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Indian J Ophthalmol. 2019 Sep;67(9):1479-1481. doi: 10.4103/ijo.IJO_1820_18.

Management of head tilt in infantile nystagmus syndrome: A case report.

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Child Sight Institute, The David Brown Children's Eye Care Center, Vijayawada, Andra Pradesh, India.
Fellow in Comprehensive Ophthalmology, Academy of Eye Care Education, L V Prasad Eye Institute, Vijayawada, Andra Pradesh, India.


Management of head tilt in infantile nystagmus syndrome (INS) is a challenge. In this case report, we have described successful management of right-sided head tilt in a child with INS by operating on three oblique muscles (superior oblique anterior tenectomy in the right eye, Harada-Ito procedure in the left eye, and inferior oblique recession in the left eye). The child had complete correction of head tilt without causing any cyclovertical strabismus or torsional diplopia postoperatively.


Head tilt; INS; torsional Kestenbaum-Anderson's procedure; torticollis

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