Congenital nystagmus with head posture (a modified approach in surgical management).

• Main Authors: Prakash Prem, Sihota Ramanjit, Menon Vimla
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 1991-01-01
• Series: Indian Journal of Ophthalmology
• Subjects: Head Posture; Congenital Nystagmus Surgery; Effectivity Ratio For Horizontal Recti-Medial:Lateral rectus: 3:2.
• Online Access: http://www.ijo.in/article.asp?issn=0301-4738;year=1991;volume=39;issue=2;spage=65;epage=67;aulast=Prakash

The surgical methods for correction of an abnormal head posture in congenital nystagmus presently in use, do not correct the head posture adequately and in some cases produce a postoperative tropia. We felt that this may be related to the arbitrary quantities of surgery suggested by various workers. We have observed that surgery on the medial rectus is approximately one and a half times as effective as on the lateral. Using this ratio, excellent results have been obtained in 5 cases which are reported herein.