Acupuncture and Lifestyle Myopia in Primary School Children—Results from a Transcontinental Pilot Study Performed in Comparison to Moxibustion

Xiaojuan, Shang; Chen, Luquan; Litscher, Gerhard; Sun, Yanxia; Pan, C.; Liu, Cun‐Zhi; Litscher, Daniela; Wang, Lu

doi:10.3390/medicines5030095

Cited by 11 publications

(13 citation statements)

References 7 publications

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“…To date, there is no published evidence that treatments have any significant effect on myopia control. [25][26][27] Prior to enrolling in ortho-k, 27% of participants in the current study had tried myopia control using these alternative methods, but stopped due to ineffectiveness, high cost and inconvenience.…”

Section: Discussionmentioning

confidence: 99%

Analysis of parental decisions to use orthokeratology for myopia control in successful wearers

Wang

Yang

Liu

et al. 2020

Ophthalmic Physiologic Optic

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Purpose To investigate factors that influence parental decisions to use orthokeratology (ortho‐k) as a myopia control method for their children, and parents’ perspectives during children’s ortho‐k treatment in a hospital setting. Methods Parents/guardians of children wearing ortho‐k lenses for at least six months were required to complete a face‐to‐face survey to investigate the reasons for choosing ortho‐k and their experience of the treatment. Results Parents/guardians of 128 ortho‐k wearers were recruited from the West China Hospital, Sichuan, China. The majority of the participants (74%) were mothers. Wearers' mean age at the time of the survey was 12.0 ± 2.0 years, with a mean history of ortho‐k lens wear of 20.3 ± 8.0 months. Most participants had learned about ortho‐k through word of mouth (56%) or from ophthalmologists (40%); in China, only ophthalmologists may prescribe ortho‐k. The highest ranked motivation was the rapid progression of their children’s myopia (54%), followed by ophthalmologists’ advice (17%) or participants’ who felt they had obtained enough knowledge (17%) of ortho‐k (Kruskal‐Wallis test, p = 0.002). ‘Effectiveness' was the most common reason that participants decided to use ortho‐k (81%), and potential injury was their major concern (75%). Itchy/sore eye was the most common initial adverse effect experienced with lens wear (22%), while a lost or broken ortho‐k lens was the most frequently reported problem (34%). Parents of older lens wearers were significantly less involved in all procedures (Spearman rank correlation test, all p < 0.001). Most wearers, according to either the participants or the wearers themselves, were willing to wear ortho‐k lenses at treatment commencement (80%), and the most common reason was ‘to avoid having to wear spectacles in the daytime’. Conclusions The most powerful motivation for parents to enrol their children in ortho‐k treatment was the rapid progression of myopia. The main reason why participants chose ortho‐k, which most participants learned of by word of mouth, was the effectiveness of the treatment. During use, the most common symptom reported was itchy or sore eyes, but only initially. Children’s willingness to participate is very important for successful ortho‐k treatment; however, their motivation can be quite different from that of their parents. Ortho‐k is a well‐accepted option for myopia control in children.

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Section: Discussionmentioning

confidence: 99%

Analysis of parental decisions to use orthokeratology for myopia control in successful wearers

Wang

Yang

Liu

et al. 2020

Ophthalmic Physiologic Optic

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“…Acupuncture-moxibustion is one major part of traditional Chinese medicine (TCM). Acupuncture treatment can produce certain effect in reducing myopia in kids [ 19 ]. Nevertheless, acupuncture requires high operation skills and most children are afraid of needling, which make it difficult for large-scale promotion.…”

Section: Research Backgroundmentioning

confidence: 99%

Auricular acupressure for myopia prevention and control in children and its effect on choroid and retina: a randomized controlled trial protocol

Han

Kong

Zhao

et al. 2021

Trials

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Background Nowadays, because of the increasing incidence, the prevention and control of myopia has become an urgent issue. In China, auricular acupressure has been commonly used in the clinical treatment of myopia in children, but the exact effectiveness remains unproven. The purpose of this trial is to observe the efficacy of auricular acupressure in myopia prevention and control, as well as its effect on the choroidal and retinal thickness. Method/design A total of 480 subjects at 8–9 years old will be randomized in a 1:1 ratio to an intervention group versus a control group. The intervention group will receive auricular acupressure for 12 months, while the control group will be taken as a blank control. The primary and secondary outcomes will be measured at baseline, and again at 3, 6, 9, and 12 months after recruitment. The myopia incidence (spherical equivalent ≤ − 0.50 D) and the mean change of spherical equivalent will be taken as the primary variables; the secondary outcome measures include axial length, uncorrected visual acuity, and choroidal and retinal thickness. Discussion This trial aims to evaluate the effectiveness of auricular acupressure for myopia prevention and control with objective evidence and to preliminarily explore the plausible mechanism and provide reference for adopting this approach to retard the onset and control the progression of myopia. Trial registration Chinese Clinical Trial Registry ChiCTR2000038456. Registered on September 23, 2020.

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“…[ 24 , 25 ] In addition, some randomized controlled trials (RCTs) have reported that acupuncture, as an adjuvant therapy, can effectively improve the diopter and vision in the sense of myopic children. [ 26 , 27 ] Deqi is considered to be an important parameter to achieve curative effect in acupuncture treatment in traditional Chinese medicine theory and practice. [ 28 ] Deqi is a complex cluster of sensation evoked by acupuncture stimulation, including aching, dull, heavy, numb, radiating, spreading, and tingling.…”

Section: Introductionmentioning

confidence: 99%

Clinical study on acupuncture acupoints around the eyes in treating myopia in children and adolescents

Huang¹,

Yang²,

Huang³

et al. 2020

Medicine

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Introduction: Myopia is the most common cause of avoidable visual impairment worldwide, which causes huge economic burden and social burden. There are several ways to treat and reduce myopia, but all have drawbacks; this reality drives us to search for additional effective and low-risk interventions of treatment for myopia. Acupuncture is an ancient therapy with a history of thousands of years and is now widely used in the medical system. Some randomized controlled trials have reported that acupuncture, as an adjuvant therapy, can effectively improve the diopter and vision in the sense of myopic children. Deqi is a long-standing belief to ensure the efficacy of acupuncture in the treatment of myopia, but this belief has not been confirmed by sufficient evidence of randomized controlled trials. Methods: This clinical study is a parallel-group, randomized controlled, and single blind study. Three hundred eligible adolescents will randomly be divided into acupuncture Deqi group, acupuncture without Deqi group, and waiting list group. All groups will be given frame glasses for corrective treatment; patients in the acupuncture Deqi group will be treated with acupuncture at acupoints around the eyes and flat puncture to Deqi, while acupuncture without Deqi group will not flat puncture to Deqi. The waiting list group will not receive acupuncture treatment. The primary outcome will be diopter measurement. Adverse events and safety indexes will be recorded throughout the study. Discussion: Our study will compare acupuncture Deqi with acupuncture without Deqi, and place it in a control group for the treatment of myopia. The results of this trial are expected to provide solid evidence for the effectiveness and safety of acupuncture combined with Deqi in the treatment of myopia, and hope to provide a reference for clinical practice. The primary outcome will be diopter measurement of the patients before treatment. Trial registration: ChiCTR2000037874, registered September 3, 2020.

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Acupuncture and Lifestyle Myopia in Primary School Children—Results from a Transcontinental Pilot Study Performed in Comparison to Moxibustion

Cited by 11 publications

References 7 publications

Analysis of parental decisions to use orthokeratology for myopia control in successful wearers

Analysis of parental decisions to use orthokeratology for myopia control in successful wearers

Auricular acupressure for myopia prevention and control in children and its effect on choroid and retina: a randomized controlled trial protocol

Clinical study on acupuncture acupoints around the eyes in treating myopia in children and adolescents

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