Levator Resection and Tarsorrhaphy as a Treatment for Bilateral Asymmetric Nystagmus With Oscillopsia

Abstract

The authors describe surgical occlusion with levator resection and partial tarsorrhaphy as a treatment for nystagmus with oscillopsia refractory to medical or surgical therapies. This was a case of Bardet-Biedl syndrome with high myopia and acquired sensory pendular nystagmus in both eyes, where a well-known technique was applied to a novel indication. Permanent occlusion of the left eye led to significant improvement in visual acuity and reduced oscillopsia, enhancing the psychological and social functioning. This case highlights the complexity of treating refractory nystagmus with oscillopsia and proposes surgical occlusion as a viable option for improving patient outcomes in severe cases. [ J Pediatr Ophthalmol Strabismus . 2024;61(6):e63–e65.]