摘要
目的探讨视神经挫伤的眼底荧光血管造影(fluorescence fundus angiography,FFA)、闪光视觉诱发电位(flash visuale-voked potential,F-VEP)等检查表现及临床治疗效果。方法52例视神经挫伤患者,均行FFA和F-VEP检查,其中13例行视神经减压术,39例给予大剂量糖皮质激素冲击治疗、葛根素静脉注射及复方樟柳碱针颞部封闭等治疗,观察FFA、F-VEP检查表现及临床治疗结果。结果FFA检查显示,36例患者出现视盘充盈延迟,10例患者视盘后期荧光渗漏。F-VEP检查显示,38例患者出现P1波峰时延迟、振幅下降,4例P1波波形消失。手术治疗患者中10例视力提高或不变;非手术治疗患者中28例视力提高或不变。结论及时行FFA、F-VEP检查及合适的治疗方法是提高视神经挫伤患者疗效的关键,外伤后视力无光感患者预后欠佳。
Objective To discuss the clinical curative effect and examination of optic nerve contusion by fluorescence fundus angiography （FFA） and flash visual evoked potential（F-VEP）.Methods Fifty-two patients （52 eyes） with optic nerve contusion received the examination of FFA and F-VEP,optic nerve decompression was performed in 13 cases,and others received the large-dosage glucocorticoid stosstherapy,intravenous injection of kakkonein and block therapy of complex anisodine,the performance of FFA,F-VEP and clinical curative effect were observed.Results FFA showed that the engorging delay of optic disc was appeared in 36 cases,later fluorescence leakage in 10 cases.F-VEP showed that the peak time delayed and the amplitude of P1 wave decreased in 38 cases,the wave disappeared in 4 cases.There were 13 cases with visual acuity improved or unchanged in patients treated by surgery and 28 cases in patients treated by non-surgery.Conclusions The timely examination of FFA and F-VEP and suitable treatment are key to improve the curative effect of optic nerve contusion,the prognosis of patients with nothing in light after contusion is bad.
出处
《眼科新进展》
CAS
北大核心
2010年第3期282-283,286,共3页
Recent Advances in Ophthalmology
关键词
视神经挫伤
眼底荧光管造影
闪光视觉诱发电位
optic nerve contusion
fluorescence fundus angiography
flash visual evoked potential
