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May 1992

Surgery and Compensatory Head Postures in Congenital NystagmusA Longitudinal Study

Author Affiliations

From the Department of Optometry and Vision Sciences, University of Manchester Institute of Science and Technology, Manchester, England (Dr Abadi); and the Walton Eye Hospital (Mr Whittle), Liverpool, United Kingdom.

Arch Ophthalmol. 1992;110(5):632-635. doi:10.1001/archopht.1992.01080170054023

• Null zones and head postures were studied in two patients with idiopathic congenital nystagmus who had been carefully selected from a larger group of patients who had nystagmus with compensatory head postures. Oculomotor and sensory features of the two patients indicated that they would have a reasonable chance of profiting from surgery. Neither patient had a periodic alternating or manifest latent nystagmus or any ocular disease of the fixating eye. Postoperative evaluation of the head posture and the nystagmus behavior of both patients was carried out over a period in excess of 6 years. Neither of the patients readopted a head turn, and visual acuity was found to be equivalent to that prior to surgery when using the null zone. In one of the patients the postoperative null zone was located in the primary position, while in the other the null zone was decreased from an eccentricity of 30° to 15° These results suggest that the position of the postoperative null zone is not always an accurate predictor of head turn.

Fujiyama Y, Ozawa H, Ishikawa S.  Study on abnormal head position in patients with congenital nystagmus . Agressologie . 1983;24:231-232.
Abadi RV, Dickinson CM.  Waveform characteristics in congenital nystagmus . Doc Ophthalmol . 1986;64:153-167.Article
Dell'Osso LF, Daroff RB.  Abnormal head position and head motion associated with nystagmus . In: Keller EL, Zee DS, eds. Adaptive Processes in Visual and Oculomotor Systems . Elmsford, NY: Pergamon Press Inc; 1986:473-478.
Bagolini B, Campos EC, Fonda S, Schonhuber R, Vecchi D.  Active blockage and rest position nystagmus: electromyographic demonstration of two types of ocular induced head-turn . Doc Ophthalmol . 1986;62:149-159.Article
Von Noorden GK, Munoz M, Wong SY.  Compensatory mechanisms in congenital nystagmus . Am J Ophthalmol . 1987;104:387-397.
Abadi RV, Whittle J.  The nature of head postures in congenital nystagmus . Arch Ophthalmol . 1991;109:216-220.Article
Anderson JR.  Causes and treatment of congenital eccentric nystagmus . Br J Ophthalmol . 1953;37:267-281.Article
Kestenbaum A.  Nouvelle operation de nystagmus . Bull Soc Ophthalmol Fr . 1953;6:599-602.
Goto N.  A study of optic nystagmus by the electro-oculogram . Acta Soc Ophthalmol Jpn . 1954;58:851-865.
Cuppers C.  Problem der operative therapie des ocularen nystagmus . Klin Monatsbl Augenheilkd . 1971;159:145-157.
Schlossman A.  Nystagmus with strabismus: surgical management . Trans Am Acad Ophthalmol Otolaryngol . 1972;76:1479-1486.
Calhoun JH, Harley RD.  Surgery for abnormal head position in congenital nystagmus . Trans Am Ophthalmol Soc . 1973;71:70-87.
Parks MM.  Congenital nystagmus surgery . Am Orthop J . 1973;23:35-39.
Kommerell G.  Nystagmus operationen zur korrektur veschied einer Kopfwagshaltungen . Klin Monatsbl Augenheilkd . 1974;164:172-192.
Lee JP.  Surgical management of nystagmus . Eye . 1988;2:44-47.Article
Von Noorden GK, Sprunger DT.  Large rectus muscle recessions for the treatment of congenital nystagmus . Arch Ophthalmol . 1991;109:221-224.Article
Fells P, Dudley B.  Surgical management of compensatory head posture . Trans Ophthalmol Soc U K . 1976;96:90-95.
Sandell GS.  Surgical treatment of congenital nystagmus in patients with singular binocular vision . Ann Ophthalmol . 1976;8:227-238.
De Decker W.  The Faden operation: when and how to do it . Trans Ophthalmol Soc U K . 1981;101:264-270.
Spielmann A.  Congenital nystagmus: clinical types and their surgical treatment . Ophthalmologica . 1981;182:65-72.Article
Nelson LB, Ervin-Mulvey LD, Calhoun JH, Harley RD, Keisler MS.  Surgical management for abnormal head postures in nystagmus: the augmented modified Kestenbaum procedure . Br J Ophthalmol . 1984;68:796-800.Article
Scott WE, Kraft SP.  Surgical treatment of compensatory head position in congenital nystagmus . J Pediatr Ophthalmol Strabismus . 1984;21:85-95.
Taylor JN, Jesse K.  Surgical management of congenital nystagmus . Aust N Z J Ophthalmol . 1987;15:25-34.Article
Dell'Osso LF, Flynn JT.  Congenital nystagmus surgery: a quantitative examination of the effects . Arch Ophthalmol . 1979;97:426-469.