Are medications needed to repair the optic nerve?

I believe that many people have encountered neurological problems in their daily lives. For example, their eyesight has not been very healthy recently and their nerves are damaged. At this time, it is necessary for everyone to undergo treatment to repair the nerves. The more common measure is to use medication first, and then use auxiliary means to recover. In severe cases, surgical treatment needs to be considered, because the recovery effect of surgery is fast and the effect can be achieved in a short time.

Treatment measures: Once this disease is diagnosed, emergency treatment should be given immediately while treating brain trauma. Treat optic nerve damage[1], relieve optic nerve compression, prevent and treat post-injury vasoconstriction and spasm, and promote blood circulation and recovery of optic nerve conduction function. Because the main focus after craniocerebral trauma is to rescue the trauma and life, optic nerve damage may not be discovered or ignored, or even considered. Visual impairment is not discovered until the condition stabilizes. By then, several days, dozens of days or even longer have passed since the ophthalmology consultation, delaying the opportunity for potentially effective treatment. Some scholars believe that timely decompression of optic nerve injury (within 48 hours) is significantly better than late decompression (14 days).

Surgery

Indications and timing of surgery: There is no uniform standard for surgical treatment of optic nerve injury. Whether surgery is necessary depends on the patient's symptoms, degree of vision loss, vision requirements, whether there are other eye diseases, age, and the condition of the fellow eye.

Surgery may be considered in the following situations:

1. Visual acuity is 0.1 or below, without permanent macular damage.

2. Visual acuity is above 0.4, but there are severe symptoms such as diplopia and visual distortion (patients who require better visual effects can try surgery by skilled operators).

3. The vision is good, but fluorescein angiography shows fluorescein leakage or macular edema.

4. Optic nerve damage after retinal detachment surgery should not be treated until it is stable and has no active contraction.

The causes of injury are divided into traffic accident injuries, falling injuries and blow injuries, among which traffic accident injuries are 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.