创伤性视神经损伤诊治进展

Progress in diagnosis and treatment of traumatic optic nerve injury

创伤性视神经损伤,又称外伤性视神经病变(TON),是颅面创伤的一种严重并发症,可直接或间接损害视神经,甚至导致严重视力丧失。TON发病紧急,早期识别和及时有效的治疗对视力的恢复至关重要。TON的治疗方案包括糖皮质激素治疗、视神经减压术以及糖皮质激素治疗联合视神经减压术等,但不同治疗方案的疗效报道差异较大,因此对于治疗方案的选择目前仍存争议,而TON发病后视神经保护和再生的研究仍处于实验探索阶段。本文主要围绕TON的诊治进展作一述评,以期为后续探索更加有效、合理的诊疗方式提供参考。

Traumatic optic nerve injury,also known as traumatic optic neuropathy(TON),is a serious complication of craniofacial trauma that directly or indirectly damages the optic nerve and leads to severe visual loss.TON is an emergency situation,early identification and timely and effective treatment are crucial for the recovery of vision.The treatment options for TON include corticosteroid therapy,optic nerve decompression surgery,and a combination of corticosteroid therapy and optic nerve decompression surgery.However,there are significant differences in the therapeutic effect reported in the literature,and the choice of treatment is still controversial.The research on optic nerve protection and regeneration after the onset of TON is still in the laboratory stage.This article mainly reviews the progress in the diagnosis and treatment of TON,in order to provide reference for exploring more effective and reasonable diagnosis and treatment methods in the future.