A Prospective Clinical Evaluation of Augmented Anderson Procedure for Idiopathic Infantile Nystagmus

Gupta, Ritesh; Sharma, Pradeep; Menon, Vimla

doi:10.1016/j.jaapos.2006.03.002

Cited by 21 publications

(12 citation statements)

References 8 publications

(8 reference statements)

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“…The surgeon can then calculate what is required surgically to shift the position of the null point (102,103). The Anderson-Kestenbaum procedure not only shifts and broadens the null zone, it decreases nystagmus intensity outside of the null zone, and may improve head posture (104)(105)(106).…”

Section: Surgical Treatmentsmentioning

confidence: 99%

Therapy for Nystagmus

Thurtell

Leigh

2010

Journal of Neuro-Ophthalmology

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Pathological forms of nystagmus and their visual consequences can be treated using pharmacological, optical, and surgical approaches. Acquired periodic alternating nystagmus improves following treatment with baclofen, and downbeat nystagmus may improve following treatment with aminopyridines. Gabapentin and memantine are helpful in reducing acquired pendular nystagmus due to multiple sclerosis. Ocular oscillations in oculopalatal tremor may also improve following treatment with memantine or gabapentin. The infantile nystagmus syndrome (INS) may have only a minor impact on vision if "foveation periods" are well developed, but symptomatic patients may benefit from treatment with gabapentin, memantine, or base-out prisms to induce convergence. Several surgical therapies are also reported to improve INS, but selection of the optimal treatment depends on careful evaluation of visual acuity and nystagmus intensity in various gaze positions. Electro-optical devices are a promising and novel approach for treating the visual consequences of acquired forms of nystagmus.

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Section: Surgical Treatmentsmentioning

confidence: 99%

Therapy for Nystagmus

Thurtell

Leigh

2010

Journal of Neuro-Ophthalmology

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“…Gupta et al [16] described 12 patients with infantile nystagmus that improved their face turn significantly following an augmented Anderson procedure using a 9-and 12-mm recession of the yoke medial and lateral rectus muscles, respectively. Their follow-up time was very short (3 months post-operative only) compared to our long follow-up.…”

Section: Discussionmentioning

confidence: 99%

Graded Anderson procedure for correcting abnormal head posture in infantile nystagmus

Yahalom

Hendler

Galarza

et al. 2019

Eye

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Purpose To describe the long-term results of Anderson procedure, which includes recession of the two extraocular yoke muscles responsible for eccentric eye position and abnormal head posture (AHP) in patients with infantile nystagmus. Methods Retrospective data collection of patients who underwent an Anderson procedure at a single medical center by one surgeon from 2008 to 2016. The main outcome measure was the elimination of AHP following surgery. Results Twenty-seven patients (18 males, 9 females) underwent an Anderson procedure during the study period. The average age at surgery was 8.6 ± 7.7 years and mean follow-up was 3.5 ± 2.4 years (range, 6 months-9 years). Before surgery all patients had AHP (17 left and 10 right head turns) greater than 25°(mean 40.1 ± 6.7°) that decreased significantly following surgery (mean 7.2 ± 7.6°, P < 0.001). Surgery resulted in complete elimination of AHP in 14 (52%) patients. In 10 (37%) patients the residual head turn was 15°or lower, and in only 3 (8%) the post-operative AHP was 25°or larger, requiring further surgery. It is important to note that none of the patients developed strabismus or duction limitation following surgery. Conclusions Long-term results following the Anderson procedure show a stable decrease in AHP in patients with infantile nystagmus, often resulting in complete restoration of normal head posture. Involved risks of strabismus and limitation of ocular motility appear to be low.

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“…[36] Outcomes in cases of nystagmus has also improved significantly with the augmented Andersons procedure[37] in shifting the eccentric null to the primary position and also evaluating the auditory biofeedback. [38] Perceptual learning has been shown to improve visual acuity in children with infantile nystagmus.…”

Section: Nystagmusmentioning

confidence: 99%

What's new for us in strabismus?

Sharma

Gaur

Phuljhele

et al. 2017

Indian J Ophthalmol

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Strabismus is one of the most challenging subspecialties encountered in the field of ophthalmology. The concept of etiology of strabismus is being advanced with the development of newer imaging modalities and increased understanding of the genetics of strabismus. Imaging is also being used to aid in the planning of strabismus surgery. Newer horizons are being explored in the amblyopia management. The good old eye-pad is being replaced with the iPad. Early detection of loss of stereopsis is being used to decide the timing for strabismus surgery. Improvement of binocular summation has been discovered as a benefit of corrective strabismus surgery. Newer surgical techniques such as new transposition procedures are being developed to correct complex strabismus. Strabismus surgeries aided by adjustable sutures have increased the precision of a strabismologist. A new light has been thrown on the psychosocial impact of strabismus. A present-day strabismologist has advanced from the goal of ocular alignment to a bigger perspective “to regain the paradise lost: stereopsis.”

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A Prospective Clinical Evaluation of Augmented Anderson Procedure for Idiopathic Infantile Nystagmus

Cited by 21 publications

References 8 publications

Therapy for Nystagmus

Therapy for Nystagmus

Graded Anderson procedure for correcting abnormal head posture in infantile nystagmus

What's new for us in strabismus?

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