Surgical Management of Concurrent Strabismus and Face Turn in Patients with Infantile Nystagmus
10.3341/jkos.2019.60.8.780
- Author:
Sung Eun PARK
1
;
Sueng Han HAN
;
Jong Bok LEE
;
Jinu HAN
Author Information
1. The Institute of Vision Research, Department of Ophthalmology, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea. jinuhan@yuhs.ac
- Publication Type:Original Article
- Keywords:
Infantile nystagmus;
Nystagmus;
Oculomotor muscles;
Strabismus
- MeSH:
Follow-Up Studies;
Head;
Humans;
Muscles;
Oculomotor Muscles;
Outcome Assessment (Health Care);
Posture;
Retrospective Studies;
Strabismus
- From:Journal of the Korean Ophthalmological Society
2019;60(8):780-786
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To investigate the effect of adjusted Kestenbaum surgery in patients with idiopathic infantile nystagmus who were affected by both strabismus and face turn. METHODS: This retrospective consecutive case series included 12 patients with infantile nystagmus who had face turn and strabismus. All patients underwent adjusted Kestenbaum surgery between 1996 and 2014, and primary outcome measures were the postoperative degree of face turn and strabismus. RESULTS: All patients had jerky nystagmus with compensatory face turn and strabismus. Of the 12 patients, eight patients were exotropes and four patients were esotropes. The mean age at surgery was 12.5 ± 10.7 years (range, 2–36 years). The mean postoperative follow-up was 17.8 ± 12.0 months (range, 7–43 months). Surgery was successful in eight (66.7%) out of 12 patients. Improvement of anomalous head posture was satisfactory in all patients, but an angle of deviation within 10 prism diopters was not achieved in four patients. CONCLUSIONS: Adjusted Kestenbaum surgery simultaneously improved both ocular misalignment and face turn with one-stage surgery. Two or three rectus muscles surgery can be considered in these patients because it is not only simpler than four muscles surgery but also can preserve one or two rectus muscles.
