Can optic nerve contusion be recovered

Can optic nerve contusion be recovered

If our eyes are hit, it is likely to cause optic nerve contusion. Minor optic nerve contusion will not cause any harm to our eyes. With medication and adequate rest, you can recover. But in serious cases, it may seriously affect our eyesight and even cause blindness. Optic nerve contusion is recoverable, but it also requires treatment through surgery and other methods.

According to the cause of injury, it can be divided into traffic accident injury, fall injury and blow injury, among which traffic accident injury is the most common. Due to its anatomical structure and physiological characteristics, more than 90% of optic nerve injuries are indirect injuries to the optic nerve canal segment. Direct injury to the optic nerve caused by a sharp object and direct injury to other parts of the optic nerve are relatively rare in clinical practice. Indirect optic nerve injury refers to the impact on the outer side of the orbit, generally the upper temporal part of the eyebrow arch. The external force is transmitted to the optic canal through the skull, causing deformation or fracture of the optic canal, resulting in optic nerve damage and resulting in vision and visual field impairment.

1. Liver Qi is stagnant and Xuanfu is blocked. The liver is injured by anger, which causes Qi stagnation. The essence of the internal organs goes up to the eyes, relying on the liver's function of dispersing qi. If liver qi is stagnant and the meridians are blocked, the essence cannot go up to nourish the eyes, and the eyes lose nourishment, resulting in amblyopia.

2. Deficiency of liver and kidney yin, insufficient clear blood. The liver stores blood, and the eyes get blood to see; the kidney stores essence, and when the essence and blood are abundant, the eyes can see everything. The liver belongs to wood, the kidney belongs to water, and water can produce wood, so Yi and Gui have the same origin. If a person is physically weak or has excessive sexual intercourse, it may lead to liver and kidney yin deficiency and insufficient clear blood, which may cause the divine light to lose its roots and the eyes to be unable to see.

3. Deficiency of both Qi and blood, and lack of nourishment to the eyes are often seen in serious illness that has consumed essence and blood for a long time, or trauma to Qi and blood, or trauma after surgery that has not yet recovered, resulting in deficiency of both Qi and blood, lack of nourishment to the eyes, and causing amblyopia.

4. Insufficient kidney yang leads to the decline of divine light. Divine light is the essence of natural vision in the eyes. It originates from the gate of life, passes through the gallbladder, and originates from the heart. If due to a weak constitution, yang deficiency, or a long-term illness, the kidney yang is damaged, the true fire of the kidney's life gate will be weakened and unable to warm the internal organs, resulting in the decline of the spiritual light and blindness.

Optic Nerve Contusion Treatment

Optic nerve contusion is one of the most common ocular injuries in clinical practice. The exact mechanism and pathological process of the injury are still unclear, and the treatment is very difficult. Patients often lose their visual function.

Optic nerve contusion is one of the serious eye diseases that can cause blindness, especially in the intracanalicular segment, while impact injuries outside the eyebrow arch are most likely to cause damage to the optic nerve in the bony canal. Among the 7 patients mentioned above, CT reports of 4 cases have provided diagnostic evidence. Although the CT of the other 3 cases showed no abnormalities in the orbital bone, there is no doubt that the temporal orbital bone was hit, causing stenosis of the bony canal or optic nerve contusion due to force transmission. Vision is often lost immediately or severely reduced, and the prognosis is poor. After the injury, the patient often falls into a coma due to brain trauma or fails to cover the healthy eye and fails to go to the ophthalmology department for diagnosis and treatment in time, thus missing the best time to treat optic nerve contusion. The patient who visited the hospital 1 day after the injury did not have an orbital bone fracture, the injury was slightly lighter, and vision improved. It is generally believed that treatment starting 48 hours after optic nerve injury is basically ineffective.

The treatment of optic nerve contusion mainly includes hormones, improving blood supply to the eye, vitamin B neurotrophic agents and energy mixtures, and can be combined with hyperbaric oxygen therapy and surgical treatment.

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