RU2494709C1 - Method of treating acute optic neuritis - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: invention relates to medicine, in particular to ophthalmology, and deals with treatment of acute optic neuritis. Method includes introduction of traumeel sublingually in dose 1 pill three times per day, lymphomyosot in dose 10 drops in 50-100 ml of water three times per day for 3 weeks. Also made are 10 injection cpurses of the following medications: traumeel in dose 2.2 ml every second day, cerebrum compositum in dose 2.2 ml two times per week with 3 day interval, coenzyme compositum in dose 2.2 ml two times per week with 3 day interval, hepar compositum in dose 2.2 ml two days per week with 3 day interval. Method includes carrying out hirudotherapy by application of 2-3 leeches on the region of temple and behind ears two times per week for two weeks.

EFFECT: method ensures recovery of vision acuity, elimination of absolute and relative scotomas, recovery of colour perception, normal picture of eye fundus, as well as elimination of all signs of inflammation, elimination of pain during movement of eye balls, improvement of health state.

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Description

The method relates to medicine, in particular to ophthalmology.

Acute neuritis is characterized by acute onset. The inflammatory process can affect peripheral or central fibers, which is manifested by a variety of visual impairment. It usually begins with a decrease in vision, which can fall within a few hours, less than a day.

Loss of vision is accompanied by severe inflammation of the optic nerve with impregnation of its exudate, enlargement, thickening, hyperemia, smoothing of the borders. Plasmorrhages, hemorrhages appear on the fundus. All these phenomena are accompanied by a deterioration in overall well-being, an increase in body temperature, headaches, and severe pain during the movement of the eyeballs, as well as the appearance of central absolute and relative cattle. The scotomas can be wedge-shaped, arch-like and square, there may be a loss of visual fields in the blind spot, both nasal and binasal. The disease is accompanied by a violation of color perception in red and green colors and can be either unilateral or bilateral.

A known method of treating optic neuritis is the introduction of the following drugs: dexamethasone 1 ml, retrobulbar 10 days and in the form of installations, oral prednisone, dicinone, diacarb or furaximide, suprastin, tavigil, astemol, broad-spectrum antibiotics. "Selected Lectures on Ophthalmology" edited by Tahchidi H.P. 2008 p. 205.

However, this method has significant drawbacks, each of these drugs can cause unwanted side effects: dysbiosis, allergic reactions, inhibition of the adrenal cortex, with long-term treatment, Yatsenko-Cushing's syndrome develops, arterial and intraocular pressure may increase. Also, the above therapy is contraindicated in patients with diabetes mellitus, pregnant and lactating women, epilepsy, nephropathy and coronary heart disease.

The objective of the invention is to provide an effective method of acute neuritis.

The technical result of the invention is the restoration of visual acuity, the elimination of absolute and relative livestock, the restoration of color perception of red and green colors, the restoration of a normal picture of the fundus, as well as the elimination of all signs of inflammation: the elimination of pain when moving the eyeballs, improving well-being.

The technical result is achieved by the fact that in the method of treating acute optic neuritis, including complex treatment using drugs according to the invention, the treatment is carried out by ingestion for three weeks of traumeal sublingually 1 tablet three times a day, lymphomyazotum 10 drops in 50 -100 ml of water three times a day; as well as conducting 10 injections under the skin of a traumeel, 2.2 ml every other day, cerebrum of the compositum 2.2 ml twice a week with an interval of 3 days, coenzyme of the compositum 2.2 ml twice a week with an interval of 3 days, hepar compositum 2.2 ml twice a week with an interval of 3 days; and hirudotherapy by staging 2-3 leeches on the temple area and behind the ears twice a week for two weeks.

All of the above drugs, being anti-homotoxic, cause regressive vicariation, rapid detoxification of the body.

Lymphomiazot contains 17 components that provide lymphatic drainage, anti-exudative, detoxification, anti-allergic effect.

Traumeel contains 11 components that have anti-inflammatory, antiexudative, immunostimulating, regenerating, analgesic, antihemorrhagic, venotonic effects.

Cerebrum compositum - consists of 26 components, eliminates disorders of cerebral circulation, mental exhaustion, depressive states, impaired memory, stimulates the body's defenses, stimulates the detoxification functions of the liver.

Coenzyme compositum consists of 26 components that activate tissue respiration redox processes (Krebs cycle), have an antioxidant and detoxifying effect.

Hepar compositum contains 25 components that have hepatoprotective, detoxification, metabolic, keratolytic pharmacological effects.

Hirudotherapy has: anticoagulant, antithrombotic painkillers, bactericidal, bacteriostatic properties, in addition, it changes the permeability of tissues, accelerates the transport of water ions, the degree of hydration, facilitates the penetration of biologically active substances into the body, increases the phagocytic activity of blood neutrophils and immunity.

The advantage of the proposed treatment is good tolerance, ease of implementation, the absence of side effects and complications, the treatment has no contraindications for various general somatic concomitant diseases, the possibility of its termination after achieving positive results and repetition in relapse.

The described scheme allows for treatment both on an outpatient basis and in a hospital.

The method is illustrated by a clinical example:

Example 1. Patient M., aged 30, with complaints of eye pain during movement, headache, decreased visual acuity, and central vision loss in the form of a spot. Ill 5 days ago. Before applying to the Eye Microsurgery FSBI, the patient was not treated, since she had a 3-month-old breast-fed baby. Symptoms increased and when handling visual acuity:

VOD = 0.04 with correction - 2.5 = 0.5-0.6

VOS = 0.04 with correction - 2.5 = 1.0

Intraocular pressure of 20/20 mm Hg, visual fields - the central scotoma, narrowing of the visual fields to red and green by 30 and 20 degrees on the periphery.

Optical coherence tomography (OCT) revealed a 4-fold increase in the diameter of the optic nerve disk and extension into the vitreous body, lack of excavation, thinning of the neuroepithelium in both eyes, and edema in the macular zone. The threshold of sensitivity decreased to 200 units (norm 40-80).

The patient underwent both ophthalmological and general clinical examination. No pathology of the central nervous system was revealed; the debut of multiple sclerosis was ruled out. According to the results of the examination, the diagnosis was made: acute optic neuritis and treatment was prescribed according to the proposed method in accordance with the claims, while the patient took 1 tablet three times a day traumeel sublingually, 10 drops in 50-100 lymphomasit ml of water three times a day, she was given 10 injections of 2.2 ml in each ampoule under the skin of the forearm of the traumeel, cerebrum compositum, coenzyme compositum, hepar compositum, and hirudotherapy was performed by setting 2 leeches per the temple area and 2 leeches for the ears, twice a week, for two weeks, only 4 sessions.

A headache passed already in a day, general health improved, visual acuity increased by 10%. On the third day, visual acuity in the right eye was 1.0, visual acuity in the left eye with a correction of 1.2, by the end of the second week, all ophthalmic indicators returned to normal. On OCT, which was carried out in dynamics, every 3 days, excavation of the optic nerve was restored on the 14th day from the start of treatment.

Thus, the proposed treatment regimen for optic neuritis made it possible to restore visual acuity and even improve the color perception on the double eye from 1.0 to 1.2, eliminate scotomas, without stopping breastfeeding, and improve the patient's quality of life.

Claims (1)

A method for the treatment of acute optic neuritis, including complex treatment with the use of drugs, characterized in that the treatment is carried out by administering intravenously within three weeks of traumeal 1 tablet sublingually three times a day, 10 drops of lymphomyazot in 50-100 ml of water three times in a day; as well as conducting 10 injections under the skin of a traumeel, 2.2 ml every other day, cerebrum of the compositum 2.2 ml twice a week with an interval of 3 days, coenzyme of the compositum 2.2 ml twice a week with an interval of 3 days, hepar compositum 2.2 ml twice a week with an interval of 3 days; and hirudotherapy by staging 2-3 leeches on the temple area and behind the ears twice a week for two weeks.