Analysis of the medical care provision to patients with optic nerves atrophy
DOI:
https://doi.org/10.15587/2313-8416.2015.47984Keywords:
atrophy, optic nerve, descending, ascending, treatment, care, analysis, defects, optimizationAbstract
Optic nerves atrophy (ONA) – the heavy form of ophtalmopathology that is attended with progressive decrease of optic functions, changes of fields of view and discoloration of the disks of optic nerves. The aim of research – carry out an analysis of the medical care provision to patients with ONA
Methods. There were examined patients who were consulted in neuroophtalmological department. The first group (1667 patients) with descending ONA, the second group (330 patients) with ascending one
Results. In the group of patients with descending ONA 57,8 % underwent surgical treatment of the main disease, and 37,4 % underwent conservative treatment in early postsurgical period. The prophylactic medical examination of patients with descending ONA is almost total (70,6 % in neuroophtalmological department and 29,4 % on a residence). Patients with ascending ONA undergo conservative treatment. The preparations that improve blood circulation are prescribed more often - 92,1 %. Antioxidants are on the first place among preparations that improve metabolic processes (79,1 % of cases). The remedies that normalize the penetrability of the vascular wall are prescribed in 47,3 % cases. 56,1 % of patients undergo electrostimulation of optic nerves, 49,1 % – electrophoresis of remedies, 45,2 % - ultrasound therapy with medicaments or without it
Discussion. An analysis detected the significant difference in tactics of treatment patients with ascending and descending ONA. The further study and improvement of the system of medical care provision to these groups of patients is needed
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