game should look a little better and mouse acceleration turned off.
From TweakGuides: VSync is automatically on and can't be disabled from within the game. This not only reduces FPS, it also introduces mouse lag. To disable VSync in Skyrim, add iPresentInterval=0 to the bottom of the [Display] section of the Skyrim.ini file.
You need only two tools in life: WD-40 and duct tape. If it doesn't move and it should, use WD-40. If it moves and shouldn't, use the duct tape.