Secondary or new compensatory head posture after Anderson-Kestenbaum surgery.

Abstract:

PURPOSE:To report clinical findings and surgical management of 4 patients with congenital nystagmus who presented with a new or reversal of their original horizontal compensatory head posture (CHP) after Anderson-Kestenbaum (A-K) surgery. METHOD:Retrospective chart review. RESULTS:All 4 patients demonstrated a 40°-45° horizontal face turn at the time of their initial surgery and 3 underwent 20% and one 30% augmented A-K surgery to correct the CHP. The new CHP or reversal of the original CHP was observed at a mean of 4 years (range 1-9 years) after the initial surgery. The reversed CHPs measured 20°, 40°, 20°, and 20°, respectively. These new or residual CHPs were surgically managed in 3 patients and an acceptable head position was achieved in all patients. CONCLUSIONS:This series of patients points out the occurrence of secondary null points and reversed CHP after surgical correction of initial CHP.

journal_name

Eur J Ophthalmol

authors

Ugurbas SC,Baker JD

doi

10.5301/EJO.2011.8356

subject

Has Abstract

pub_date

2012-03-01 00:00:00

pages

131-5

issue

2

eissn

1120-6721

issn

1724-6016

pii

57CA10E8-F270-4179-B772-35A95D217459

journal_volume

22

pub_type

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