—It is not surprising that the possibility of improving nystagmus, a condition thought by most to be incurable, raises doubts and concerns. Such reactions are common every time a new and unconventional therapy is advocated. We remember the indignant outcries when phacoemulsification and intraocular lenses were first introduced. Dr Flynn and those he enlisted to sign this letter need not feel "constrained" in asking their questions, but some of these were explicitly and, we believe, adequately addressed in our article. We reiterate that our results must be considered preliminary since no follow-up beyond 19 months is available. However, we do not share the concern about the possible long-term effects on "gaze movements," or the late development of strabismus. There is no mechanism known to us by which the minimal postoperative limitation of ductions would increase with time. There is also no reason to suspect the late development of
von Noorden GK, Sprunger DT. Large Rectus Muscle Recessions for the Treatment of Congenital Nystagmus-Reply. Arch Ophthalmol. 1991;109(12):1637–1638. doi:10.1001/archopht.1991.01080120014008
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