Patient's question:
Patient Age: 70, has been wearing glasses for over 40 years, said to have corneal atrophy.Doctor's answer:
There is no such term as "corneal atrophy." It is actually "optic nerve atrophy." The primary treatment is to address the underlying cause. Once the optic nerve atrophy has developed, 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 lack of strict double-blind trials for various medications and sometimes the impossibility of conducting them, it is difficult to determine which specific drugs or methods are definitely effective. Commonly used medications include neurotrophic agents such as vitamin B1, B12, ATP, and coenzyme A, as well as vasodilators and blood-activating herbs such as niacin, dibazol, vitamin E, Venoruton, and Compound Danshen. In recent years, methods such as hyperbaric oxygen therapy, extracorporeal counterpulsation, acupoint injection of 654-2, and others have shown 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 is forbidden to smoke or consume strong alcohol, and enhancing physical fitness through exercises, Qigong, and other methods may also yield some benefits in certain cases. In case of severe eye pain accompanied by headache, vomiting, or other symptoms, immediate medical attention is required. Additionally, there may be no warning signs at all, which is why regular eye examinations are necessary.