Targeted shortwave diathermy combined with perceptual training for patients with severe traumatic optic neuropathy.

IF 1.4 4区 医学 Q3 OPHTHALMOLOGY
Qingping Tang, Hua Zhang, Huayang Deng, Quan Zhou, Wei Zhang, Mingqin Tian, Zilong Huang, Hui Jiang, Weihong Jiang, Zhihai Xie
{"title":"Targeted shortwave diathermy combined with perceptual training for patients with severe traumatic optic neuropathy.","authors":"Qingping Tang, Hua Zhang, Huayang Deng, Quan Zhou, Wei Zhang, Mingqin Tian, Zilong Huang, Hui Jiang, Weihong Jiang, Zhihai Xie","doi":"10.1177/11206721251319574","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Patients with severe traumatic optic neuropathy (TON) often show limited improvement in visual function despite therapy.</p><p><strong>Objective: </strong>This study aims to investigate whether targeted shortwave diathermy (SWD) combined with perceptual training enhances visual function in patients with severe TON following endoscopic optic nerve decompression (EOND) surgery.</p><p><strong>Methods: </strong>Forty patients with severe TON after EOND surgery were randomly assigned to either the rehabilitation (Reh) group (<i>n</i> = 24) or the non-rehabilitation (Nreh) group (<i>n</i> = 16). Subjects in the Reh group received targeted SWD therapy and perceptual training. Visual function, visual evoked potentials, and diffusion tensor imaging were evaluated.</p><p><strong>Results: </strong>After 16 weeks of rehabilitation, the best-corrected visual acuity (<i>p</i> = 0.006) and color vision scores (<i>p</i> = 0.026) in the Reh group improved significantly more than those in the Nreh group. Two children who had completely lost their visual acuity 62 and 73 days after experiencing TON regained visual acuity scores of 1.0 logMAR or lower after rehabilitation. After 10 weeks of rehabilitation, the mean P100 amplitude (<i>p</i> = 0.012) and fractional anisotropy (anterior segment, <i>p</i> = 0.032; middle segment, <i>p</i> = 0.014) of the affected nerves in the Reh group were significantly higher than those in the Nreh group.</p><p><strong>Conclusions: </strong>Targeted SWD combined with perceptual training demonstrated beneficial effects in patients with severe TON after EOND surgery. Notably, this study provides the first evidence of visual function recovery occurring 73 days after complete vision loss in child with TON when combined rehabilitation was implemented.</p>","PeriodicalId":12000,"journal":{"name":"European Journal of Ophthalmology","volume":" ","pages":"11206721251319574"},"PeriodicalIF":1.4000,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"European Journal of Ophthalmology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/11206721251319574","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"OPHTHALMOLOGY","Score":null,"Total":0}
引用次数: 0

Abstract

Background: Patients with severe traumatic optic neuropathy (TON) often show limited improvement in visual function despite therapy.

Objective: This study aims to investigate whether targeted shortwave diathermy (SWD) combined with perceptual training enhances visual function in patients with severe TON following endoscopic optic nerve decompression (EOND) surgery.

Methods: Forty patients with severe TON after EOND surgery were randomly assigned to either the rehabilitation (Reh) group (n = 24) or the non-rehabilitation (Nreh) group (n = 16). Subjects in the Reh group received targeted SWD therapy and perceptual training. Visual function, visual evoked potentials, and diffusion tensor imaging were evaluated.

Results: After 16 weeks of rehabilitation, the best-corrected visual acuity (p = 0.006) and color vision scores (p = 0.026) in the Reh group improved significantly more than those in the Nreh group. Two children who had completely lost their visual acuity 62 and 73 days after experiencing TON regained visual acuity scores of 1.0 logMAR or lower after rehabilitation. After 10 weeks of rehabilitation, the mean P100 amplitude (p = 0.012) and fractional anisotropy (anterior segment, p = 0.032; middle segment, p = 0.014) of the affected nerves in the Reh group were significantly higher than those in the Nreh group.

Conclusions: Targeted SWD combined with perceptual training demonstrated beneficial effects in patients with severe TON after EOND surgery. Notably, this study provides the first evidence of visual function recovery occurring 73 days after complete vision loss in child with TON when combined rehabilitation was implemented.

背景:严重创伤性视神经病变(TON)患者尽管接受了治疗,但视功能的改善往往有限:本研究旨在探讨靶向短波透热疗法(SWD)与知觉训练相结合能否增强内窥镜视神经减压术(EOND)后重度外伤性视神经病变患者的视功能:方法:将40名EOND手术后重度TON患者随机分配到康复(Reh)组(24人)或非康复(Nreh)组(16人)。Reh组的受试者接受有针对性的SWD治疗和知觉训练。对视觉功能、视觉诱发电位和弥散张量成像进行了评估:结果:经过 16 周的康复训练后,Reh 组的最佳矫正视力(p = 0.006)和色觉评分(p = 0.026)明显高于 Nreh 组。有两名患儿在经历 TON 62 天和 73 天后视力完全丧失,但在康复后视力恢复到了 1.0 logMAR 或更低。康复治疗 10 周后,Reh 组受影响神经的平均 P100 振幅(p = 0.012)和各向异性分数(前节,p = 0.032;中节,p = 0.014)明显高于 Nreh 组:结论:有针对性的SWD结合知觉训练对EOND手术后的重度TON患者有益。值得注意的是,这项研究首次证明,在实施联合康复治疗后,TON患儿的视功能可在完全丧失视力后73天恢复。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
CiteScore
3.60
自引率
0.00%
发文量
372
审稿时长
3-8 weeks
期刊介绍: The European Journal of Ophthalmology was founded in 1991 and is issued in print bi-monthly. It publishes only peer-reviewed original research reporting clinical observations and laboratory investigations with clinical relevance focusing on new diagnostic and surgical techniques, instrument and therapy updates, results of clinical trials and research findings.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信