RT Book, Section
A1 Lueder, Gregg T.
SR Print(0)
ID 56150294
T1 Chapter 12. Nystagmus
T2 Pediatric Practice: Ophthalmology
YR 2011
FD 2011
PB The McGraw-Hill Companies
PP New York, NY
SN 9780071633802
LK accesspediatrics.mhmedical.com/content.aspx?aid=56150294
RD 2024/04/18
AB Table  Graphic  Jump  Location|Download  (.pdf)|PrintThe  Problem“My  child’s  eyes  jiggle  back  and  forth.”Common  CausesCongenital  motor  nystagmus  (vision  otherwise  normal)Sensory  nystagmus  (nystagmus  secondary  to  decreased  vision)Other  CausesLatent  nystagmus  (associated  with  infantile  strabismus)Voluntary  nystagmusCentral  nervous  system  tumors,  malformationsPharmacologicalKEY  FINDINGSHistoryCongenital  motor  nystagmus  (infantile  nystagmus  syndrome)Onset  in  first  few  months  of  lifeVision  otherwise  seems  normalMay  be  hereditarySensory  nystagmusOnset  in  first  few  months  of  lifeVariable  vision—profoundly  impaired  to  near-normalPossible  family  history  (depending  on  diagnosis)Other  problems  affecting  developmentExaminationCongenital  motor  nystagmusHorizontal  nystagmusVision  seems  normalPupils  react  normallyPossible  abnormal  head  posture  (to  decrease  nystagmus)Sensory  nystagmusUsually  horizontal,  possible  vertical  or  rotaryVision  variable  (very  poor  to  near-normal)Poor  pupil  reactionsPossible  abnormal  head  posture  (to  decrease  nystagmus)Other  findings  depending  on  underlying  diagnosis