Diagnosis and Management of Congenital Periodic Alternating Nystagmus
Journal of the Korean Ophthalmological Society
;
: 1540-1546, 2005.
Artigo
em Coreano
| WPRIM
| ID: wpr-63306
ABSTRACT
PURPOSE:
To investigate clinical findings, diagnostic criteria and management for patients with congenital periodic alternating nystagmus (PAN).METHODS:
A retrospective analysis of clinical findings and electrooculography (EOG) of patients with congenital PAN was performed. Thirteen patients diagnosed with congenital PAN from March 1992 to December 2002 were included.RESULTS:
Of 13 patients, the median age at initial visit was 7 years old (range 1 to 30 years). Eight patients had abnormal head posture. The mean value for the period of alteration was 265.7 seconds. Six patients who received either the modified Kestenbaum-Anderson procedure or four rectus muscle recession showed a significant decrease in amplitude and/or frequency of nystagmus, and showed statistically significant improvement in visual acuity in LogMAR after the procedures by 0.33+/-0.09 in right eye, 0.34+/-0.11 in the left eye, compared with preoperative acuities of 0.43+/-0.19 and 0.38+/-0.09 respectively.CONCLUSIONS:
Congenital PAN requires the evaluation of nystagmus along with a thorough evaluation of eye movement and EOG. Close follow is necessary to evaluate the pattern of nystagmus. Also, either modified Kestenbaum-Anderson procedure or four rectus muscle recession could be effective, depending on the presence of abnormal head posture.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Postura
/
Acuidade Visual
/
Nistagmo Patológico
/
Estudos Retrospectivos
/
Diagnóstico
/
Eletroculografia
/
Movimentos Oculares
/
Cabeça
Tipo de estudo:
Estudo diagnóstico
/
Estudo observacional
Limite:
Criança
/
Humanos
Idioma:
Coreano
Revista:
Journal of the Korean Ophthalmological Society
Ano de publicação:
2005
Tipo de documento:
Artigo
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