A novel new [yet again] procedure for correction of compensatory head posture in infantile nystagmus; augmented anderson plus dell'osso-hertle.

Binocular vision & strabology quarterly, Simms-Romano's Pub Date : 2011-01-01

John E Bishop

{"title":"A novel new [yet again] procedure for correction of compensatory head posture in infantile nystagmus; augmented anderson plus dell'osso-hertle.","authors":"John E Bishop","doi":"","DOIUrl":null,"url":null,"abstract":"Purpose: To evaluate the effectiveness of an augmented Anderson procedure combined with tenotomy and reattachment of the remaining horizontal rectus muscles in correcting horizontal compensatory head posture associated with idiopathic infantile nystagmus.Methods: Clinical records of five subjects with horizontal compensatory head posture secondary to infantile nystagmus who underwent an augmented Anderson procedure combined with tenotomy and reattachment of the remaining horizontal rectus muscles were retrospectively reviewed. The main outcome measures were angular reduction of head turn, nystagmus reduction, and visual acuity.Results: The mean preoperative head deviation of 19.6 degrees decreased 79% to a postoperative mean of 4.2 degrees. No patient was overcorrected. Nystagmus was decreased in four of five subjects. Visual acuity improved by one Snellen line or more in three eyes, improved less than one Snellen line in two eyes, and was unchanged in five eyes.Conclusions: An augmented Anderson procedure combined with tenotomy and reattachment of the remaining horizontal rectus muscles is safe and effective in reducing both abnormal compensatory head posture and nystagmus in idiopathic infantile nystagmus with minimal risk of overcorrection.","PeriodicalId":72356,"journal":{"name":"Binocular vision & strabology quarterly, Simms-Romano's","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Binocular vision & strabology quarterly, Simms-Romano's","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}

引用次数: 0

Abstract

Purpose: To evaluate the effectiveness of an augmented Anderson procedure combined with tenotomy and reattachment of the remaining horizontal rectus muscles in correcting horizontal compensatory head posture associated with idiopathic infantile nystagmus.

Methods: Clinical records of five subjects with horizontal compensatory head posture secondary to infantile nystagmus who underwent an augmented Anderson procedure combined with tenotomy and reattachment of the remaining horizontal rectus muscles were retrospectively reviewed. The main outcome measures were angular reduction of head turn, nystagmus reduction, and visual acuity.

Results: The mean preoperative head deviation of 19.6 degrees decreased 79% to a postoperative mean of 4.2 degrees. No patient was overcorrected. Nystagmus was decreased in four of five subjects. Visual acuity improved by one Snellen line or more in three eyes, improved less than one Snellen line in two eyes, and was unchanged in five eyes.

Conclusions: An augmented Anderson procedure combined with tenotomy and reattachment of the remaining horizontal rectus muscles is safe and effective in reducing both abnormal compensatory head posture and nystagmus in idiopathic infantile nystagmus with minimal risk of overcorrection.

微信好友朋友圈 QQ好友复制链接

本刊更多论文

一种新的矫正婴儿眼球震颤代偿性头位的方法增强的安德森加上戴尔的奥索-赫特勒。

目的:评价增强安德森手术联合肌腱切断术和剩余水平直肌再植在纠正与特发性婴儿眼球震颤相关的水平代偿性头位的有效性。方法:回顾性分析5例婴儿眼球震颤继发水平代偿性头位患者的临床资料，并对其行增强安德森手术联合肌腱切断术和剩余水平直肌再植术。主要观察指标为头转角度减少、眼球震颤减少和视力。结果:术前平均头部偏差为19.6度，术后平均为4.2度，下降了79%。没有患者矫治过度。五名受试者中有四名眼球震颤减轻。3只眼视力改善1条或以上，2只眼视力改善少于1条，5只眼视力不变。结论:增强安德森手术联合肌腱切断术和剩余水平直肌再附着术在减少特发性婴儿眼球震颤的异常代偿性头位和眼球震颤方面是安全有效的，并且矫正过度的风险最小。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊

Binocular vision & strabology quarterly, Simms-Romano's

自引率

0.00%

发文量