Abstract

All nystagmus degrades visual acuity by reducing the stability of fixation and lessening foveation time. In addition, adults with acquired nystagmus may complain of oscillopsia, a subjective impression of movement of the perceived world. Surgery may be performed for congenital nystagmus (CN), for latent or manifest-latent nystagmus (LN, MLN) or for acquired nystagmus. Nystagmus surgery aims to reduce the amplitude of nystagmus with either improvement of visual acuity or a reduction of a bothersome head posture. The commonest reason for patients' seeking surgical treatment is to allow them to acquire a driving licence. Regrettably, this is frequently not possible.

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