Titanium T-Plate as a Stabilizing Platform in the Management of Acquired Nystagmus and Oscillopsia Without a Null Zone. Issue 3 (27th January 2022)

• Record Type: Journal Article
• Authors: Chen, Ying; Stevens, Shanlee; Topilow, Nicole; Capo, Hilda; Tse, David
• Is Part Of: Ophthalmic plastic and reconstructive surgery. Volume 38:Issue 3(2022)
• Page Start: e89
• Page End: e92
• Publication Date: 2022-01-27
• Subjects: Eye -- Surgery -- Periodicals; Ophthalmic plastic surgery -- Periodicals; Reconstructive Surgical Procedures -- Periodicals; Ophthalmologic Surgical Procedures -- Periodicals; Ophthalmology -- Periodicals; Surgery -- Periodicals; 617.70592
• DOI: 10.1097/IOP.0000000000002123
• Languages: English
• ISSNs: 0740-9303

Abstract

Abstract : The primary goal of nystagmus treatment is to improve visual function and quality of life. Current surgical interventions are limited by regression of effect, serious complications, and reliance on a null zone. Tse and colleagues in 2017 reported the use of a T-plate/suture fixation platform for globe stabilization to treat acquired nystagmus and oscillopsia without a null zone in a patient with bilateral internuclear ophthalmoplegia. However, the improvement in nystagmus was not objectively quantified. This case series reports 2 patients who underwent bilateral T-plate placement which resulted in immediate and sustained improvement of nystagmus objectively measured by videonystagmography. Abstract : A titanium T-plate/suture fixation platform is a quick and highly effective procedure to treat oscillopsia associated with acquired nystagmus without a null zone and can show sustained effect at 26 months postoperatively.