title: Strabismus Following Scleral Buckling Surgery.
abstract: OBJECTIVE
  To assess the incidence of strabismus, relationship of strabismus with type and width of scleral buckle after scleral buckling surgery for retinal detachment.
  
  
  METHODS
  Retrospective analysis was done of 360 eyes of 344 patients treated for rhegmatogenous retinal detachment with scleral buckling surgery between January 2008 and January 2013.
  
  
  RESULTS
  The mean age of patients was 38.45 ± 18.12 years (range: 7 to 89 years). Strabismus was detected in 48 out of 344 (13.95%) patients at 6 weeks after scleral buckling surgery. Horizontal deviation was the commonest type. Incidence of strabismus was higher after repeat scleral buckling surgery (4/9, 44.4%) compared to patients who had single scleral buckling surgery (44/335, 13.1%) (P=0.02). Strabismus was observed in 18.5% of patients with implants, compared to 11.3% of patients who received explants (P=0.02). Strabismus surgery was performed on 2 (4.1%) cases.
  
  
  CONCLUSIONS
  Horizontal strabismus is common after scleral buckling surgery for repair of retinal detachment. Repeat scleral buckling and use of implants resulted in a higher incidence of strabismus in the postoperative period. Majority of these cases resolve with conservative management.
authors.affiliation: a Department of Ophthalmology , JJM Medical College , Davangere , Karnataka , India.
authors.forename: Sunil
authors.initials: S
authors.lastname: Ganekal
authors.affiliation: a Department of Ophthalmology , JJM Medical College , Davangere , Karnataka , India.
authors.forename: Ashwini
authors.initials: A
authors.lastname: Nagarajappa
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009801:Oculomotor Muscles / Q000601:surgery; D013508:Ophthalmologic Surgical Procedures; D012163:Retinal Detachment / Q000601:surgery*; D012189:Retrospective Studies; D012591:Scleral Buckling / Q000009:adverse effects*; D013285:Strabismus / Q000209:etiology* / Q000601:surgery; D055815:Young Adult
keywords: Scleral buckle; strabismus