Large recession of the horizontal recti for treatment of nystagmus

E. M. Helveston, F. D. Ellis, David Plager

Research output: Contribution to journalArticle

72 Citations (Scopus)

Abstract

Ten patients had large recession of four horizontal recti at one procedure for treatment of nystagmus. Six patients had congenital motor nystagmus, two had oculocutaneous albinism, and two had optic nerve hypoplasia. Anomalous head posture with null point was also present in five patients. The rectus muscles were placed at or behind the equator in all but one case. Three patients with both esotropia and nystagmus had the medial recti placed 1 mm behind the equator and the lateral recti or at 1 mm anterior to the equator. Visual acuity improved an average of 1 line at distance and/or near in 8 patients who cooperated for testing. Although nystagmus was not eliminated in any patient, its amplitude decreased in eight of ten patients, and anomalous head posture improved in three of five patients. In all patients, near vision was better than distance vision both preoperatively and postoperatively. Ductions were diminished minimally after the large recession and there were no other complications from surgery.

Original languageEnglish
Pages (from-to)1302-1305
Number of pages4
JournalOphthalmology
Volume98
Issue number8
StatePublished - 1991

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Therapeutics
Posture
Oculocutaneous Albinism
Head
Esotropia
Optic Nerve
Visual Acuity
Muscles
X-Linked Infantile Nystagmus

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Large recession of the horizontal recti for treatment of nystagmus. / Helveston, E. M.; Ellis, F. D.; Plager, David.

In: Ophthalmology, Vol. 98, No. 8, 1991, p. 1302-1305.

Research output: Contribution to journalArticle

Helveston, EM, Ellis, FD & Plager, D 1991, 'Large recession of the horizontal recti for treatment of nystagmus', Ophthalmology, vol. 98, no. 8, pp. 1302-1305.
Helveston, E. M. ; Ellis, F. D. ; Plager, David. / Large recession of the horizontal recti for treatment of nystagmus. In: Ophthalmology. 1991 ; Vol. 98, No. 8. pp. 1302-1305.
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