PURPOSE: Relatively little has been published on the management of motility problems after surgery for @entity1713 . We report a large series with the aim of describing clinical features, management, and outcome. METHODS: The charts of 68 of 86 consecutive @entity1 referred to one of us between 1989 and 1995 were retrieved and analyzed. Sixty-two had unilateral and 6 bilateral surgery for @entity1713 . In 45 cases the macula was detached at surgery. The visual acuity of the affected eyes ranged from hand motions to 6/6. Sensory testing suggested potential binocular function in 39.7%. Fifty-nine @entity1 had combined vertical and horizontal strabismus, 8 horizontal alone, and 1 vertical only. The average vertical deviation measured 10.2 @entity1726 and the average horizontal 19 @entity1726 . RESULTS: Twelve @entity1 underwent strabismus surgery, 26 were treated with botulinum toxin, 21 were managed conservatively with prisms or @entity432 , and 8 refused or did not require treatment. Forty-seven percent of the group regained binocularity (20.5% cured with surgery or botulinum toxin, 26.5% controlled with prisms or intermittent injection with botulinum toxin). A total of 20.7% gained improvement in appearance, 19.1% were managed with permanent @entity432 , and 13.2% either refused or did not require treatment. CONCLUSION: Macula off @entity227 , and multiple procedures for retinal reattachment are associated with a poor prognosis for @entity227 and a good outcome. In our hands, botulinum toxin treatment is the method of choice, with surgery used in selected cases.

Ocular motility disturbances after surgery for XXXX .

@entity1 :: ('9606', 'Species') :: ['patients'] @entity227 :: ('MESH:D014786', 'Disease') :: ['restoration of binocular vision', 'retinal detachment, poor visual acuity plus or minus distortion'] @entity1713 :: ('MESH:D012163', 'Disease') :: ['retinal detachment'] @entity1726 :: ('OMIM:168600', 'Disease') :: ['PD'] @entity432 :: ('MESH:D001157', 'Disease') :: ['occlusion']
@entity1713 :: (MESH:D012163,Disease) :: ['retinal detachment']
