We performed the surgery for correction of ocular torticollis in 20 patients with asymmetric gaze nystagmus. Modified kestenbaum procedure was performed for 30 degrees of ocular torticollis, 40% augmented modified Kestenbaum procedure for 45
degrees,
and 60% augmented modified Kestenbaum procedure for 60 degrees.
At the final follow up visit (averaging 9.9 months), 12 patients showed complete corrections of previous head turn, five patients showed a small residual head turn of less than 10 degrees, and three patients show residual head turn of 15 degrees
to
the
same side of the preoperative head turn. The success rate was 85%. After the first operation three patients were received the addiitonal operation due to residual head turn, but the results were satisfactory. There were few significant
complications and
no overcorrected cases. Among the 14 patients who were able to measure the visual acuity, seven patients showed no internal change in visual acuity and the other seven patients showed increased visual acuity over on Snellen line. From above
results, we
obtained good results with modified Kestenbaum procedure and augmented modified Kestenbaum for correction of ocular torticollis with asymmetric gaze nystagmus.
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