Refinement of an optical device that stabilizes vision in patients with nystagmus.

An optical device that produces partial stabilization of retinal images has been described. It consists of a high-plus spectacle lens used in combination with a large, high-minus, polymethyl methacrylate (PMMA) contact lens. This device is designed to provide more clear and stable vision in patients with acquired nystagmus due to neurological disease. We report success in using a smaller, rigid, gas permeable (RGP) contact lens that achieves the required degree of stabilization, but is more comfortable for patients than the PMMA contact lens originally described. We have confirmed that the degree of retinal image stabilization is similar to that achieved with the PMMA lens. We present a case report to illustrate its use.