What is Congenital Nystagmus?

Apr 29, 2025 Source: Cainiu Health
Disease description:

My baby boy was born a few months ago, and I've recently noticed that his eyes often move back and forth involuntarily. Could this be congenital nystagmus?

Doctor's answer (1)
Dr. Wang Shuai

Congenital nystagmus is an involuntary, rhythmic back-and-forth movement of the eyes that occurs at birth or during early infancy. This movement usually presents as oscillations in horizontal, vertical, or rotational directions. Congenital nystagmus may be caused by various factors, including genetic influences, abnormal development of the nervous system, or problems with the visual system. Nystagmus can affect vision, causing blurred vision or double vision. Some children may also develop abnormal head postures in an attempt to alleviate symptoms.

It is recommended to take your baby to a professional ophthalmic hospital for a comprehensive examination as soon as possible to confirm whether the condition is congenital nystagmus and to determine its specific type and cause. Doctors may perform fundus examinations, visual acuity tests, and neuroimaging studies to identify the underlying cause and formulate a treatment plan. Treatment options may include optical correction with glasses, vision therapy, medication, or surgical intervention. At home, pay attention to other symptoms in your baby, such as abnormal head posture or visual difficulties, and record these observations for discussion with your doctor. Regular follow-up visits and adherence to the doctor's recommendations for treatment and management can help improve your baby's vision and quality of life. Additionally, provide strong family support and psychological care to help your baby better adapt to and cope with this condition.