Chan T K, Wong J S, Ram R S, Amrith S
Department of Ophthalmology, National University Hospital, Singapore.
Singapore Med J. 1996 Apr;37(2):216-7.
Optic nerve compression is a true ophthalmic emergency. In addition to causes such as tumours, infection, mucoceles and granulomas, the majority of cases are the result of orbitofacial or closed-head trauma. The appropriate management of such cases is controversial; with some authors favouring surgical decompression while others advocate medical treatment using very high-dose corticosteroids, or a combination of both. We report a case of traumatic optic neuropathy in which there was marked improvement in visual acuity following the administration of methylprednisolone.
视神经受压是一种真正的眼科急症。除了肿瘤、感染、黏液囊肿和肉芽肿等病因外，大多数病例是眶面部或闭合性头部外伤所致。对此类病例的恰当处理存在争议；一些作者倾向于手术减压，而另一些人则主张使用大剂量皮质类固醇进行药物治疗，或两者结合。我们报告一例创伤性视神经病变病例，该病例在给予甲给予给予甲泼尼龙后视力有显著改善。
