How to treat neuroatrophy

Patient's question:

On June 22, he fell from a height of over 2 meters, resulting in intracranial hemorrhage. On July 2, his pupils dilated, and after undergoing a craniotomy at the hospital, he lost both eyes. On July 22, he was transferred to another hospital for neurosurgical treatment, where he still had light perception in his eyes. He requested electro-stimulation combined with ion and traditional Chinese medicine therapy to treat optic atrophy.

Doctor's answer:

1. Visual Evoked Potential (VEP) Examination
It can detect delayed P100 wave peak latency or/and significantly reduced amplitude. VEP can objectively assess visual function and holds great significance for the diagnosis of OA, monitoring of the disease, and evaluation of treatment efficacy.
2. Central Field Quantitative Threshold Examination Program Using a Common Computer-Automatic Perimeter
It can reveal concentric constriction. Sometimes, it may suggest the cause of the disease, such as bitemporal hemianopia requiring exclusion of intracranial chiasmal lesions, and large central or paracentral scotomas requiring exclusion of Leber hereditary optic neuropathy. This test can be used for visual function assessment and is of great importance for the diagnosis of OA, monitoring of the disease, and evaluation of treatment efficacy.
3. Cranial or Ocular CT, MRI Examination
It can reveal focal lesions in the intracranial or orbital space compressing the optic nerve in patients with compressive and infiltrative optic neuropathy; and demyelinating lesions in the white matter of the central nervous system in patients with opticospinal meningitis, multiple sclerosis, etc. This test can exclude or confirm compressive and infiltrative optic neuropathy, as well as demyelinating lesions in the etiological diagnosis of OA.
4. Utilizing Genetic Testing Technology
By detecting mitochondrial DNA or nuclear genes in blood, other body fluids, or cells, it can identify mutations at corresponding genetic loci in patients with OA caused by hereditary optic neuropathy. This test can exclude or confirm hereditary optic neuropathy in the etiological diagnosis of OA.