Question

On June 22, I fell from over 2 meters high, resulting in intracranial hemorrhage. On July 2, my pupils dilated, and after undergoing craniotomy, I became blind. On July 22, I was transferred to another hospital’s neurosurgery department for treatment, and currently, I have light perception in my eyes. I am inquiring about the feasibility of treating optic nerve atrophy with electrical stimulation combined with ion influx and traditional Chinese medicine therapy.

Answer

  1. Visual Evoked Potential (VEP) testing can reveal delayed P100 wave latency or/and significantly decreased amplitude. VEP testing is crucial for objectively evaluating visual function and is significant for the diagnosis, disease monitoring, and efficacy assessment of optic nerve atrophy.
  2. Through the central visual field quantitative threshold test program, concentric contraction can be observed, which sometimes can suggest the cause. For instance, if there is binasal hemianopia, intracranial hypothalamic crossing space lesions should be excluded. Large central or para-central scotomas should be excluded for Leber’s hereditary optic neuropathy. This test is useful for assessing visual function and is important for the diagnosis, disease monitoring, and efficacy assessment of optic nerve atrophy.
  3. Head or ocular CT and MRI scans can show intracranial or orbital space-occupying lesions in compressive and infiltrative optic nerve diseases; patients with optic neuritis, multiple sclerosis, and other diseases may show demyelinating lesions in the central nervous system white matter. This examination can exclude or confirm compressive and infiltrative optic nerve diseases and demyelinating diseases in the etiological diagnosis of optic nerve atrophy.