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Original Article
Nystagmus in periventricular leucomalacia
  1. Lena Jacobsona,b,
  2. Jan Yggea,
  3. Olof Flodmarkc
  1. aDepartment of Ophthalmology, Karolinska Institute, Huddinge University Hospital, Stockholm, Sweden, bTomteboda School Resource Center, Stockholm, Sweden, cDepartment of Neuroradiology, Karolinska Institute, Karolinska University Hospital, Stockholm, Sweden
  1. Dr L Jacobson, Department of Ophthalmology, Huddinge University Hospital, S-141 86 Huddinge, Sweden.

Abstract

BACKGROUND/AIMS Periventricular leucomalacia (PVL) is a lesion in the immature brain involving the optic radiation. Children with PVL have visual problems including crowding, visual field defects, strabismus, and visual perceptual/cognitive deficits, together with nystagmus. They often have optic nerve hypoplasia seen either as small discs or as large cupping of normal sized optic discs. This study aimed to perform eye movement recordings in a group of children with PVL in order to characterise and classify the nystagmus.

METHODS 19 children with PVL on cerebral imaging underwent eye movement recordings with the Ober-2 infrared reflection technique.

RESULTS 16 of the 19 subjects had horizontal nystagmus.

CONCLUSION The present study shows that nystagmus is commonly seen in children with PVL.

  • nystagmus
  • periventricular leucomalacia
  • visual impairment
  • cerebral imaging
  • eye movement
  • infrared reflection technique

https://doi.org/10.1136/bjo.82.9.1026

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