Clinical rationale for manifest congenital nystagmus surgery

Spielmann, A

doi:10.1067/mpa.2000.103433

Cited by 33 publications

(28 citation statements)

References 10 publications

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“…The Anderson-Kestenbaum operation aims to move the attachments of the extraocular muscles, so that the null point is shifted to the straight-ahead gaze position (99,100). Selection of patients who will benefit most entails measuring visual acuity and nystagmus intensity in different gaze positions (101). The surgeon can then calculate what is required surgically to shift the position of the null point (102,103).…”

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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“…1,22,23 Hence, it is stated that the most preferable treatment option for nystagmus-related abnormal head positon is the classic Kestenbaum procedure or one of its modifications. [24][25][26] Sendler et al 10 and Zubcov et al 11 concluded that the artificial divergence procedure could be a better option in patients with abnormal head position. In our series, in two of three patients with abnormal head position, the head was straight postoperatively.…”

Section: Retroequatorial Recession Of Horizontal Recti In Congenital mentioning

confidence: 99%

Retroequatorial recession of horizontal recti with loop suture in the treatment of congenital nystagmus

Köse¹,

Egrilmez²,

Üretmen³

et al. 2003

Strabismus

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“…Abadi et al studied the head position in 143 subjects with infantile nystagmus and found that 73% had spatial null zones within plus or minus 10° of the primary position [1]. However, Spielmann studied 47 patients with manifest congenital nystagmus and found no abnormal head posture in only 3 patients (6%) [7]. Hertle et al studied 27 children aged from 3 to 6.5 months and only 5 (19%) had an anomalous head posture at that time.…”

Section: Clinical Features [1]mentioning

confidence: 99%

“…In Spielmann's study, horizontal torticollis was present in 12 patients (26%), alternating head turn in 6 (13%), a blocking convergence in 5 (10%), a vertical abnormal posture in 7 (15%), a pure head tilt in one case, and a mixed head position in 13 patients (2%) [7]. …”

Section: Clinical Features [1]mentioning

confidence: 99%

Abnormal Head Position in Infantile Nystagmus Syndrome

et al. 2011

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Infantile nystagmus is an involuntary, bilateral, conjugate, and rhythmic oscillation of the eyes which is present at birth or develops within the first 6 months of life. It may be pendular or jerk-like and, its intensity usually increases in lateral gaze, decreasing with convergence. Up to 64% of all patients with nystagmus also present strabismus, and even more patients have an abnormal head position. The abnormal head positions are more often horizontal, but they may also be vertical or take the form of a tilt, even though the nystagmus itself is horizontal. The aim of this article is to review available information about the origin and treatment of the abnormal head position associated to nystagmus, and to describe our treatment strategies.

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Clinical rationale for manifest congenital nystagmus surgery

Cited by 33 publications

References 10 publications

Therapy for Nystagmus

Therapy for Nystagmus

Retroequatorial recession of horizontal recti with loop suture in the treatment of congenital nystagmus

Abnormal Head Position in Infantile Nystagmus Syndrome

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