International Journal of Clinical Research

Objective: To analyze the effect of surgical treatment of brain trauma combined with optic nerve injury. Methods: The patients with brain trauma combined with optic nerve injury (n=60) admitted in our hospital from February 2020to February 2022 were selected as the subjects of this study. Randomized numerical table method was used to divide the patients into reference group (n=30) and experimental group (n=30). The former was given conservative treatment, and the latter was given surgical treatment. The therapeutic effects of the two groups were compared. Results: After treatment, the patients in the experimental group achieved different degrees of visual acuity recovery, of which 76.67% were significantly effective, with significant recovery; The effective rate was 23.33%, and vision was impaired; The invalid rate was 0.00%, and there were no blind patients. In the reference group, after treatment, 43.33% of the patients had good visual acuity; The effective rate was 26.67%, the visual acuity was decreased, and the ineffective rate was 30.00%. There were 2 cases of blindness. The effective rate of the two groups was higher in the experimental group (P<0.05). Conclusion: The effect of surgical treatment is obviously better than that of conservative treatment in patients with brain trauma combined with optic nerve injury. The patients with improved vision after surgery can be changed to conservative treatment. For patients with optic nerve injury, no matter the primary or secondary, early surgical treatment is required.

Brain Trauma; Optic Nerve Injury; Surgical Treatment; Conservative Treatment; Therapeutic Effectiveness