Oftalmol Zh.2015;1:75-78
https://doi.org/10.31288/oftalmolzh201517578
Neuroprotective therapy in compressive traumatic optic neuropathy caused by fracture of the orbit bone
N. M. Moiseenko, G. M. Leskiv
Ivano-Frankivsk National Medical University; Rohatyn clinical hospital; Ivano-Frankovsk (Ukraine)
Introduction. Common cause of irreversible visual loss due to optic nerve atrophy is its traumatic entrapment.
Objective. To increase the effectiveness of the treatment of traumatic optic neuropathy compression caused by the orbit fractures by using neuroprotective therapy.
Material and methods. We have examined 6 patients with compressive lesions of the optic nerve. The most effective was the use of neuroprotective support before, during surgery and in the early postoperative period. So the patient, despite the severe multiple fracture of the lower and outer walls of the orbit with displacement, the crack in the orbit apex, low preoperative visual acuity (within 0.04 on the affected side and 0.6 on the opposite side), visual acuity in both eyes is 1.0 in 3 months after injury. Consequently, the use of neuroprotective support for compression of traumatic optic neuropathy caused by fractures of the orbit will help protect the optic nerve from the possibility of re-injury, and improvement of the ways to use it will improve the effectiveness of the treatment on the whole.
Key words: Traumatic entrapment of the optic nerve, neuroprotective therapy, methyl prednisolon
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