Clinical Report: Vision Correction With Bitoric GP Lenses for Nystagmus

Background

Infantile nystagmus is a congenital condition affecting 1 in 1,000 to 1 in 6,000 children, characterized by involuntary eye movements. Patients often experience high refractive errors, particularly astigmatism, making effective vision correction crucial. Contact lenses are preferred for these patients due to their ability to provide optical correction.

Data Highlights

Key Findings

• The patient exhibited 20/150 vision with spectacle correction prior to lens fitting.
• Initial soft toric lenses were difficult to manage due to the patient's strong blink reflex.
• Fitting with bitoric lenses resulted in improved visual acuity to 20/100.
• The magnitude of nystagmus decreased by approximately 40% after bitoric lens fitting.
• The patient's engagement with surroundings improved following lens application.

Clinical Implications

Bitoric GP lenses can be an option for patients with infantile nystagmus and high astigmatism, particularly when traditional soft lenses pose challenges.

Conclusion

The use of bitoric GP lenses demonstrates potential in managing visual impairment associated with infantile nystagmus.

Related Resources & Content

1. Abadi, R. V., Bjerre, A., The British Journal of Ophthalmology, 2002 -- Motor and sensory characteristics of infantile nystagmus
2. Self, J.E., et al., Eye, 2020 -- Management of nystagmus in children: a review of the literature and current practice in UK specialist services
3. Contact Lens Spectrum — GP INSIGHTS
4. Contact Lens Spectrum — GP INSIGHTS
5. contact lens spectrum — GP INSIGHTS
6. contact lens spectrum — PRESCRIBING FOR ASTIGMATISM
7. Nystagmus - American Association for Pediatric Ophthalmology and Strabismus
8. Symptomatic treatment of infantile nystagmus: a systematic review
9. Refractive Errors & Refractive Surgery Preferred Practice Pattern® - Ophthalmology