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NR 4-6/2005
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Wytyczne do
postępowania w pourazowej neuropatii nerwu wzrokowego
Guidelines for posttraumatic
optic nerve neuropathy management
Jan Zapała
Z Katedry i Kliniki Chirurgii Szczękowo-Twarzowej Collegium
Medicum Uniwersytetu Jagiellońskiego w Krakowie
Kierownik: dr hab. n. med. Jan Zapała |
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| Summary: |
The aim of the paper was
to establish new clinical guidelines for patients
suffering from posttraumatic optic nerve neuropathy
management.
Material and methods: The study covered a group
of 100 patients with unilateral posttraumatic optic
nerve neuropathy. 76 patients were diagnosed with
blindness and 24 with progressive weakening of visual
acuity from the time of injury. 56 patients received
conservative treatment only, among them 48 underwent
steroid therapy. In 23 patients a decompression of the
optic nerve in its canal and in 21 in the intraorbital
section was performed. Improvement in vision was
obtained in 44 patients, 52 did not improve, and in 4
cases their vision deteriorated.
Conclusions: 1. Posttraumatic optic nerve neuropathy is
an indication for immediate steroid therapy. 2.
Progressive vision loss in the optic nerve canal
fracture is an indication for its decompression. |
| Słowa kluczowe: |
ślepota pourazowa,
pourazowa neuropatia nerwu wzrokowego. |
| Key words: |
posttraumatic blindness,
posttraumatic optic nerve neuropathy. |
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