What to do with papilledema? This is the best treatment

The most obvious symptom of papilledema is mild blurred vision and temporary blackout that can last for a few seconds. In this case, treatment should be targeted at the primary disease. If it is confirmed to be intracranial hematoma, vascular lesions, or intracranial tumors, surgical decompression or removal of intracranial tumors, removal of hematomas, and reduction of intracranial pressure can improve vision.

1. Mainly for the treatment of the primary disease. If intracranial hematoma, vascular lesions, or intracranial tumors are diagnosed, surgical decompression or removal of intracranial tumors, removal of hematomas, and reduction of intracranial pressure can improve vision. However, for patients with optic disc atrophy, surgery may not help improve vision.

2. In addition to the treatment of the cause of optic neuritis , dexamethasone, hydrocortisone or adrenocorticotropic hormone can be used in the acute phase, placed in 500 ml of 5% glucose and dripped intravenously once a day, 10 to 15 days as a course of treatment; at the same time, large doses of antibiotics and B vitamins can be given. During the recovery phase of the disease, oral prednisone and the application of nerve activators can be used instead. For patients with optic atrophy, small amounts of repeated blood transfusions or hyperbaric oxygen therapy can be used. Other treatments such as the use of vasodilators, retrobulbar blockade, physical therapy, traditional Chinese medicine, etc. can also have certain effects.

3. For primary and secondary optic atrophy, the cause should be treated first. For example, for optic atrophy caused by meningitis, corresponding antibiotics should be used for the pathogen; for patients with multiple sclerosis, corticosteroids and immunosuppressants should be used for treatment; for optic atrophy caused by thrombosis of the central retinal artery or internal carotid artery, 10-20 ml of troxerutin (Vinaolutong) or Danshen 10-20 ml added to low molecular weight dextran or 706 generation plasma 500 ml can be given by intravenous drip, once a day, 10-14 days as a course of treatment; for optic atrophy caused by intracranial tumors, the tumor should be surgically removed to promote the recovery of vision.