Dealing with Nystagmus. Issue 4 (2nd October 2018)

• Record Type: Journal Article
• Authors: Ospina, Luis H.
• Is Part Of: Journal of binocular vision and ocular motility. Volume 68:Issue 4(2018)
• Page Start: 99
• Page End: 109
• Publication Date: 2018-10-02
• Subjects: Nystagmus -- infantile nystagmus -- congenital nystagmus -- strabismus; Eye -- Movements -- Periodicals; Eye -- Movement disorders -- Periodicals; Binocular vision -- Periodicals; Binocular vision; Eye -- Movements; Vision, Binocular; Ocular Motility Disorders; Ophthalmology; Periodicals; Periodical; Electronic journals; 617.762
• DOI: 10.1080/2576117X.2018.1493311
• Languages: English
• ISSNs: 2576-117X

Abstract

ABSTRACT: Nystagmus has a profound impact on patients visual function and social life. Infantile nystagmus (IN) is much more common than neurological nystagmus, and establishing the correct diagnosis is key in guiding the appropriate treatment paradigm. This paper attempts to demonstrate a stepwise approach in investigation and clinical evaluation, that is (often) sufficient in differentiating IN from nystagmus of neurological origin, and to uncover underlying sensory etiologies of IN. Targeted and rational uses of paraclinical exams are emphasized when they deemed necessary to complement the clinical assessment. The author's preferred surgical and non-surgical strategies to optimize vision, and improve the head posture and strabismus that can accompany nystagmus, are discussed (although without the goal of writing a complete revision on the topic).