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Diplopia after retinal detachment surgery

✍ Scribed by L. Maillette Buy Wenniger-Prick; A. Mourik-Noordenbos


Publisher
Springer-Verlag
Year
1988
Tongue
English
Weight
218 KB
Volume
70
Category
Article
ISSN
0012-4486

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✦ Synopsis


In the Amsterdam Academic Medical Centre with an annual rate of 200 retinal detachment procedures, about the same incidence (4.5 %) of diplopia after detachment surgery was found as by . In 13 out of 18 patients with diplopia (sent for orthoptic evaluation between 01. 01.1986 and 31.12.1987) double vision could be eliminated by various ways: orthophorization with or without temporary prismatic therapy was seen in 3 patients; a compensatory head posture eliminated diplopia in two cases, and prisms were effective in 4 cases (one of them had additional squint surgery). In 4 patients strabismus surgery alone restored binocular single vision. Binocular single vision was not restored in 5 cases.


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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, tim