Comprehensive treatment of anterior ischemic optic neuropathy efficacy of.docVIP

 PAGE \* MERGEFORMAT 5 Comprehensive treatment of anterior ischemic optic neuropathy efficacy of Of: Jin Liwen, Liuzhe Li, Xue Lili [Keywords:] neuropathy 0 Introduction Anterior ischemic optic neuropathy (anterior ischemic opticneuropathy, AION) is a common optic neuropathy is due to various causes before the supply area and sieve plate sieve plate area of small branches of posterior ciliary vessel ischemic, resulting in optic disc localized infarction, manifested as sudden visual impairment, optic disc edema, and characteristic visual field defect. The current treatment of multiple vasodilator therapy with hormones and, due to the disease of multiple use of hormones in the elderly prone to systemic complications. We reviewed Comprehensive Treatment of AION with 28 cases, 30 eyes were followed up for visual acuity, fundus and visual field and other indicators to evaluate its efficacy. 1 Clinical data We collected 01 2005 01/2009 AION in our hospital 28 patients with diagnosis and treatment of 30 eyes, 16 eyes of 15 patients were male and 13 female 14, aged 45 to 79 (average 60.5 years old. In which 26 patients with unilateral disease, eye disease 2 cases, associated with hypertension in 12 cases, 8 cases of diabetes, high blood lipid disease in 3 patients. onset to treatment time of 1d ~ 1.5mo. Selection criteria: clear ocular refractive media, not with the other eye, insisted followed upgt; = 3mo. this group of patients showed a sudden monocular vision loss, more than the morning when the disease, some patients have perceived as the object block, half of the other more common eye .2 cases with bilateral involvement in the pathogenesis of patients with 3mo or so. ophthalmologic examination findings : Vision: decreased to varying degrees, of which lt;0.1 in 3 eyes (1 eye light perception, manual / 20cm in 1 eye, index of / 20cm by one; 0.1 ~ 0.4 in 24 eyes, 0.5 ~ 0.8 3. pupil: RAPD positive in 25 eyes. fundus: the performance of the optic ne