43 years old, optic atrophy, what should I do?

Patient's question:

Vision loss, field defect, mild optic disc hemorrhage

Doctor's answer:

Once the optic nerve atrophy occurs, it is almost impossible to cure it completely, but it is entirely possible to restore or maintain the function of the remaining nerve fibers. Therefore, it is essential to instill confidence in the patient and encourage them to persist with treatment. Due to the failure to conduct strict double-blind trials (sometimes not permitted) for various medications, it is difficult to determine which drugs or methods are definitively effective. Commonly used medications include neurotrophic agents such as vitamin B1, B12, ATP, and coenzyme A, as well as vasodilators and blood-activating herbs like niacin, hydralazine, vitamin E, pentoxifylline, and compound Danshen. In recent years, methods such as hyperbaric oxygen therapy, extracorporeal counterpulsation, and acupoint injection of 654-2 have achieved certain effects. Traditional Chinese medicine formulas like Bu Zhong Yi Qi Tang and acupuncture treatment have long been proven effective and can continue to be used and further developed. It should also be mentioned that smoking and drinking strong alcohol should be prohibited, and measures to enhance physical fitness, such as health exercises and Qigong, may also yield positive results in some cases.

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