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视神经萎缩失明能恢复吗 汪琳 河南中医药大学第三附属医院 视神经萎缩要使之痊愈几乎不可能,但是其残余的神经纤维恢复或维持其功能是完全可能的。视神经萎缩是指任何疾病引起视网膜神经节细胞和其轴突发生病变,引起视神经胶质的增生,视网膜视神经节细胞丢失,神经纤维变性或者坏死,使视神经功能严重障碍的一种疾病。视神经萎缩是视神经病损的最终结果,分原发性和继发性。一旦患了视神经萎缩,病因治疗是首要的。青光眼导致视神经萎缩,首先要降眼压。肿瘤压迫导致视神经萎缩,应去除肿瘤缓解压迫。炎症引起视神经萎缩,要抗炎或使用激素。中毒导致视神经萎缩,要脱离中毒源。全身疾病导致视神经萎缩,要积极治疗原发病。视神经萎缩要使之痊愈几乎不可能,但是其残余的神经纤维恢复或维持其功能是完全可能的。因此应使患者充满信心,坚持治疗。常用的有营养神经药物如维生素B1、B12、甲钴胺ATP及辅酶A等,中药结合针灸治疗视神经萎缩有一定效果。 Can optic atrophy and blindness be restored It's almost impossible to cure optic atrophy, However, it is possible for the remaining nerve fibers to restore or maintain their functions. Optic atrophy refers to the pathological changes of retinal ganglion cells and their axons caused by any diseases, It causes the proliferation of optic glia, Loss of retinal ganglion cells, Degeneration or necrosis of nerve fibers, A disease that seriously impairs the function of the optic nerve. Optic atrophy is the final result of optic neuropathy, It is divided into primary and secondary. Once you have optic atrophy, The treatment of etiology is primary. Glaucoma causes optic atrophy, First, reduce intraocular pressure. Tumor compression leads to optic atrophy, The tumor should be removed to relieve compression. Inflammation causes optic atrophy, Anti inflammatory or hormone use. Poisoning causes atrophy of the optic nerve, Keep away from the source of poisoning. Systemic diseases cause optic atrophy, We should actively treat the primary disease. It's almost impossible to cure optic atrophy, However, it is possible for the remaining nerve fibers to restore or maintain their functions. Therefore, patients should be confident, Insist on treatment. Commonly used neurotransmitters include vitamin B1, B12, Mecobalamin ATP, coenzyme A, etc, Traditional Chinese medicine combined with acupuncture has certain effect on optic atrophy.