Nystagmus and Lasik

Nystagmus is the rapid and jerky involuntary movement of the eye. Refractive surgery is sometimes impossible for individuals with nystagmus, but not always. Newer excimer lasers used for conventional or wavefront custom Lasik, All-Laser Lasik, PRK, LASEK, and Epi-Lasik have the ability to follow these movements.

CK does not use tracking, however the doctor may be able to fixate the eye during treatment for successful CK.

Lens based surgery techniques P-IOL and RLE do not require tracking as the eye is anesthetized and fixated during surgery.

An evaluation by a competent refractive surgeon can determine if a person with nystagmus is a viable candidate for any type of refractive surgery.

If you are ready to choose a doctor to be evaluated for conventional or wavefront custom Lasik, All-Laser Lasik, PRK, LASEK, Epi-Lasik, NearVision CK, RLE, or any refractive surgery procedure, we highly recommend you consider a doctor who has been evaluated and certified by the USAEyes nonprofit organization. Locate a USAEyes Evaluated & Certified Lasik Laser Eye Surgery Doctor.

If this article did not fully answer your questions, use our free Ask Lasik Expert patient forum.

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Current Lasik Medical Journal News...

Ocular findings of oral sildenafil use in term and near-term neonates.

Related Articles

Ocular findings of oral sildenafil use in term and near-term neonates.

J AAPOS. 2010 Mar 2;

Authors: Kehat R, Bonsall DJ, North R, Connors B

BACKGROUND: Sildenafil is a phosphodiesterase type 5 inhibitor used as a therapeutic adjunct in critically ill neonates with persistent pulmonary hypertension. Sildenafil is associated with several ocular complications in adults and is suspected to exacerbate retinopathy of prematurity (ROP). The risk of ocular complication in sildenafil-treated newborns, not otherwise at risk for the development of ROP, is unknown. METHODS: Twenty-two neonates with birth gestational age greater than 34 weeks and birth weight over 2,100 g who received oral sildenafil for more than 2 weeks were assessed by a pediatric ophthalmologist for potential ocular complications. RESULTS: Four patients had ocular findings: 2 had bacterial conjunctivitis; 1 had optic nerve hypoplasia, choroidal coloboma, and nystagmus; 1 had previously suffered from a hypotensive episode and had a documented cortical injury accompanied by bilateral optic disk atrophy and nystagmus. All cases seemed unrelated to sildenafil use and improved despite continued use of the drug. CONCLUSIONS: Our results do not support the need for a routine ophthalmologic examination in term and near-term neonates receiving sildenafil.

PMID: 20199882 [PubMed - as supplied by publisher]