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August 1959

Convergence Nystagmus: With Notes on a Single Case of Divergence Nystagmus

Author Affiliations

Howe Laboratory of Ophthalmology, Harvard University Medical School, and Massachusetts Eye and Ear Infirmary.

AMA Arch Ophthalmol. 1959;62(2):295-299. doi:10.1001/archopht.1959.04220020121018

Convergence nystagmus, as defined in this paper, is a rhythmic oscillation in which a slow abduction of the eyes in respect to each other is followed by a quick, and presumably corrective, movement of adduction. It must be an unusual finding, since it has been so little discussed in the literature. The only description of specific cases appears to be that of Furtado (1956), who reported two instances.1 Kestenbaum (1946) referred to it in connection with nystagmus retractorius in the para-aqueductal syndrome2; Walsh (1957) referred to it with spasms of convergence accompanying pinealomas,3 and incidental allusions to it may be found in papers dealing with other entities.4 As Furtado points out, however, it has not been considered a clear-cut entity.

The present report is based on the observation of six patients with convergence nystagmus (and one with divergence nystagmus) studied with the particular aim of localizing

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