Purpose To evaluate the short-term effect of acupuncture on the intraocular pressure (IOP) in healthy subjects. Methods A randomised controlled double-blinded trial was performed. 48 healthy volunteers (94 eyes) were randomly allocated to three groups: acupuncture group-19 subjects (38 eyes) were submitted to a 20 min session of acupuncture (GB1, GB14 and BL1); sham group-14 subjects (27 eyes) were submitted to a 20 min session of acupuncture with needles inserted in false points; and control group-15 subjects (29 eyes) who underwent no intervention. All subjects had the IOP measured by a masked investigator using Goldmann applanation tonometry immediately before intervention, as well as 20 min and 24 h after. Results The mean (SD) IOP in the acupuncture group was 17.9 (3.3) mm Hg at baseline, 16.4 (3.9) mm Hg at 20 min and 16.3 (3.3) mm Hg at 24 h. The mean (SD) IOP in the sham group was 18.6 (3.3) mm Hg at baseline, 17.7 (2.6) mm Hg at 20 min and 15.9 (3.6) mm Hg at 24 h. The mean (SD) IOP in the control group was 16.9 (3.5) mm Hg at baseline, 16.5 (3.8) mm Hg at 20 min and 15.8 (3.3) mm Hg at 24 h. There was no statistically signifi cant difference in the IOP variation (post-intervention minus baseline measurements) between groups after 20 min (p=0.13) and 24 h (p=0.21). Conclusion Acupuncture in the studied points did not produce signifi cant short-term effect on the IOP of healthy individuals in comparison with control groups. Clinical Trials Registration Number: NCT00639977
INTRODUCTIONAcupuncture is an ancient Chinese technique of needle insertion through the skin with therapeutic purpose. It is used to treat many diseases although the evidence of its benefi t is controversial.1 In recent decades, research has been conducted to study acupuncture's effectiveness and mechanism of action.
2Experimental studies have demonstrated a hypotensor ocular effect of acupuncture in rabbits and dogs. [3][4][5] Previous studies in humans have also described intraocular pressure (IOP) reduction. Chu and Potter (2002) hypothesised that acupuncture could reduce the aqueous humour fl ow rate through an endogenous mechanism, possibly by an induced decrease of catecholamine levels. 4 However, these studies present controversial scientifi c methodology as absence of control group, no randomisation, reduced sample or inadequate blinding of the IOP measurement. The aim of this study was to evaluate the short-term effect of acupuncture on the IOP of healthy individuals.
MATERIALS AND METHODSA randomised controlled double-blinded trial was performed. The study was carried out in keeping with the guidelines of the Declaration of Helsinki and the protocol was approved by the research ethics committee of the Federal University of São Paulo. Healthy subjects from both genders aged over 21 years were invited to participate. Individuals who had past history of glaucoma, intraocular surgery, corneal alterations and patients taking any kind of medicine that acts on the IOP, as well as those who did not give informed consent or wer...