Clinical Observations on Jin’s Eye Three-needle Acupuncture as Main Therapy for Acquired Paralytic Strabismus / 上海针灸杂志

ObjectiveTo investigate the clinical efficacy of Jin’s eye three-needle acupuncture as main therapy for acquired paralytic strabismus.MethodSeventy patients with acquired paralytic strabismus were randomly allocated to acupuncture and Western medication groups. Both groups of enrolled patients took prednisone,methycobal, vitamin B1and vitamin B12. In addition, theacupuncture group received Jin’s eye three-needle acupuncture as main therapy. The clinical therapeutic effects and adverse reactions were observed after four and eight weeks of treatment.ResultThe total efficacy rate was 75.0% in the acupuncture group and 51.6% in the Western medication group after four weeks of treatment and 90.6% in the acupuncture group and 77.4% in the Western medication group after eight weeks of treatment. There were statistically significant differences between the two groups (P<0.05). Patients in the acupuncture group occasionally had acupuncture syncope and local blood stasis. Both groups had no special discomforts.ConclusionJin’s eye three-needle acupuncture has a quick and definite therapeutic effect on acquired paralytic strabismus.

Changes of chamber angle after phacoemulsification combined with goniosynechialysis for primary angle-closure glaucoma / 第三军医大学学报

Objective To observe the changes of chamber angle after phacoemulsification and goniosynechialysis(Phaco-GSL) for primary angle-closure glaucoma(PACG) with cataract,and evaluate the therapeutic effect of Phaco-GSL on PACG.Methods Fifty patients(50 eyes) with PACG and cataract were treated in our hospital,and peripheral anterior synechiae(PAS) of all their affected eyes was over 180 degrees.By single blind method,they were randomly divided into Phaco-GSL treated group(treatment group) and single phacoemulsification group(control group).The chamber angles were checked with gonioscopy 1 and 3 months after operation,and intraocular pressure(IOP) of 50 eyes was examined 1 week,1 and 3 months after operation.Results ①In group A,the rate that chamber angles reopened were over 180 degrees was 100%,and the chamber angles were wide,trabecular meshwork visible in 5 cases(20%),scleral spur visible in 12 cases(48%) and ciliary band visible in 8 cases(32%).In group B,the chamber angles reopened over 180 degrees were in 12 cases(48%) 1 month after operation and PAS reoccurred in 2 affected eyes.The effect of reopening chamber angle in group A was better than that in group B(P180 degrees can be treated by cataract extraction combined with goniosynechialysis,while trabeculectomy is not necessary.