间接视神经损伤28例临床分析

目的 探讨间接视神经损伤的临床特征，分析药物、手术治疗效果。方法 经颅视神经管减压治疗１眼，大剂量甲基强的松龙冲击加尼可林治疗２７眼。结果 视神经管减压治疗１眼，术后视力由无光感增至０．２，药物治疗２７眼，无光感组１１眼中１０眼无效，光感或有残存这高力组且２４小时以内及时治疗９眼中８眼有效。结论 早期及时皮质类固醇冲击加尼可林治疗有残存这高力的间接视神经损伤有效可行。

Clinical analysis of indirect injury of the optic nerve in 28 cases

To evaluate the therapeutic efficacy of indirect injury of the optic nerve.Methods 27 eyes were treated with large doses Methylprednisolone pulse therapy and Nicoline,1 eye underwent surgical depression via brain.Results 1 eye through surgery achieved sucess,10 of 11 eyes without light perception have no obvious therapeutic efficacy,9 eyes were treated whitin 24h after injury among 16 eyes with or above light preception,8 eyes have significant visual improvement.Conclusion Pulse therapy with large doses Methylprednisolone and Nicoline should be performed on patients with indirect injury in time.This method is effective and applicable.