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Disabling mouse smoothing/acceleration
Go to your Steam Directory -> steamapps -> common -> skyrim -> Skyrim
Create a backup of the SkyrimPrefs.ini file
Open the file, then scroll down to where it says [Controls] and find MouseAcceleration=1
Change to bMouseAcceleration=0
Save, exit, and play
Disabling Vsync
Go to your Steam Directory -> steamapps -> common -> skyrim -> Skyrim
Create a backup of the SkyrimPrefs.ini file
Open the file, then scroll down to where it says [Display]
Add to the bottom of the section iPresentInterval=0
Save, exit, and play
Wish i could say it helped a lot but it didnt. Game is playable but thats annoying.
For the item menus, the only overhaul I know is SkyUI, though it doesn't actually affect the controls to my knowledge. Either way, honestly, its a requirement for quite a lot of mods, so you're going to be forced to install it whether you like it or not sooner or later. If it really bothers you, there IS a mod that reverts the inventory system to the vanilla system if you have SkyUI installed. I used it for quite a while myself.
Place the setting below under the [Display] setting:
bLockFramerate=0
And change iPresentInterval to 0 and bMouseAcceleration (SkyrimPrefs.ini) to 0 as well. That should fix the issue you're having.
Warning: doing so will uncap fps and the game might get buggy at times, I recommend downloading Guru3D RTSS Rivatuner Statistics Server to lock your fps at 60.