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Eye muscle surgery for recurrent nystagmus related to head tilt after prior torsional surgery

Eye muscle surgery for recurrent nystagmus related to head tilt after prior torsional surgery

Journal of Aapos 19(3): 211-216

To describe the usefulness of anterior nasal transposition of the inferior oblique muscle in the fixing eye to treat nystagmus-mediated head tilt recurring after prior torsional surgery. The medical records of patients who underwent anterior nasal transposition of the inferior oblique muscle in the fixing eye to treat recurrence of head tilt after prior successful torsional surgery were retrospectively reviewed. Three patients met inclusion criteria. In all 3 patients head tilt was eliminated after inferior oblique anterior nasal transposition with 2, 5, and 9.5 years' follow-up. In no case did surgery result in any further intorsion of the eye. We postulate that the surgery was successful by stabilizing the normal compensatory and anticompensatory torsional movements that occur with head tilt. Anterior nasal transposition of the inferior oblique muscle effectively treats a recurrent nystagmus-mediated head tilt after prior successful torsional surgery. It does not, however, intort the eye further in this clinical setting and must work via a different mechanism.

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Accession: 057851475

Download citation: RISBibTeXText

PMID: 26059663

DOI: 10.1016/j.jaapos.2015.02.011

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