J Korean Ophthalmol Soc > Volume 60(8); 2019 > Article
Journal of the Korean Ophthalmological Society 2019;60(8):780-786.
DOI: https://doi.org/10.3341/jkos.2019.60.8.780    Published online August 15, 2019.
Surgical Management of Concurrent Strabismus and Face Turn in Patients with Infantile Nystagmus.
Sung Eun Park, Sueng Han Han, Jong Bok Lee, Jinu Han
1The Institute of Vision Research, Department of Ophthalmology, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea. jinuhan@yuhs.ac
2The Institute of Vision Research, Department of Ophthalmology, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
3Kong Eye Hopistal, Seoul, Korea.
얼굴돌림 및 사시를 동반한 영아안진에서 Adjusted Kestenbaum 술식의 효과
박성은1 · 한승한2 · 이종복2,3 · 한진우1
연세대학교 의과대학 강남세브란스병원 안과학교실 시기능개발연구소1, 연세대학교 의과대학 세브란스병원 안과학교실 시기능개발연구소2, 공안과3
Correspondence:  Jinu Han,
Email: jinuhan@yuhs.ac
Received: 20 February 2019   • Revised: 16 April 2019   • Accepted: 18 July 2019
Abstract
PURPOSE
To investigate the effect of adjusted Kestenbaum surgery in patients with idiopathic infantile nystagmus who were affected by both strabismus and face turn. METHODS: This retrospective consecutive case series included 12 patients with infantile nystagmus who had face turn and strabismus. All patients underwent adjusted Kestenbaum surgery between 1996 and 2014, and primary outcome measures were the postoperative degree of face turn and strabismus. RESULTS: All patients had jerky nystagmus with compensatory face turn and strabismus. Of the 12 patients, eight patients were exotropes and four patients were esotropes. The mean age at surgery was 12.5 ± 10.7 years (range, 2–36 years). The mean postoperative follow-up was 17.8 ± 12.0 months (range, 7–43 months). Surgery was successful in eight (66.7%) out of 12 patients. Improvement of anomalous head posture was satisfactory in all patients, but an angle of deviation within 10 prism diopters was not achieved in four patients. CONCLUSIONS: Adjusted Kestenbaum surgery simultaneously improved both ocular misalignment and face turn with one-stage surgery. Two or three rectus muscles surgery can be considered in these patients because it is not only simpler than four muscles surgery but also can preserve one or two rectus muscles.
Key Words: Infantile nystagmus;Nystagmus;Oculomotor muscles;Strabismus


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