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Nystagmus

Nystagmus / Shaking eyes Get the latest treatment and enhance the vision

Definition: Nystagmus is an involuntary, rhythmic to and fro movement of the eyes.

Introduction: This disease is seen in children as well as adults. In children, it is caused due to poor control of the neural integrator circuit in the brain with otherwise normal brain. The nystagmus can be caused by retinal diseases, vision deprivations or brain disorders. The disease can be present either from birth or start in adults.

In adults, nystagmus can start due to demyelinating diseases such as multiple sclerosis, cerebral strokes, syringomyelia with Arnold Chiari malformations, brain tumours, certain drugs, road traffic accidents or inner ear disorders (vestibular malfunctions).

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Why visit Jyotirmay eye clinic for the Best nystagmus management?

  • Our special oculomotor laboratory, diagnostic equipments for qualitative and quantitative diagnosis of nystagmus(refer below)
  • Experienced surgeon to manage the shaking of eyes.

Videonystagmography unit, Optokinetic nystagmus drum, Digital Inclinometer / Digital Goniometer – Smart (phone) Protractor (Android App), EMG (Electromyograph) unit, Portable fundus camera

Video nystagmography

Smartphone OKN drum

Portable Fundus Camera

CROM

Spectacles, speciality contact lenses (for nystagmus), Prism glasses,Oral medicines, Eye drops, Botox Injection (EMG unit), Nystagmus surgeries

At Jyotirmay Eye Clinic we have a state of the art Intellinetx Videonystagmography system to record the nystagmus waveforms.

It helps us diagnose the type of nystagmus accurately and provide objective evidence of improvement after treatment.

You may watch a video of the recording system and the acquisition as well as the analysis system below.

These are special spectacles that reduce the intensity of nystagmus by inducing convergence dampening thereby improving vision. See the VNG recordings mentioned below.

These are optical / non optical devices that enhance vision by increasing the size of the image (magnification) or quality of image (contrast/alignment etc.)

Memantine, Gabapentene and Ampyra can significantly dampen the nystagmus as seen in the VNG recordings inserted below.

Brinzolamide 1% eye drops available as Azopt / Brinolar eye drops are found to be useful in specific forms of nystagmus. The effect of the eye drop is very dramatic and obtained in a few days. However, we believe it is imperative to perform eye movement recording to assess the therapeutic effect of the drug.

Click on the image below to know more about our research data on effects of Brinzolamide eye drops on nystagmus.

Contact lenses can effectively dampen the nystagmus in a few situations there by improving the visual functions. At Jyotirmay eye clinic,a patient's videonystagmography is performed first and the contact lens trial is given to assess the reduction in the frequency and the amplitude of nystagmus and improvement in foveation. There by the improvement in the visual function of the patient with nystagmus. The contact lens can also reduce the light sensitivity and ocular aberrations while correcting the coexisting refractive errors and reducing the nystagmus.

5 Letter vision improvement, reduced amplitude and improved foveation after the contact lens

Nystagmus surgery

The squint surgery for nystagmus is a minor surgery on eye muscles that is quite safe and effective. It is never done with LASERs. There are various procedures like Anderson’s procedure, Kestenbaum surgical procedure, Pierse procedure, Gotto procedure, Del’Osso procedure etc. to improve vision and reduce nystagmus.

Nystagmus surgery is the most effective method to reduce nystagmus, correct the head posture, treat the squint and thereby improve visual functions in patients with nystagmus.

To view the effects of a nystagmus surgery – click on the video below or click here

At Jyotirmay Eye Clinic these surgeries are performed by the latest technique called fornix incision, adjustable suture technique. The entire surgery is performed through a small hole that allows quick recovery and comfort to the patient postoperatively. Download PDF

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Unique facilities at Jyotirmay Eye Clinic

  • Fornix (very small) incision Adjustable suture technique (more accurate correction) is available for surgical correction. This technique allows the surgery to be done very quickly, the child is more comfortable after the surgery and the outcome is more accurate.
    Adjustable suture surgery
  • Sevoflurane (world’s safest gas) anesthesia is available for the child’s safety. more…
  • Philips (USA) VM8 Sure sign monitor is available for intraoperative monitoring for unparalleled child safety
  • Ocular Motility and Binocular Vision Laboratory to record complex eye movements to accurately categorize the type of squint and advice the most appropriate treatment

To know about charges click here

VNG: A primer for Ophthalmologist

A Simplified and Practical Approach to Nystagmus

Please click BELOW to download the complete handout

Nystagmus Videos

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