therapeutic regimen

1. Early treatment of ACTH with adequate corticosteroids has obvious curative effect. Dexamethasone 10 ~ 20 mg/d is usually given intravenously for 7 ~ 14 days, or methylprednisolone 500 ~ 1000 mg/d is given intravenously for 3 ~ 5 days, and then prednisone is given for 40 days.

2. If the hormone is not effective, immunosuppressive drugs such as cyclophosphamide can be added to help improve eye symptoms and meningitis. Pay attention to the side effects of hormones.

3. If there is an obvious increase in intracranial pressure, 20% mannitol should be used for dehydration to reduce intracranial pressure. In addition, such as vitamin C and freeze-dried human placental gamma globulin (placental globulin) can be given to enhance the body's resistance. High dose immunoglobulin 0.4g/(kg? D), lasting for 3 ~ 5 days, and plasma exchange treatment for acute patients, the effect is quite good. In the eye treatment, the pupil should be fully dilated with 1% atropine and kept dilated until the inflammation disappears, which is the key to maintaining vision.

4. Wet and hot compress can also be applied locally to strengthen blood circulation and improve local resistance, and at the same time, it can accelerate the discharge of eye toxins and promote the disappearance of inflammation.