创伤性视神经病的管理:一个系统的审查.
Richard J Blanch1,2,3, Iric John Joseph4, Kimberly Cockerham5
1Royal Centre for Defence Medicine, Birmingham, UK. r.j.blanch@bham.ac.uk.
Eye (London, England)
|June 11, 2024
概括
目前对创伤性视神经病变的治疗方法缺乏经过证明的益处. 高剂量静脉注射甲基prednisolone (IVMP) 显示在创伤性脑损伤 (TBI) 患者的死亡风险增加,而视通道减压提供没有优势. 轨道区综合征需要立即进行干预.
科学领域:
- 眼科医生 眼科 眼科
- 神经学 神经学
- 创伤外科 手术 创伤外科
背景情况:
- 创伤性视神经病变 (TON) 影响高达8%的创伤性脑损伤 (TBI) 患者,亚临床损伤更为普遍.
- 敏感测试揭示视野缺陷或光学缩在超过一半中度至重度的TBI病例.
- 轨道综合征需要紧急干预,以防止永久的视神经功能障碍.
结论:
- 对TON的医疗治疗缺乏益处的证据.
- 高剂量的IVMP具有显著的伤害风险.
- 轨道综合征是一种独特的紧急情况,需要立即进行医疗和外科治疗以保持视力.
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