Surgical treatment of supranuclear and internuclear ocular motility disorders

Buckley, S A; Elston, John

doi:10.1038/eye.1997.79

Cited by 35 publications

(24 citation statements)

References 3 publications

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“…23,24 In our small series, unilateral recess-resect procedures produced good results; in fact, a greater effect than standard surgical formulas would have predicted. Only three patients required the second staged operation.…”

Section: Discussionmentioning

confidence: 73%

Results of extraocular muscle surgery in WEBINO bilateral internuclear ophthalmoplegia patients

Roper-Hall

Cruz

Chung

2008

Journal of American Association for Pediatric Ophthalmology and

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Section: Discussionmentioning

confidence: 73%

Results of extraocular muscle surgery in WEBINO bilateral internuclear ophthalmoplegia patients

Roper-Hall

Cruz

Chung

2008

Journal of American Association for Pediatric Ophthalmology and

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“…On the other hand, adjustable sutures are useful in the surgical management of CHP when gaze palsy or nystagmus is accompanied by strabismus. 17 Most of our patients with ocular torticollis because of horizontal gaze palsy showed undercorrection of anomalous head position. In fact, some patients with long-standing head postures will, despite successful treatment of the underlying condition, continue to demonstrate a tendency to CHP.…”

Section: Discussionmentioning

confidence: 73%

“…17 In the present study, we review the results obtained with the Kestenbaum-Anderson procedure in a larger group of patients (13 patients) who underwent surgery for anomalous head position because of neurological causes and followed up for a longer period of time (from 2 to 10 years). To our knowledge, this is the first extensive report with prolonged follow-up in the literature of surgical management of CHP caused by PPRF lesion or by acquired vertical nystagmus.…”

Section: Introductionmentioning

confidence: 99%

Surgical management of anomalous head posture because of horizontal gaze palsy or acquired vertical nystagmus

Campos

Schiavi

Bellusci

2003

Eye

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Purpose To confirm the effectiveness of the Kestenbaum-Anderson principle in the surgical management of compensatory head posture because of horizontal gaze palsy and acquired vertical nystagmus. Methods Nine patients with anomalous head posture because of horizontal gaze palsy, and four patients with acquired vertical nystagmus and oscillopsia and compensatory torticollis underwent surgery according to the Kestenbaum-Anderson principle. As in the treatment of congenital nystagmus, the eyes have to be shifted in the orbits, in the direction of anomalous head posture. Homonymously based prisms were used preoperatively to assess the potential benefit of surgery. At the time of surgery, the clinical conditions of the patients had been stable for at least 1 year. Results After surgery, compensatory head posture and visual performances improved in all cases and the results remained stable for at least 2 years.Conclusions Contrary to what is generally believed, the ocular condition of the patients with compensatory head posture secondary to neurological causes can be often improved with surgery. The aim of surgery is obviously not to modify ocular motility, but rather to improve the head position.

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“…5,6 Surgical treatment options are limited and consist of either weakening the inferior rectus, enhancing elevation force by resecting the superior rectus, or creating an alternative force by superiorly transposing the 1 3 3 2 2 2 3 2 1 1 3 3 4 1 2 4 3 2 2 0 5 4 3 2 2 6 2 2 1 1 7 3 0 1 0 8 3 1 2 1 Mean 3 2.1 1.5* 1.2 † Scale 0 to 4 see text; *P ϭ .007, †P ϭ .0009 medial and lateral rectus muscles. In the previous reports, patients underwent bilateral superior rectus resection 5 and bilateral inferior rectus recession.…”

Section: Discussionmentioning

confidence: 99%