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Surgery for Horizontal Nystagmus—Anderson‐Kestenbaum Operation
Author(s) -
Taylor J. Norton
Publication year - 1973
Publication title -
australian journal of opthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.3
H-Index - 74
eISSN - 1442-9071
pISSN - 0310-1177
DOI - 10.1111/j.1442-9071.1973.tb00116.x
Subject(s) - gaze , nystagmus , medicine , resection , visual acuity , surgery , audiology , psychology , optometry , psychoanalysis
S ummary It is 20 years since J. Ringland Anderson of Melbourne and Alfred Kestenbaum of New York, independently described a surgical approach to the treatment of certain types of horizontal gaze nystagmus. Despite the apparent success of their procedures, relatively few cases have since been reported in the literature where emphasis has been mainly confined to correction of the head posture. Our own experience indicates that in carefully selected cases not only is troublesome head posture improved, but best visual acuity and performance benefit considerably. The experience, methods of selection and pre‐operative assessment of patients with horizontal gaze nystagmus, at the ocular Motility Unit in Melbourne are described, together with details of a modified surgical procedure adopted involving unequal recession and resection of all four horizontal recti muscles. The reasons for the procedure are discussed with reference to two case reports.