Journal of the Korean Ophthalmological Society 1990;31(3):343-350.
Published online March 1, 1990.
Congenital Nystagmus.
Hyun Joon Park, Bong Leen Chang
Department of Ophthalmology, College of Medicine, Seoul National University, Seoul, Korea.
선천성 안구진탕
박현준(Hyun Joon Park),장봉린(Bong Leen Chang)
Abstract
Twenty patients were operated on under the diagnosis of congenital nystagmus(CN). Of these, nineteen were motor CN and one was sensory CN. Head turning was toward the leftside in 13 patients(65.0%) and the rightside in 7(35.0%). Preoperatively, the degree of head turn ranged from 20 degrees to 45 degrees with a mean of 34.5 degrees. Primarily, modified Kestenbaum procedures were performed and, if necessary, 2nd and/or 3rd operations(Anderson's procedure, Goto's procedure) were performed additionally. The degrees of head turn after the 1st operation ranged from -5 degrees to 30 degrees with a mean of 11.5 degrees. On an average, 23.5 degrees was corrected by 14.8mm of operation on muscles(resection plus recession) for each eye. By these procedures, seventeen patients(85.0%) showed improvement or cure(75% after 1st operation and 10% after 2nd and/or 3rd operation).
Key Words: congenital nystagmus;modified Kestenbaum procedures


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