Do You Know Where To Start?...
Whether congenital or acquired, nystagmus can be a difficult to understand and often mysterious complex ocular movement disorder. It is characterized by involuntary rhythmic eye movements, negatively impacting visual function and therefore quality of life.
In daily practice, our approach to uncover an etiologic source often involves a combination of high-resolution imaging techniques, electrodiagnostic studies, as well as an appropriate targeted medical history by considering various factors. Understanding the pathophysiology and dynamics of nystagmus - from congenital anomalies to various acquired neurological disorders - will guide us in terms of effective management which is specific to each individual. Options may include pharmacological therapies aimed at reducing symptoms, surgical interventions to slow down or correct, and more novel approaches such as neurostimulation or gene therapy currently at the forefront of research.
Clinical implications of nystagmus go beyond purely visual disturbances, often significantly affecting a person's educational and occupational opportunities as well as limiting their ability to perform normal daily activities. Understanding how to approach and manage our patients presenting with this intimidating condition matters - via advanced diagnostics, treating the source if possible, then directing any pertinent multidisciplinary care.
Here is a link to an excellent overview of nystagmus which I believe will remind and help us on the front lines in practice.
Go to the article in Clinical Ophthalmology HERE.
-JRM
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