ArticleChildren (Basel, Switzerland)2025
Simplifying the Diagnosis of Pediatric Nystagmus with Fundus Photography.
Article in Children (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
BACKGROUND/
objectivesTo simplify diagnosing congenital and acquired nystagmus using fundus photographs.
methodsA retrospective study included patients with congenital or childhood-acquired nystagmus examined at a hospital-based ophthalmology clinic (September 2020-September 2023) with fundus photos taken. Exclusions were for incomplete data or low-quality images. Demographics, aetiology, orthoptic measurements, and ophthalmologic and neurological exams were reviewed. Two independent physicians graded fundus photos based on amplitude (distance between "ghost" images), the number of images visible, and the direction of nystagmus. Severity was rated on a 0-3 scale using qualitative and quantitative methods. Photographic findings were compared to clinical data, and statistical analysis used Mann-Whitney tests.
resultsA total of 53 eyes from 29 patients (16 females, 13 males; mean age 12.5 years, range 3-65) were studied: 25 with binocular nystagmus and 3 with monocular nystagmus. Diagnoses included congenital (
conclusionsFundus photography effectively captures nystagmus characteristics and retinal details, even in young children, despite continuous eye movements. Integrating fundus cameras into routine practice may enhance nystagmus diagnosis and management, improving patient outcomes.
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