Calming the Visual Storm: Management of Childhood Nystagmus

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dc.contributor.authorSharma, Pradeepen_US
dc.date.accessioned2023-07-21T11:27:56Z
dc.date.available2023-07-21T11:27:56Z
dc.date.issued2022-10
dc.description.abstractChildhood nystagmus creates a visual storm both for the affected child and the treating doctor. This problem occurring in the development phase of the child affects not only the vision but also the general development, if not diagnosed and managed in time. Moreover, some forms may even harbor a neurological tumor needing timely management. First, a brief introduction of nystagmus classification, a simplified approach to diagnose the common childhood nystagmus, and the value of electrophysiology will be presented. Next, the approach to treatment, using a thorough clinical examination, illustrated by patient examples of different types of nystagmus will be presented. The different forms of childhood nystagmus are described: idiopathic infantile nystagmus syndrome (IINS), sensory nystagmus (SN), fusion maldevelopment nystagmus (FMDN), spasmus nutans syndrome (SNS), nystagmus blockage syndrome, periodic alternating nystagmus, and others as well as their specific management. The role of electronystagmography and that of neuroimaging in specific conditions is life saving and is described. The role of auditory biofeedback, acupuncture, medical treatment, and surgical procedures like Augmented Anderson procedure, Hertle-Dell'Osso procedure, supra maximal retro-equatorial recession, and posterior fixation have been elucidated. Newer techniques have simplified the management options and improved the functional outcomes in childhood nystagmus. To conclude, children with nystagmus of types IINS, FMDN, SNS, or SN need to be managed differently. It is thus possible to timely manage these children, not only to save their life and improve their vision but also to improve their living quotient.en_US
dc.identifier.affiliationsPediatric and Neuro-Ophthalmology, Centre for Sight, New Delhi, Indiaen_US
dc.identifier.citationSharma, Pradeep. Calming the Visual Storm: Management of Childhood Nystagmus. Annals of the National Academy of Medical Sciences. 2022 Oct; 58(4): 182-188en_US
dc.identifier.issn0379-038X
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/220194
dc.languageenen_US
dc.publisherThieme Medical and Scientific Publishers Pvt. Ltden_US
dc.relation.issuenumber4en_US
dc.relation.volume58en_US
dc.source.urihttps://doi.org/10.1055/s-0042-1757889en_US
dc.subjectchildhood nystagmusen_US
dc.subjecteye muscle surgeryen_US
dc.subjectinfantile nystagmusen_US
dc.subjectnystagmusen_US
dc.titleCalming the Visual Storm: Management of Childhood Nystagmusen_US
dc.typeJournal Articleen_US
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