What is your preferred surgical intervention for children with congenital nystagmus?  

Surgery should not be the first consideration of congenital nystagmus. The child first needs a full ophthalmologic examination, looking for abnormalities that could be causing the nystagmus (things causing vision loss). The family needs to be asked if other members of the family also have nystagmus....

Eye-muscle surgery in patients with INS improves their beat-to-beat nystagmus, thus they receive more useful vision per unit time. The common clinical misperception is that eye-muscle surgery only serves to improve "letter" acuity, centralize the INS null position, or reposition the eye(s) in the or...