Acupuncture for glaucoma-induced optic atrophy: a randomized controlled trial / 中国针灸

OBJECTIVE@#To observe the clinical effect of acupuncture for glaucoma-induced optic atrophy.@*METHODS@#A total of 70 patients (89 affected eyes) with glaucoma-induced optic atrophy were randomized into an observation group and a control group, 35 cases in each group. The control group was given basic western medicine treatment. In the observation group, on the basis of the treatment in the control group, acupuncture was applied at main acupoints i.e. Baihui (GV 20), Shangjingming (Extra), Chengqi (ST 1), Fengchi (GB 20), Zusanli (ST 36), combined with supplementary acupoints based on syndrome differentiation, once every three days, twice a week. The treatment for 3 months was required in both groups. Before treatment, after treatment and in follow-up of 6 months after treatment, the best corrected visual acuity (BCVA), intraocular pressure (IOP), indexes of visual field (visual field index [VFI], mean deviation [MD], pattern standard deviation [PSD]) and mean thickness of retinal nerve fiber layer (RNFL) were observed in the two groups.@*RESULTS@#Compared before treatment, BCVA was decreased after treatment and in follow-up in the control group (P<0.05); in the follow-up, BCVA in the observation group was higher than that in the control group (P<0.05). On each time point before and after treatment, there was no significant difference within or between the two groups (P>0.05). After treatment and in the follow-up, the mean thickness of RNFL was larger than the control group (P<0.05).@*CONCLUSION@#On the basis of the basic western medicine treatment, acupuncture can delay the decline of vision and the thinning of retinal nerve fiber layer in patients with glaucoma-induced optic atrophy.

Effect of acupuncture on retinal and choroidal thickness in patients with optic atrophy / 中国针灸

OBJECTIVE@#To observe the effect of acupuncture on visual acuity, intraocular pressure, visual field, retinal and choroidal thickness on optic disc and macular area in patients with optic atrophy.@*METHODS@#A total of 33 patients with optic atrophy were treated with acupuncture. Acupuncture was given at Chengqi (ST 1), Shangjingming (Extra), Qiuhou (EX-HN 7) and Fengchi (GB 20) etc., 30 min each time, once a day, for 14 days. The visual acuity, intraocular pressure, visual field indexes (mean deviation [MD], pattern standard deviation [PSD] and visual field index [VFI]), optic disc retinal nerve fiber layer thickness, macular retinal thickness and choroidal thickness of optic disc and sub-foveal were compared before and after treatment.@*RESULTS@#Compared before treatment, the visual acuity was increased (P<0.05), the MD value was decreased (P<0.05), the thickness of nerve fiber layer on the upper temporal side of optic disc was thinner (P<0.05), and the choroidal thickness of average, nasal side and lower temporal side of optic disc was increased (P<0.05). There was significant correlation between visual field MD and retinal nerve fiber layer thickness in different quadrants before and after treatment (P<0.01).@*CONCLUSION@#Acupuncture could improve visual acuity, increase choroidal thickness in part of optic disc area in patients with optic atrophy.

Miopia patológica / Myopia

Os autores fazem uma revisão bibliográfica sobre a miopia patológica, sua incidência, fisiopatologia, prognóstico e tratamento

Distrofias retinianas: retinosis pigmentada (RP) (Bastón-Cono) (Primera Parte)

Dentro de las distrofias retinianas, la Retinosis Pigmentada está considerada como un grupo de enfermedades con disfunción progresiva por involucro de los fotorreceptores, caracterizada por la presencia de nictalopia, disminución progresiva del campo visual y antecedentes hereditarios. Se revisa su prevalencia, presentación según su tipo, y enfermedades asociadas, conformando síndromes. Asimismo el diagnóstico, evaluación de métodos de apoyo diagnóstico, pronóstico y manejo, así como la necesidad del estudio genético para tipificación y consejo para su manejo integral

La ozonoterapia en el campo de la oftalmología / Ozonotherapy in the ophthalmologic field

Dado los caracteres germicida y estimulante de los procesos de metabolización del oxígeno y la circulación sanguínea que posee el ozono, se hizo un estudio preliminar sobre el posible valor de la ozonoterapia en la mejoría o cura de algunos pacientes aquejados de úlceras corneales, obstrucciones vasculares del fondo de ojo, atrofia del nervio óptico, retinopatia diabética y trasplante de córnea (para favorecer una mayor irrigación sanguínea en el injerto). Se obtuvo el 92% de buenos resultados y no se encontraron efectos colaterales perjudiciales