The Effect of Periocular Acupressure with a Medical Massager for Myopia Children

Objectives: Considering high prevalence of myopia in Asian countries, social cost paid for myopia may gradually increase in Korea. However, studies for developing myopia treatment are deficient. The study was to evaluate whether the periocular acupressure with a medical massager is effective for suppressing myopia progression. Methods: This study was an investigator-sponsored, prospective, open-labeled, and superiority pre and post single-armed study. 14 myopia children aged 7-12 years wore a medical massager for 15 minutes to stimulate periocular acupoints. For 24 weeks, the participants used the device twice a day. Based on prior studies, the refraction change of naturally proceeded myopia was set as -0.38 D. The axial length change of naturally proceeded myopia was set as 0.228 mm. To assess the safety, we performed vital sign check, physical examination, visual acuity test, slit lamp examination, IOP measurement, and fundus examination. Results: The refraction and axial length of the participants increased. For 24 weeks, the change in refraction was -0.38 D at the right eye and -0.40 D at the left. The change in axial length was 0.21 mm at the right and 0.22 mm at the left. In the safety assessment, any adverse event did not occur. Conclusions: There was no significant difference between the control group and the intervention group. The effect of growth may have more contributed to our result than that of acupressure. Based on our result, a full-scale study will not be conducted.

[1]  M. Millodot,et al.  Efficacy of Chinese Eye Exercises on Reducing Accommodative Lag in School-Aged Children: A Randomized Controlled Trial , 2015, PloS one.

[2]  K. Ciuffreda,et al.  Eye exercises of acupoints: their impact on refractive error and visual symptoms in Chinese urban children , 2013, BMC Complementary and Alternative Medicine.

[3]  R. Chu,et al.  The efficacy and safety of modified Snyder–Thompson posterior scleral reinforcement in extensive high myopia of Chinese children , 2013, Graefe's Archive for Clinical and Experimental Ophthalmology.

[4]  Tae-Young Chung,et al.  Effect of Orthokeratologic Lenses on Myopic Progression in Childhood , 2013 .

[5]  E. Myrowitz Juvenile myopia progression, risk factors and interventions. , 2012, Saudi journal of ophthalmology : official journal of the Saudi Ophthalmological Society.

[6]  Jeffrey Cooper,et al.  Current status on the development and treatment of myopia. , 2012, Optometry.

[7]  So-Young Jung,et al.  Acupuncture for the Treatment of Dry Eye: A Multicenter Randomised Controlled Trial with Active Comparison Intervention (Artificial Teardrops) , 2012, PloS one.

[8]  C. Joo,et al.  Current and future options for myopia correction , 2012 .

[9]  Seung Ah Chung,et al.  Comparative Study on the Efficacy of Different Cycloplegic Agents in Myopic Adults , 2011 .

[10]  Y. An,et al.  Changes in regional cerebral blood flow and glucose metabolism following electroacupuncture at LI 4 and LI 11 in normal volunteers. , 2009, Journal of alternative and complementary medicine.

[11]  J. Gwiazda Treatment options for myopia. , 2009, Optometry and vision science : official publication of the American Academy of Optometry.

[12]  Jin-liang Yang,et al.  [Clinical observation on strong stimulation of acupoints around eyes for treatment of adolescent myopia]. , 2008, Zhongguo zhen jiu = Chinese acupuncture & moxibustion.

[13]  S. Oh Prevention and Treatment of School Myopia , 2007 .

[14]  J. Jeong,et al.  The Effect of Atropine on Myopic Progression in Children , 2005 .

[15]  S. Saw,et al.  Myopia: attempts to arrest progression , 2002, The British journal of ophthalmology.

[16]  C. K. Hsiao,et al.  An intervention trial on efficacy of atropine and multi-focal glasses in controlling myopic progression. , 2001, Acta ophthalmologica Scandinavica.

[17]  K. Mori,et al.  [Chorioretinal blood flow changes following acupuncture between thumb and forefinger]. , 2001, Nippon Ganka Gakkai zasshi.

[18]  L. Nelson Atropine for the Treatment of Childhood Myopia , 2007 .

[19]  Y. Choi,et al.  The Difference Comparison according to Child Refractive Method and Effect of Life Style on Myopia , 2005 .

[20]  S. Kim,et al.  Relationship between Uncorrected Visual Acuity and Refractive Error in Visual Acuity Test of Children , 2004 .

[21]  Young-Shin Nam,et al.  A Clinical Study of Acupuncture Effect on Children's Myopia , 2001 .

[22]  刘贺新,et al.  TREATMENT OF ADOLESCENT MYOPIA BY PRESSURE PLASTER OF SEMEN IMPATIENTIS ON OTOACUPOINTS , 1994 .