Patients with congenital nystagmus (CN) often have associated conditio
ns (e.g., strabismus, high astigmatism, and binocular inefficiency) th
at also impair visual acuity. Unfortunately, individually used techniq
ues directed at reducing nystagmus have generally produced only slight
increases in Snellen acuity. We present case reports of six patients
with nystagmus seen in our clinic (University of Houston, College of O
ptometry) to illustrate the use of problem-specific management to impr
ove visual acuity and/or binocular function. The results suggest that
a comprehensive management strategy should include treatment of all as
sociated conditions as well as therapy to improve the characteristics
of the nystagmus wave form.