DOI QR코드

DOI QR Code

A Comparative Clinical Study on an Electronic Moxibustion with Acupuncture for Dry Eye Syndrome

건성안 증후군에 대한 전자뜸과 침의 효과 비교 임상연구

  • Ji-Shik, Park (Department of Ophthalmology, Otolaryngology & Dermatology, College of Korean medicine, Dongshin University) ;
  • Ji-Hoon, Song (Department of Ophthalmology, Otolaryngology & Dermatology, College of Korean medicine, Dongshin University) ;
  • Min-Yeong, Jung (Department of Ophthalmology, Otolaryngology & Dermatology, College of Korean medicine, Dongshin University) ;
  • Jung-Hwa, Choi (Department of Ophthalmology, Otolaryngology & Dermatology, College of Korean medicine, Dongshin University) ;
  • Soo-Yeon, Park (Department of Ophthalmology, Otolaryngology & Dermatology, College of Korean medicine, Dongshin University)
  • 박지식 (동신대학교 한의과대학 한방안이비인후피부과학교실) ;
  • 송지훈 (동신대학교 한의과대학 한방안이비인후피부과학교실) ;
  • 정민영 (동신대학교 한의과대학 한방안이비인후피부과학교실) ;
  • 최정화 (동신대학교 한의과대학 한방안이비인후피부과학교실) ;
  • 박수연 (동신대학교 한의과대학 한방안이비인후피부과학교실)
  • Received : 2023.01.15
  • Accepted : 2023.02.13
  • Published : 2023.02.25

Abstract

Objectives : Recently, the number of patients with dry eye syndrome has been steadily increasing. However, established treatment for it does not yet exist. This study compared electronic moxibustion with acupuncture for patients with dry eye in terms of efficacy and safety. Methods : This trial was designed as an investigator-initiated, single-blinded, comparative, randomized controlled trial. Thirty patients with dry eye were randomized to the electronic moxibustion treatment group(EMG) or the acupuncture treatment group(AG) in equal proportion. The participants who assigned to the EMG were treated with electronic moxibustion to ten acupoints including both sides of BL2, GB14, TE23, and LI4 for 12 minutes. The participants who were assigned to the AG were treated with acupuncture to the same acupoints for 15 minutes. Over 4 weeks, each intervention was carried out twelve times in total. The primary outcome was the ocular surface disease index(OSDI). The secondary outcomes were the subjective symptoms visual analog scale(VAS), quality of life(QoL), Schirmer I test(SIT), and general assessment. Adverse events and vital signs were also investigated for safety assessment. Results : In intragroup comparisons, both the EMG and the AG significantly improved the OSDI scores, the subjective symptoms VAS scores, the QoL scores, and the SIT results after 4 weeks of the trial. However, there were no statistical differences in intergroup comparisons between the two groups after 4 weeks. The safety of electronic moxibustion and acupuncture was confirmed by no occurrence of serious adverse events. Conclusions : Both electronic moxibustion and acupuncture were effective for dry eye syndrome, and they were safe. Electronic moxibustion and acupuncture can be used for dry eye syndrome as equivalent treatments.

Keywords

Acknowledgement

이 논문은 정부(과학기술정보통신부)의 재원으로 한국연구재단의 지원을 받아 수행된 연구임(2019R1A2C1006674).

References

  1. Kim HS, Kim HM, Seong GJ, Yoo YS. Ophthalmology. 12th ed. Seoul:Ilchokak. 2020:115-8.
  2. Uchino M, Schaumberg DA, Dogru M, Uchino Y, Fukagawa K, Shimmura S, et al. Prevalence of dry eye disease among Japanese visual display terminal users. Ophthalmology. 2008;115(11):1982-8. https://doi.org/10.1016/j.ophtha.2008.06.022
  3. Guo B, Lu P, Chen X, Zhang W, Chen R. Prevalence of dry eye disease in Mongolians at high altitude in China: the Henan eye study. Ophthalmic Epidemiol. 2010;17(4):234-41. https://doi.org/10.3109/09286586.2010.498659
  4. Han SB, Hyon JY, Woo SJ, Lee JJ, Kim TH, Kim KW. Prevalence of dry eye disease in an elderly Korean population. Arch Ophthalmol. 2011;129(5):633-8. https://doi.org/10.1001/archophthalmol.2011.78
  5. Yamada M, Mizuno Y, Shigeyasu C. Impact of dry eye on work productivity. Clinicoecon Outcomes Res. 2012;4:307-12. https://doi.org/10.2147/CEOR.S36352
  6. Park JS, Choi MJ, Ma JE, Moon JH, Moon HJ. Influence of Cellular Phone Videos and Games on Dry Eye Syndrome in University Students. The J Korean Acad Community Health Nurs. 2014;25(1):12-23. https://doi.org/10.12799/jkachn.2014.25.1.12
  7. Kim HJ, Park CJ, Lim BS, Kim HH. Effects of Dry Eye Symptoms on Work Productivity and General Activity in Newly Building. J Korean Ophthalmic Opt Soc. 2014;19(3):389-96.
  8. Kim DJ, Park MC, Lee SH, Kim HW, Lee HJ, Cha JW. The Influence of Office Indoor Air Qualitys on the Dry Eye Symptom of Contact Lens Wearers. J Korean Ophthalmic Opt Soc. 2012;17(2):215-22.
  9. National Health Insurance Service. 2018[cited 2018 Jun 14]. Available from: URL: https://www.nhis.or.kr/nhis/together/wbhaea 01600m01.do?mode=view&articleNo=126372
  10. Perry HD, Donnenfeld ED. Dry eye diagnosis and management in 2004. Curr Opin Ophthalmol. 2004;15(4):299-304. https://doi.org/10.1097/00055735-200408000-00004
  11. Smith RE. The tear film complex: pathogenesis and emerging therapies for dry eyes. Cornea. 2005;24(1):1-7. https://doi.org/10.1097/01.ico.0000141486.56931.9b
  12. Behrens A, Doyle JJ, Stern L, Chuck RS, McDonnell PJ, Azar DT, et al. Dysfunctional tear syndrome: a Delphi approach to treatment recommendations. Cornea. 2006;25(8):900-7. https://doi.org/10.1097/01.ico.0000214802.40313.fa
  13. Jeong DH, Kim JH, Choi JH. A literature of study on Xerophthalmia. J Korean Med Ophthalmol Otolaryngol Dermatol. 2002;15(1):177-97.
  14. The Society of Korean Medicine Ophthalmology, Otolaryngology & Dermatology. Korean Medicine Ophthalmology. 1st ed. Gyeonggi:Globooks. 2019:108,109.
  15. Kwon DH, Kim YS, Choi DY. Book Research into Acupuncture Treatment for Dry Eye. J Acupunct Res. 2000;17(3):10-24.
  16. Choi EH, Jeon JH, Kim YI. Clinical Observation on 3 Cases of Dry Eye Syndrome. J Acupunct Res. 2007;24(4):237-45.
  17. Lee CW, Lee EK, Jeon JH, Kim JH, Kim YI, Kim JI. Effects of Acupuncture Therapy on Dry Eye Syndrome: 43 Case Series. J Acupunct Res. 2010;27(6):85-94.
  18. Lee SM, Lee CW, Jeon JH, Kim JH, Kim JI, Choi SM, et al. Comparative Study of the Effect of Acupuncture for Dry Eye Syndrome According to Difference of Duration of Treatment. J Acupunct Res. 2012;29(4):55-69.
  19. Kim BH, Kim MH, Kang SH, Nam HJ. Optimizing acupuncture treatment for dry eye syndrome: a systematic review. BMC Complement Altern Med. 2018;18(1):145.
  20. Kim TH, Kang JW, Kim KH, Kang KW, Shin MS, Jung SY, et al. Acupuncture for the treatment of dry eye: a multicenter randomised controlled trial with active comparison intervention (artificial teardrops). PLoS One. 2012;7(5):e36638.
  21. Lim KM, Kang BS, Kim HH, Na GY, Jeong JW, Choi JH, et al. Review on the Study of Dry Eye Syndrome in the Journal of Korean Medicine. J Physiol & Pathol Korean Med. 2017;31(2):94-104. https://doi.org/10.15188/kjopp.2017.04.31.2.94
  22. Lee HC, Lee YL, Ko HJ, Choi JH, Jeong MY, Park SY. Systematic Review of Moxibution Treatment for Dry eye syndrome. J Korean Med Ophthalmol Otolaryngol Dermatol. 2019;32(1):42-58.
  23. Song JH, Park SY. Trend of clinical trials for intradermal acupuncture treatment on dry eye syndrome. J Korean Med Ophthalmol Otolaryngol Dermatol. 2020;33(2):12-22.
  24. Julious SA. Sample size of 12 per group rule of thumb for a pilot study. Pharm Stat. 2005;4(4):287-91. https://doi.org/10.1002/pst.185
  25. Miller KL, Walt JG, Mink DR, Satram-Hoang S, Wilson SE, Perry HD, et al. Minimal clinically important difference for the ocular surface disease index. Arch Ophthalmol. 2010;128(1):94-101. https://doi.org/10.1001/archophthalmol.2009.356
  26. Wei QB, Ding N, Wang JJ, Wang W, Gao WP. Acupoint selection for the treatment of dry eye: A systematic review and meta-analysis of randomized controlled trials. Exp Ther Med. 2020;19(4):2851-60. https://doi.org/10.3892/etm.2020.8561
  27. Moon IH, Kim TI, Seo KY, Kim EK, Lee HK. The Relationship between Subjective Ocular Discomfort and Blepharitis The Relationship between Subjective Ocular Discomfort and Blepharitis. J Korean Ophthamol Soc. 2016;57(10):1507-13. https://doi.org/10.3341/jkos.2016.57.10.1507
  28. Nichols KK, Nichols JJ, Mitchell GL. The lack of association between signs and symptoms in patients with dry eye disease. Cornea. 2004;23(8):762-70. https://doi.org/10.1097/01.ico.0000133997.07144.9e
  29. Hyon JY, Kim HM, Lee D, Chung ES, Song JS, Choi CY, et al. Korean Guidelines for the Diagnosis and Management of Dry Eye: Development and Validation of Clinical Efficacy. Korean J Ophthalmol. 2014;28(3):197-206. https://doi.org/10.3341/kjo.2014.28.3.197
  30. Lee DJ, Hwangbo M, Seo HS, Kim SJ, Lee JS. Eastern and Western Combined Medical Treatments on 11 Patients with Dry Eye Syndrome. J Korean Med Ophthalmol Otolaryngol Dermatol. 2012;25(2):61-7. https://doi.org/10.6114/jkood.2012.25.2.061
  31. Dhaliwal DK, Zhou S, Samudre SS, Lo NJ, Rhee MK. Acupuncture and dry eye: current perspectives. A double-blinded randomized controlled trial and review of the literature. Clin Ophthalmol. 2019;13:731-40. https://doi.org/10.2147/OPTH.S175321
  32. Korean Acupuncture and Moxibustion Medicine Society Textbook Compilation Committee. Acupuncture Medicine. Seoul: Hanmi Medical Publishing Co. 2020;653,859-70.