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G?z¨šn istemsiz ritmik veya aritmik hareketlerine nistagmus denir. Nistagm¨šsde g?z hareketleri ?e?itli y?nlerde olabilir. G?zlerin her iki y?ne de e?it h?zda gitti?i nistagm¨šs tiplerine sarka? tipi, bir y?ne yava?, kar?? y?ne h?zl? gitti?i tiplerine de yay tipi denir. Yay tipinde g?zlerin h?zl? gitti?i y?n nistagm¨šs¨šn y?n¨šd¨šr. ?rne?in g?zler sa?a h?zl? sola yava? gidiyorlarsa nistagm¨šs sa? y?nl¨šd¨šr. Hasta nistagm¨šs¨šn h?zl? y?n¨šne bakarsa g?z hareketlerinin frekans? ve amplit¨šd¨š artar. Baz? nistagmuslu hastalarda da hareketin durdu?u bir pozisyon mevcut olabilir.

Nistagmuslu hastalarda : g?rme azl???, titreyen g?r¨šnt¨šler, ba? d?nmesi ve tek g?zde ?ift g?rme ?ikayetleri olabilir.

Nistagmus S?n?fland?rmas? 4 grupta yapabiliriz

1- Ok¨šler nistagmus
2- Vestib¨šler nistagmus
3- N?rolojik (merkezi) nistagmus
4- Do?u?tan nistagmus

Nistagmusta Tedavi
Vestib¨šler ve n?rolojik nistagm¨šslerde tedavi nedeni y?neliktir.

Do?u?tan nistagmuslerde tedavi optik, ortoptik ve cerrahi olarak uygulan?r.

a) Optik tedavi : Y¨šksek k?r?lma kusurlar? olan hastalarda g?zl¨škle g?rmenin d¨šzeltilmesi nistagm¨šsun azalmas?n? sa?lar.
b) Ortoptik tedavi : ?a??l?k ve ambliyopi tedavisinde kullan?lan y?ntemlerle yap?lan nistagmus tedavilerinin sonu?lar? k?s?tl? olmaktad?r.
c) Cerrahi tedavi : Belirli bak?? pozisyonlar?nda nistagm¨šs¨šn azald??? olgulara uygulan?r.


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