCES