Management of nystagmus in children: a review of the literature and current practice in UK specialist services

Nystagmus is an eye movement disorder characterised by abnormal, involuntary rhythmic oscillations of one or both eyes, initiated by a slow phase. It is not uncommon in the UK and regularly seen in paediatric ophthalmology and adult general/strabismus clinics. In some cases, it occurs in isolation,...

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Bibliographic Details
Published in:Eye (London) 2020-09, Vol.34 (9), p.1515-1534
Main Authors: Self, J. E., Dunn, M. J., Erichsen, J. T., Gottlob, I., Griffiths, H. J., Harris, C., Lee, H., Owen, J., Sanders, J., Shawkat, F., Theodorou, M., Whittle, J. P.
Format: Article
Language:English
Subjects:
692/699/3161/3171
692/699/375
Acuity
Children
Laboratory Medicine
Literature reviews
Management
Medicine
Medicine & Public Health
Movement disorders
Neurological complications
Nystagmus
Ophthalmology
Oscillations
Pharmaceutical Sciences/Technology
Review
Review Article
Rhythms
Strabismus
Surgery
Surgical Oncology
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Summary:Nystagmus is an eye movement disorder characterised by abnormal, involuntary rhythmic oscillations of one or both eyes, initiated by a slow phase. It is not uncommon in the UK and regularly seen in paediatric ophthalmology and adult general/strabismus clinics. In some cases, it occurs in isolation, and in others, it occurs as part of a multisystem disorder, severe visual impairment or neurological disorder. Similarly, in some cases, visual acuity can be normal and in others can be severely degraded. Furthermore, the impact on vision goes well beyond static acuity alone, is rarely measured and may vary on a minute-to-minute, day-to-day or month-to-month basis. For these reasons, management of children with nystagmus in the UK is varied, and patients report hugely different experiences and investigations. In this review, we hope to shine a light on the current management of children with nystagmus across five specialist centres in the UK in order to present, for the first time, a consensus on investigation and clinical management.
ISSN:0950-222X
1476-5454
DOI:10.1038/s41433-019-0741-3