Dissertation
Dissertation > Medicine, health > Ophthalmology > Retina and optic nerve diseases > Retinal disease

Clinical Diagnosis and Treatment of Traumatic Optic Neuropathy Re-examine the Progress

Author WuYaJun
Tutor LiuDeHua
School Jilin University
Course Clinical
Keywords Traumatic optic neuropathy Timing of surgery Transcranial optic nerve decompression Mechanisms of injury Surgical techniques Vacuum principle
CLC R774.1
Type Master's thesis
Year 2010
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Objective: To investigate the mechanism of injury of traumatic optic nerve injury , diagnosis and treatment of ways and means , the timing of surgery , treatment principles and prognostic factors , summarizes the current progress of clinical diagnosis and treatment , improve clinician awareness of the disease and the diagnosis and treatment . METHODS: We reported 6 cases , 4 males and 2 females , aged 19-36 years , were a car accident or falling from height injury , and with varying degrees of vision loss ( blindness) , loss of vision , fronto-orbital skin trauma, typical Gunn phenomenon , varying degrees of eye movement disorders . Prompt different parts of the optic canal CT and three-dimensional reconstruction of facial and optic wall fractures. Are to be clinical and surgical treatment . Summarize the diagnosis and treatment of experience , combined with domestic and foreign literature , retrospective analysis of the mechanism of injury of the disease , and the timing of treatment , and prognosis . Results: 2-23 months follow-up , the results of light perception in 4 cases of preoperative visual acuity improved to varying degrees , Invalid blind patients in the two cases before surgery . Conclusion: 1. Drugs supplemented by the optic canal decompression in the treatment , compared the efficacy of drug treatment alone exact . Blind patients after injury , although the line under reduced pressure and drug treatment , but the prognosis is poor . The prognosis is related to the degree of injury . 2 . Cranial optic nerve decompression vision , not only to achieve decompression of the optic nerve , also reached the ophthalmic artery decompression . Can be dealt with intracranial hematoma and cerebrospinal fluid rhinorrhea . Fewer cases , controlled study in the medical and surgical treatment of the timing of surgery , surgical approach control failed to form a regression analysis , hope , can carry a larger deeper exploration .

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