Nonsurgical and Orthoptic Management of Nystagmus

Abstract

There are a number of ways orthoptists in pediatric ophthalmology practices can help patients with nystagmus. Treatment of amblyopia by conventional patching or with atropine or Bangerter filters can be monitored by the orthoptist. Optical treatment including manipulation of refractive error or use of contact lenses has been proven to improve visual function. Also, prisms can help determine a surgical plan for an abnormal head posture. If surgery is not indicated, then prisms can improve vision or eliminate the need for a compensatory head posture. This paper will describe in detail the use of prisms in patients with nystagmus.