Management of Anomalous Head Position in Nystagmus

In this clinical video, Dr. Rahul Bhola discusses management of anomalous head positioning in nystagmus. He provides an overview of the types of head positioning that may occur and describes the benefits of early interventions, noting that the impact may also be psychological and social. Before resorting to surgical treatment, it is important to ensure that the anomalous head position is secondary to nystagmus instead of secondary to nonocular or behavioral causes. In his experience, the classic Kestenbaum-Anderson procedure works well in patients with a face turn of 25 degrees or less.

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