Management of nystagmus by surgery and botulinum toxin options: a review
Aim: To critically evaluate the literature in order to explore the success of botulinum toxin and extraocular muscle surgery in the management of acquired nystagmus. Methods: A literature search was undertaken using the PubMed and Web of Knowledge databases. Only studies reported in English were inc...
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2009-08-01
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doaj-46845edc4c404d7195b1777e5c25299c2020-11-24T22:09:53ZengWhite Rose University PressBritish and Irish Orthoptic Journal2516-35902009-08-016283310.22599/bioj.54Management of nystagmus by surgery and botulinum toxin options: a reviewFay Hobson0Fiona J. Rowe1Department of Orthoptics, Doncaster Royal Infirmary, DoncasterDirectorate of Orthoptics and Vision Science, University of Liverpool, LiverpoolAim: To critically evaluate the literature in order to explore the success of botulinum toxin and extraocular muscle surgery in the management of acquired nystagmus. Methods: A literature search was undertaken using the PubMed and Web of Knowledge databases. Only studies reported in English were included. Results: The aim of using botulinum toxin is to alleviate the symptoms induced by acquired nystagmus. The major problematic symptoms are oscillopsia, reduced visual acuity and abnormal head posture. An injection of botulinum toxin into the retrobulbar space is beneficial if the acquired nystagmus has horizontal, vertical and torsional components, whereas if the nystagmus is purely horizontal an injection of botulinum toxin into the horizontal rectus muscles appears to be the better option. Surgery is aimed at alleviating the symptoms induced by acquired nystagmus. Extraocular muscle surgery is of value in the management of acquired nystagmus, particularly if the patient has developed an abnormal head posture. Conclusion: It is difficult to come to any clear-cut conclusions due to the low numbers of patients that have been studied. It would, however, appear that botulinum toxin and surgery are of some value in the management of acquired nystagmus. Further research is required in this area.https://www.bioj-online.com/articles/5Acquired nystagmusBotulinum toxinOscillopsiaSurgery |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Fay Hobson Fiona J. Rowe |
spellingShingle |
Fay Hobson Fiona J. Rowe Management of nystagmus by surgery and botulinum toxin options: a review British and Irish Orthoptic Journal Acquired nystagmus Botulinum toxin Oscillopsia Surgery |
author_facet |
Fay Hobson Fiona J. Rowe |
author_sort |
Fay Hobson |
title |
Management of nystagmus by surgery and botulinum toxin options: a review |
title_short |
Management of nystagmus by surgery and botulinum toxin options: a review |
title_full |
Management of nystagmus by surgery and botulinum toxin options: a review |
title_fullStr |
Management of nystagmus by surgery and botulinum toxin options: a review |
title_full_unstemmed |
Management of nystagmus by surgery and botulinum toxin options: a review |
title_sort |
management of nystagmus by surgery and botulinum toxin options: a review |
publisher |
White Rose University Press |
series |
British and Irish Orthoptic Journal |
issn |
2516-3590 |
publishDate |
2009-08-01 |
description |
Aim: To critically evaluate the literature in order to explore the success of botulinum toxin and extraocular muscle surgery in the management of acquired nystagmus. Methods: A literature search was undertaken using the PubMed and Web of Knowledge databases. Only studies reported in English were included. Results: The aim of using botulinum toxin is to alleviate the symptoms induced by acquired nystagmus. The major problematic symptoms are oscillopsia, reduced visual acuity and abnormal head posture. An injection of botulinum toxin into the retrobulbar space is beneficial if the acquired nystagmus has horizontal, vertical and torsional components, whereas if the nystagmus is purely horizontal an injection of botulinum toxin into the horizontal rectus muscles appears to be the better option. Surgery is aimed at alleviating the symptoms induced by acquired nystagmus. Extraocular muscle surgery is of value in the management of acquired nystagmus, particularly if the patient has developed an abnormal head posture. Conclusion: It is difficult to come to any clear-cut conclusions due to the low numbers of patients that have been studied. It would, however, appear that botulinum toxin and surgery are of some value in the management of acquired nystagmus. Further research is required in this area. |
topic |
Acquired nystagmus Botulinum toxin Oscillopsia Surgery |
url |
https://www.bioj-online.com/articles/5 |
work_keys_str_mv |
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