Shaky Eyes? How Nystagmus Affects Vision, Managing Symptoms, & Treatment?
Shaky Eyes? How Nystagmus Affects Vision, Managing Symptoms, & Treatment?
12 June 2024

Do you get uncontrollably rapid eye movements that give the feeling that something is shaky? This condition can be called nystagmus. Here we will discuss nystagmus, how it affects eyesight, and how athletes with this condition can overcome the difficulties and continue participating in their preferred sports.

Nystagmus, often referred to as “shaky eyes”, is a condition where the eyes make repetitive, uncontrolled movements. These movements can affect one or both eyes and can occur in different directions: horizontal, vertical, or circular. These involuntary, shaky eyes can lead to impaired balance and coordination and result in reduced vision and depth perception.

Types of Nystagmus

There are mainly two types of nystagmus that can be faced by an individual.

1. Congenital Nystagmus

This type of condition can be present with birth or develop in the first few months of life. It is associated with genetic conditions or developmental issues and is usually non-progressive.

2. Acquired Nystagmus

This type of condition can occur later in life due to various reasons, such as brain injuries, inner problems, certain medications, or alcohol and drug abuse.

Causes of Nystagmus

The precise cause of nystagmus is not always known but is often linked to issues with the part of the brain that controls eye movement. Some of the causes that include shaky eyes are as follows:

  • Neurological Issues: Conditions like stroke, brain tumors, or multiple sclerosis can impact the control of eye movement.
  • Genetic Factors: Congenital nystagmus is usually inherited from the family.
  • Head injuries: Injuries to the head or brain can damage the areas responsible for eye movement.
  • Inner Ear Problems: Ear-related diseases such as Meniere’s.
  • Medications and Alcohol: Excessive Consumption of certain drugs and alcohol.

Effects of Nystagmus on Vision

Nystagmus can directly impact vision, depending on the severity and direction of eye movements and the key effects include:

  • Blurry Vision: Constant movement of the eyes prevents stable focus, leading to blurred visual experience.
  • Difficulty in Depth Perception: It is challenging to judge distances that affect everyday tasks like walking, driving, working, or playing sports.
  • Nighttime Vision: Experience difficulty seeing in low-light environments
  • Oscillopsia: Causes dizziness and disorientation due to the sensation of moving or bouncing environment.

Managing Symptoms of Nystagmus

Nystagmus cannot always be cured but it is somehow manageable reducing symptoms and improving quality of life by using several strategies. Some of them are:

  • Eye Exercise and Therapy: Definite eye exercises and therapies accompanied by the ophthalmologist can help improve eye coordination and rescue the severity of symptoms of nystagmus.
  • Optical Aids and Assistive Devices: The vision problem associated with nystagmus can be helped with the use of optical aids such as glasses with prism lenses or contact lenses, and surgery.
  • Lifestyle Changes and Coping Strategies: Techniques like maintaining a healthy lifestyle, reducing stress, and yoga for body relaxation can help in managing symptoms effectively.

Diagnosis

Nystagmus is diagnosed by an ophthalmologist through a comprehensive eye exam. They might send you to a primary care physician or another medical specialist for further testing since it is the result of underlying health problems. Then, they will examine the inside of your eyes and test your vision to diagnose nystagmus in the following ways:

  • Eye-movement recording (to confirm the type of nystagmus and see the details of eye movements)
  • An ear exam
  • A neurological exam
  • Test to get an image of the brain with Computerized tomography (CT) and Magnetic Resonance Imaging (MRI)

Treatment for Nystagmus

Treating nystagmus focuses on reducing symptoms and improving vision. The treatment plan depends on the type and cause of nystagmus, like:

Optical Treatments

  • Contact lenses: These can provide more stable vision than glasses for some individuals.
  • Glass with Prisms: These help in reducing eye movement and improve focus.
  • Low Vision Aids: Magnifiers, large-print reading materials, and electronic visual aids can help those with significant vision impairment.

Medical and Surgical Treatments

  • Medication: Relatable intake of medicine as preferred by the optimist.
  • Botox Injections: are used in some cases to temporarily paralyze overactive muscles of the eyes for a reduction in eye movements and improved visual ability.
  • Surgery: Procedures like tenotomies or muscle repositioning can help realign the eye muscles.

Athletes with Nystagmus: Can You Still Play Your Sport?

Nystagmus may pose distinctive challenges for athletes, but it doesn’t necessarily mean the end of a sports career. With the right implementation of strategies and support, athletes can continue to excel in their chosen sports field. Their sportsmanship, even with the nystagmus, serves as an inspiration and a testament to the fact that nothing can stop them from achieving their sporting success.

Challenges Faced by Athletes with Nystagmus

  • Visual tracking: Keeping track of fast-moving objects like a ball, can be difficult.
  • Poor depth perception: Speculating accurate distance is crucial in many sports and this can be significantly impaired.
  • Coordination issues: Repetitive movement of eyes can disrupt hand-eye coordination, affecting performance in sports that require precision.
  • Psychological Impact: It can affect an athlete’s confidence and self-esteem in competitive environments, leading increase in anxiety about their performance.

Solutions and Strategies for Athletes

1. Visual Aids

Using contact lenses or glasses with prisms can help stabilize vision. They might benefit from tinted lenses to reduce glare and improve the disparity. For example, using tinted glasses helps enhance visual clarity in bright sunlight.

2. Specialized Training

The athletes should be involved in training programs that focus on building hand-eye coordination, balance, and spatial awareness, which can be very effective. For instance, practicing with a coach who understands the condition and helps develop specific skills to play sports effectively can provide an advantage free from anxiety during a performance.

3. Adaptive Equipment

Using modified equipment, such as larger or brightly colored balls, can help improve visibility and tracking. For example, players with nystagmus might use the sports equipment that is easier to see against various backgrounds.

4. Consistent Practice

With regular practice, athletes can adapt to their visual limitations and develop compensatory strategies. For example, a football player might practice dribbling and shooting with a focus on improving their side vision and environmental awareness.

5. Professional Support

Tailored support and guidance can be gained working with optometrists, occupational therapists, and sports coaches. For example, an occupational therapist might develop exercises to enhance coordination and balance.

Can nystagmus be cured?

It cannot be typically cured, but its symptoms can be managed with treatments such as glasses, contact lenses, medications, vision therapy, and some reliable surgery.

Can children with nystagmus succeed in school?

Yes, absolutely. With appropriate support, accommodations, and strategies, children can perform well academically and participate fully in activities.

Is nystagmus hereditary?

Some forms of congenital nystagmus can be hereditary, but not all cases are inherited. Hereditary nystagmus requires genetic counseling too.

How does nystagmus affect sports performance?

It causes reduced visual acuity, poor depth perception, and coordination issues, bringing challenges to fast-moving objects, judging distances, and maintaining balance. That's how shaky eyes can cause issues in sports performance.

Conclusion

Nystagmus or shaky eyes, can pose significant challenges to vision and daily activities. However, with the right management techniques and treatment, individuals with nystagmus can lead fulfilling lives. For athletes, the condition might evolve new hurdles, but with adaptive techniques and assistance, they can continue to excel in their sports.

Prevention is better than a cause so if you or someone you know is experiencing similar symptoms of nystagmus or any other vision-related issues, it is better to seek professional help immediately. So, don’t wait and schedule your appointment today, and feel free to contact us at our eye care center, Vision Concern.

 

Yes, we provide emergency eye care for conditions like eye injuries, sudden vision loss, and infections. If you experience any urgent eye problems, please contact us immediately, and our team will assist you in getting the care you need.

Signs to watch for include blurry vision, floaters, sudden loss of vision, eye pain, redness, or sensitivity to light. If you experience any of these symptoms, it’s important to schedule an eye exam at Vision Concern Eye Clinic as soon as possible for early diagnosis and treatment.

If you’re experiencing blurred vision, headaches, or eye strain, it may be a sign that you need glasses or contact lenses. Our eye exams will help determine whether you need corrective lenses. We’ll also discuss your options based on your lifestyle and preferences, including glasses, contacts, or even refractive surgery like LASIK.