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난시로 발생된 약시를 가진 소아에 대한 장기간 침 치료 1례

Amblyopia Derived from Astigmatism in a Child Improved by Long-term Acupuncture Treatment: A Case Report

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초록

Objectives : The aim of this study is to report the effect of long-term acupuncture on a amblyopia derived from astigmatism. Methods : A 39-month-old-female child presented with decreased visual acuity with simple astigmatism and amblyopia in the left eye. She took long-term acupuncture treatment once or twice a week for almost four years. And the autorefractor follow-up were conducted per every 6 months. Results : At the initial visit, naked eye visual acuity was 0.1/0.7(OD/OS), Sph. +0.00D, Cyl. -2.25D, AXIS 148° in the right eye, and Sph. +0.00D, Cyl. -0.25D, AXIS 49° in the left eye. After acupuncture treatment for about 4 years without correctional glasses, the visual acuity of the right eye was 1.0, the right eye had Sph. +0.00D, Cyl –0.50D, AXIS 146°, and the left eye had Sph. -0.25D, Cyl –0.50D, AXIS 154°. The visual acuity was maintained until 1 year follow up as 0.9/1.0(OD/OS). Conclusions : This study shows the possibility of using acupuncture treatment for amblyopia derived from astigmatism.

Abstract

Objectives : The aim of this study is to report the effect of long-term acupuncture on a amblyopia derived from astigmatism. Methods : A 39-month-old-female child presented with decreased visual acuity with simple astigmatism and amblyopia in the left eye. She took long-term acupuncture treatment once or twice a week for almost four years. And the autorefractor follow-up were conducted per every 6 months. Results : At the initial visit, naked eye visual acuity was 0.1/0.7(OD/OS), Sph. +0.00D, Cyl. -2.25D, AXIS 148° in the right eye, and Sph. +0.00D, Cyl. -0.25D, AXIS 49° in the left eye. After acupuncture treatment for about 4 years without correctional glasses, the visual acuity of the right eye was 1.0, the right eye had Sph. +0.00D, Cyl –0.50D, AXIS 146°, and the left eye had Sph. -0.25D, Cyl –0.50D, AXIS 154°. The visual acuity was maintained until 1 year follow up as 0.9/1.0(OD/OS). Conclusions : This study shows the possibility of using acupuncture treatment for amblyopia derived from astigmatism.

참고문헌 (9)

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  2. Read SA, "The visual a nd functional impacts of astigmatism and its clinical management", Ophthalmic and Physiological Optics, 34(3), pp.267~294 (2014)
  3. Bittner AK, "Randomized controlled trial of electro-stimulation therapies to modulate retinal blood flow and visual function in retinitis pigmentosa", Acta Ophthalmologica, 96(3), pp.366~376 (2018)
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  5. Dennis SC, "Adjunctive effect of acupuncture to refractive correction on anisometropic amblyopia : one-year results of a randomized crossover trial", Ophthalmolog, 118(8), pp.1501~1511 (2011)
  6. Atkinson J, "Infant astigmatism : Its disappearance with age", Vision Research, 20(11), pp.891~893 (1980)
  7. 강정우, "국내 약시진료 현황 및 치료 인식 조사", 대한안과학회지, 61(2), pp.190~199 (2020), 대한안과학회
  8. Bonghyun Kim, "Acupuncture for pediatric bilateral amblyopia", Integrative Medicine Research, 9(4), pp.1~2 (2020), 한국한의학연구원[DOI]
  9. Xie-He K, "A Randomized Controlled Trial of the Effect of 0.01% Atropine Eye Drops Combined with Auricular Acupoint Stimulation on Myopia Progression", J Ophthalmol, 2021(1), pp.1~10 (2021)

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