Correction of horizontal and torsional compensatory head posture in infantile nystagmus syndrome using horizontal rectus muscle recession and resection with vertical transposition

Baldev, Vibha; Tibrewal, Shailja; Rath, Soveeta; Ganesh, Suma

doi:10.1080/09273972.2022.2097704

Strabismus

2022

DOI: 10.1080/09273972.2022.2097704

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Correction of horizontal and torsional compensatory head posture in infantile nystagmus syndrome using horizontal rectus muscle recession and resection with vertical transposition

Vibha Baldev¹,

Shailja Tibrewal

Soveeta Rath

et al.

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2024

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Cited by 1 publication

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Vertical Transposition of the Horizontal Rectus Muscles Combined With the Modified Kestenbaum Procedure for Correcting Abnormal Head Posture Due to Infantile Nystagmus Syndrome

Hayashi,

Ichikawa,

Takahashi

et al. 2024

Cureus

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We report a case of an infantile nystagmus syndrome (INS) with abnormal head posture (AHP) of head tilt and face turn treated with the modified Kestenbaum procedure and vertical transposition of the horizontal rectus muscles. A 23-year-old male patient with a history of eye shaking since early infancy presented to our hospital for correction of AHP. He had right-beating jerk nystagmus in both eyes, 15° right head tilt, and 25° right face turn. Given that the patient’s nystagmus worsens with left head tilt and left face turn, this reinforces the diagnosis of AHP due to INS. We performed vertical transposition of the horizontal rectus muscles combined with the modified Kestenbaum procedure, that is, right lateral rectus muscle (LR) resection 9 mm + 1 muscle width (MW) upshift, right medial rectus muscle (MR) recession 6 mm + 1 MW downshift, left MR resection 7 mm + 1 MW upshift, and left LR recession 8 mm + 1 MW downshift. Postoperatively, a correction of 12° in head tilt and 30° in face turn significantly improved the patient’s AHP. The modified Kestenbaum procedure and vertical transposition of the horizontal rectus muscles effectively corrected the AHP of head tilt and face turn due to INS.

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Vertical Transposition of the Horizontal Rectus Muscles Combined With the Modified Kestenbaum Procedure for Correcting Abnormal Head Posture Due to Infantile Nystagmus Syndrome

Hayashi,

Ichikawa,

Takahashi

et al. 2024

Cureus

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show abstract

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Correction of horizontal and torsional compensatory head posture in infantile nystagmus syndrome using horizontal rectus muscle recession and resection with vertical transposition

Cited by 1 publication

References 17 publications

Vertical Transposition of the Horizontal Rectus Muscles Combined With the Modified Kestenbaum Procedure for Correcting Abnormal Head Posture Due to Infantile Nystagmus Syndrome

Vertical Transposition of the Horizontal Rectus Muscles Combined With the Modified Kestenbaum Procedure for Correcting Abnormal Head Posture Due to Infantile Nystagmus Syndrome

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