Treatment of traumatic optic neuropathy

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Patient question:Disease: the process of optic nerve contusionDescription: examination and testing: February 7, 2014 afternoon traffic accid

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Patient question:

Disease: the process of optic nerve contusion

Description: examination and testing: February 7, 2014 afternoon traffic accident, when the right eye swelling, invisible, direct light reflex, indirect light reflex good. VEP display P100 wave of the right eye can not be identified, OCT showed normal fundus. CT suspected skull base fracture. Three days after the inspection to the provincial hospital, OCT showed papilledema, without fracture around nuclear magnetic resonance orbit. Recently, Oct examination of the retina of both eyes is clear, arranged in a neat, well centered, left eye (healthy eyes) vitreous opacity. Treatment (current medication or recent surgery): strengthen the Dragon 1000mg mannitol, energy mixture shock 3 days after playing back to the local chapter Liu alkali, mouse nerve growth factor 20 days after intravenous drip of ganglioside 100mg, cytoplasmic two choline for 10 days. Oral prednisone 100mg per week, ranitidine, Mecobalamin Tablets, vitamin b1b12, Ginkgo Biloba Leaves Extract Tablets, Compound Salvia Tablet, Yunnan Hongyao nimodipine etc.. History: February 7, 2014 afternoon traffic accident, when the right eye swelling, invisible, direct light reflex, indirect light reflex. VEP display P100 wave of the right eye can not be identified, OCT showed normal fundus. CT suspected skull fracture, three days after the inspection to the provincial hospital, OCT showed papilledema, without fracture around the magnetic resonance orbit, by strengthening the Dragon 1000mg mannitol, energy mixture shock 3 days after playing back to the local chapter Liu alkali, mouse nerve growth factor 20 days after intravenous drip of ganglioside 100mg two cell, P choline for 10 days. Oral prednisone 100mg per week, ranitidine, Mecobalamin Tablets, vitamin b1b12, Ginkgo Biloba Leaves Extract Tablets, Compound Salvia Tablet, Yunnan Hongyao nimodipine equal recently OCT check eyes clear, neat, foveal Thailand good,

Hope to provide help: please look at the next film professor, there is no suitable program?

Can be 1 meters or so to distinguish the visual chart of the opening direction of the 0.2, but the vision can not see clearly.

Department of hospital: Sichuan provincial hospital

Drugs: the drug name: prednisone, Rene Titi, Aescuven forte, potassium chloride, Mecobalamin Tablets, vitamin B1, xueshuantong,

Directions: take approximately 35 days later, Rene Titi, hormone and Aescuven forte to stop, the new Yunnan, red Ginkgo Dispersible Tablets, inosine, ATP etc.

Drug name: prednisone, Rene Titi, Aescuven forte, potassium chloride, Mecobalamin Tablets, vitamin B1, xueshuantong,

Directions: take about 20 days,

Sichuan Provincial People's Hospital, Chen Hui reply:

I carefully read the MRI of your movies, upload a picture of the effect is very good, I can see more clearly, I suggest you share this how you take pictures, such as the deterioration process of upload film, the purpose is to help other patients can effectively help. Hope you understand.

I found your right eye 3-5mm after optic nerve sheath thickening, showing that optic nerve sheath should have bleeding or hematoma.

At present, my experience and research show that: this kind of patients through the optic nerve sheath fenestration surgery can get satisfactory results. Our results will soon be reported in the internationally renowned professional journals. After publication, I will upload this article.

I'm sorry you didn't come to see me.

You've been injured for 2 months now, and I don't know if I'm going to give you a window on the optic nerve sheath to help you recover your vision.

Patient question:

Thanks to Director Chen, postoperative vision has been restored to 0.1, other indicators are also restored...... We inform you with a friend, director Chen is a noble medical ethics, Yifeng rigorous, a good doctor is superb, trustworthy and trusted! What a good doctor! The biggest difference between him and others is to personally read the film, which is a strict attitude, but also a professional self-confidence. Some people do not watch movies or do not look at the film, just look at the conclusions of the Department of Radiology, which is not responsible for the attitude, professional self-confidence. Ladies and gentlemen, I hope you can get help from Chen Hui! Sichuan Provincial People's Hospital, Chen Hui reply:

I refer to this case as a case study for the treatment of traumatic optic neuropathy in a network of communication, contact, examination, and treatment. The purpose is: I hope to be able to make more effective treatment of similar patients.

 

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