Anterior ischemic optic neuropathy Clinical analysis of combined treatment.docVIP

 PAGE \* MERGEFORMAT 8 Anterior ischemic optic neuropathy Clinical analysis of combined treatment [Keywords:] anterior ischemic optic neuropathy; hyperbaric oxygen; compound anisodine; comprehensive treatment Anterior ischemic optic neuropathy (anterior ischemic op-tic neuropathy, AION) is the supply of sieve plate sieve plate area before the area and the small branches of posterior ciliary vessel ischemic, resulting in partial optic disc infarction, acute ischemic optic disc caused by hypoxia, hypoxia and because of the optic nerve edema, nerve fiber degeneration and necrosis, if not treated can lead to optic atrophy. patients with disease duration more than 2 months, age of onset more than 50 years of age. past the disease Clinical use of vasodilators, corticosteroids and neurotrophic agent therapy .2007 January to November 2008, our department using high pressure oxygen treatment of joint compound anisodine 30, results were satisfactory, are reviewed as follows. 1 Clinical data 1.1 General Information The visual acuity, ophthalmoscopy, visual field and (or) fundus fluorescein angiography, diagnosis of AION were randomly selected into treatment and control groups, and to two groups of disease, age, visual acuity, sex was close. The treatment group 29 patients (30 eyes), duration of the first 2 h, no later than one week, mostly for 3 d, the average age of 54.2 years; the control group 25 patients (26 eyes), duration of the first 1 h, no later than one week, mostly for 3 d The average age of 53.1 years. 1.2 Methods In addition to two groups of patients for systemic disease treatment, applied immediately peribulbar corticosteroid injection, vasodilators (low molecular weight dextran, salvia miltiorrhiza pin) systemic infusion, acetazolamide tablet, while application of vitamins B, C group and ATP, etc., the treatment group addition to the above increase in high-pressure oxygen and compound anisodine next injection of the superficial temporal