No abstract

This study consisted of a single centre randomised controlled trial with two parallel arms: an acupuncture group ( = 20) with 27 affected eyes and a sham group ( = 20) with 23 affected eyes. Participants in the acupuncture group received acupuncture treatment once daily, three times weekly for four weeks. Participants assigned to the control group received sham acupuncture, the same protocol as that used for the acupuncture group but without insertion of needles into the skin. The primary outcome measure was the cervical range of motion (CROM) score. Secondary outcome measures were the palpebral fissure size, response rate, and adverse events. All 40 participants completed the study. In the comparison of acupuncture and sham acupuncture, a significant difference was observed between acupuncture and sham acupuncture in CROM score (21.37 ± 15.16 and 32.21 ± 19.54, resp.) ( < 0.05) and palpebral fissure size (7.19 ± 2.94 and 5.41 ± 2.45, resp.) ( < 0.05). Response rate was also significantly different in the acupuncture group ( < 0.05). No adverse events were reported in both groups in this study. In summary, it was demonstrated that acupuncture had a feasibility positive effect on oculomotor paralysis.

대한한방내과학회지 제4 0 권 2 호( 2 0 1 9 년 5 월) J .I n t .K o r e a nMe d .2 0 1 9 ; 4 0 ( 2 ) : 2 7 0 -2 7 8 h t t p : / / d x . d o i . o r g / 1 0 . 2 2 2 4 6 / j i k m. 2 0 1 9 . 4 0 . 2 . 2 7 0 2 7 0 ․투고일:2 0 1 9 . 0 3 . 2 8 ,심사일:2 0 1 9 . 0 5 . 3 1 ,게재확정일:2 0 1 9 . 0 5 . 3 1 ․교신저자:권승원 서울시 동대문구 회기동 1 번지 경희대학교 한방병원 순환신경내과학교실 TEL:0 2 -9 5 8 -9 2 7 5 FAX:0 2 -9 5 8 -9 1 3 2 E-ma i l :k k o k k o t t u n g @h a n ma i l . n e t

A 70-year-old Korean female with diplopia and left ptosis due to oculomotor nerve palsy presented to the hospital. The patient was treated with electroacupuncture, sweet bee venom pharmacopuncture, and moxibustion. She also received acupuncture and herbal medicines Siryeng-tang and Boikyangwi-tang. The change in length (mm) from the medial canthus to the lateral iris was measured to evaluate limitation of eye movement, and Numeric Rating Scale (NRS) for diplopia. Limitation of eye movement and diplopia was used to determine diplopia. The limitation of eye movement and diplopia were improved after the administration of the Korean medicines. Korean medicine may be effective in treating limitation of eye movement and diplopia due to oculomotor nerve palsy.

In this study, five cases of post-stroke vision disorders are presented. The patients had no distinctive change in vision disorders before Korean medical treatment, which included herbal medicine, acupuncture, and electroacupuncture. After 11 to 28 days of Korean medical treatment, the patients experienced the first improvement of vision disorders after stroke. Also, patients who received Korean medical treatment after 30 days from onset, the duration in which the most improvement of post-stroke vision disorders occurs, progressed their vision disorders by the start of Korean medical treatment. Korean medical treatment might be effective in treating vision disorders after stroke.