Can traumatic mydriasis recover, and what is the effect on vision, and I died suddenly!!

I think it can be recovered, but not careless, pay attention to the light and rest, try not to use your eyes, of course, it is better to go to a specialized hospital to see.

It's mainly to see if the eyes are human eyes, and if they are human eyes, you have to go to the hospital.

If it's the eyes of cows, horses and dogs, then don't do it directly, this is the most direct and convenient for me.

The pupil is the hole in the eyeball**, where light enters. Usually the average diameter is about 2 5 mm, the two sides are equal, and can vary with the intensity of the light entering the eye, and this expansion and contraction is innervated by both sympathetic and parasympathetic nerves. From the shape, size, and color changes of the pupil, whether the two sides are equally round, and whether they are equal in size, we can find the possibility of some diseases.

1) The shape of the pupil.

A normal pupil should be an equal-sized perfect circle. oval pupils, which may be seen in glaucoma or intraocular tumors; The pupil is irregular, which can be caused by iris adhesion and traction due to inflammation.

2) The size of the pupil.

The average normal diameter of the pupil is about 2 5 mm, and if the diameter of the pupil is less than 1 5 mm or more than 5 mm under normal light, it is sick. Miosis may be caused by iritis, organophosphate pesticide or mushroom poisoning, and drugs such as morphine. Pupil dilation can be seen in trauma, glaucoma, optic nerve atrophy, etc.

In addition, dying people's pupils are usually extremely dilated and do not respond to light.

3) Inconsistent pupil size.

The presence of this condition often indicates the presence of intracranial lesions such as traumatic brain injury and brain tumors. If the size of the pupils is inconsistent and variable, it may be a central nervous system disorder. It is worth mentioning that venereal diseases have re-emerged in recent years, and neurosyphilis can also cause different pupil sizes, or even large differences, which need to be paid attention to.

4) The color of the pupils.

The color of the pupils looks like well water, dark and clear, and the waves are flickering. Some of its color abnormalities often indicate some diseases. Redness of the pupils.

It is mostly caused by trauma, but also due to the bleeding disease of the eye itself, which often has a greater impact on vision and requires immediate medical attention. The pupils turn yellow.

In medicine, there is an eye disease called "black cat's eye", which is almost a manifestation of retinoblastoma. Characteristics are found in children. When daylight hits the pupils, a cat's eye-like yellow light emits from the depths of the eyes, giving people a chilling feeling.

The appearance of this disease is related to family inheritance, and the degree of malignancy is extremely high, so it needs to be carried out as soon as possible**. In addition to this condition, other purulent diseases of the eye can occasionally cause yellowing of the pupils. The pupils become blue.

When the pressure inside the eye is too high, such as glaucoma, the pupil can appear blue. In addition to this, there will also be significant eye tenderness, and immediate medical attention should be sought to reduce the excessive eye pressure, otherwise it will cause blindness.

It is recommended to take a look at the traditional Chinese medicine Yishi Shugan decoction** to recover.

You see if this helps you.

Dr. Xu: Hello! Thanks for the reply!

I am a netizen who consulted you on February 13, my daughter was 6 years old and two months ago, her left eye was scratched by a plastic sheet, and there was blood in the anterior chamber, and she performed blood clearing, and her vision was restored, and the problem was: the iris was injured, a little deformed, and the pupil could not be contracted back with 5mm, and the eyes could not be opened when exposed to sunlight. Your reply is:

This traumatic mydriasis or distortion usually resolves in three to six months. If it hasn't recovered for three to six months, it's hard to recover. I would like to ask you again:

What you said about 3-6 months is it shrinking back on its own, or through drugs or other ** methods, if it does not shrink back in 3-6 months, is there any other ** way to make it shrink back. I saw it at Wenzhou Eye Hospital, and now the doctor says there is no way. Hope you can reply again!

Thank you so much! Dr. Koh: Hello. Generally, it recovers on its own, and if it can't be recovered, there is no way.

Because of the dilated pupil of the eye caused by trauma, the first thing to pay attention to is to check whether there is bleeding in the fundus, if the vision is severely reduced, you will be hospitalized**. Traumatic mydriasis can be relieved with medications, such as taking mydriasis, but in this case, if the medication is stopped, the pupils will dilate again. Pupil sutures can also be performed, when the condition is stable, but the pupil cannot be recovered, and the pupil is too large, and there is a fear of light, you can communicate with the doctor for surgery**.

The dilated pupil after trauma is caused by the temporary paralysis of the sympathetic nerve that partially innervates the pupil opening, and can be gradually recovered after a period of time.

At present, according to your condition, the pupils are dilated, the intraocular pressure is a little low, and the retinal edema indicates that the injury is serious, and there are obvious manifestations of ciliary muscle paralysis, retina**, and there may also be a small amount of intraocular hemorrhage, iris root disconnection, pupil irregularity, and traumatic uveitis.

At present, it is necessary to do B-ultrasound first, and it is necessary to determine whether there is ciliary detachment, ciliary body tear, etc.

At the same time, if the strength is weak, you should rehydrate every day, apply hormones for a week, or even longer.

In the current two weeks, you must take absolute rest, never exercise, go to work, etc., absolute rest! Not to mention watching the computer and watching TV, etc.

Traumatic mydriasis is common in ocular contusion, caused by iris sphincter paralysis, often combined with anterior chamber hemorrhage, iridocyclitis, early intraocular hypertension and, or late intraocular hypotension, iris root disconnection, etc. Milder eye contusions have mildly dilated pupils that do not require treatment, only eye contusion, and the pupils will soon recover on their own. The pupils of severe eye contusions are extremely dilated, and the pupils are difficult to recover even after recovering from trauma, and patients will have decreased vision or blurred vision due to photophobia, and can also have difficulty reading due to the loss of adjustment of cycloplegia, and the treatment method is to wear sunglasses when going out and wear glasses for reading.

In the early stage of trauma, hormone-containing eye drops, ophthalmotozoin eye drops, and energy mixture can be given, which is expected to promote the recovery of dilated pupils. Traumatic mydriasis is caused by paralysis of the pupillary sphincter and ciliary muscles due to external force, resulting in dilated pupils. Traditional Chinese medicine believes that due to the impact of external forces, Huang Ren (iris) is damaged, resulting in stagnation of qi and blood, blood stasis and heat, resulting in eye congestion; Blood fever is vain, overflowing outside the network and preceding blood accumulation; Qi stagnation cannot wrap semen, resulting in dilated pupils.

Fangzhong peach kernel, safflower breaks blood and stasis, Siwu soup nourishes blood and invigorates blood, bellflower is smooth and smooth qi and invigorates blood, Angelica angelica dispels wind and invigorates qi, Chuanxiong invigorates blood and qi, wolfberry nourishes liver and kidney essence, golden cherry seed astringent essence, schisandra chinensis astringent essence and lungs nourish kidney astringency; And use schisandra, golden cherry seeds, wolfberry and other medicines to converge the dilated pupils. To the eyeball congestion, anterior chamber hemorrhage plus Pu Huang, five spirit lipid hemostasis and blood activation, skullcap, chrysanthemum, gentian grass clear blood and diarrhea. This disease is caused by trauma, qi stagnation and blood stasis are the main pathogenesis, and those with large blood congestion areas add frankincense and myrrh to increase the power of blood circulation and blood stasis.