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The Effects of Auriculotherapy on Relieving Symptoms of Dry Eye Syndrome

이압요법이 안구건조증에 미치는 효과: 대학생을 대상으로

  • Received : 2018.10.22
  • Accepted : 2018.12.10
  • Published : 2018.12.31

Abstract

Purpose: This study aims to examine the effects of auriculotherapy on reducing signs of dry eye syndrome. Methods: This study is based on a pretest-posttest nonequivalent control group design. The participants who scored higher than 13 on the Ocular Surface Disease Index (OSDI) were divided randomly into two groups, the experimental group (n=45) and the control group (n=44). Auriculotherapy was performed by researchers for 2 weeks. For the experimental group, seed stickers were applied to the eye, liver, shenmen, and tubercle point of their ears. The pretest and the posttest included the same questionnaires of the OSDI as well as the Visual Function Questionnaire (NEI-VFQ25) and the eye fatigue. Data were analyzed by descriptive statistics, $x^2$ test, t-test and paired t-test, using SAS 20.0 program. Results: The difference in the OSDI's scores showed a significant decrease between the pretest and the posttest (t=-4.12, p<.001) in the experimental group. No significant difference was found in the NEI-VFQ25 (t=-0.10, p=.921, t=-0.91 p=.374). However, the experimental group showed a significant decrease in eye fatigue (t=5.78, p<.001), whereas the control group showed no difference (t=1.38, p=.18). Conclusion: Auriculotherapy can be used effectively on relieving the symptoms of dry eye syndrome and eye fatigue. However, the quality of life related to eyes was not improved by auriculotherapy.

Keywords

HKHKB2_2018_v31n3_178_f0001.png 이미지

Figure 1. Points of auricular acupressure therapy.

Table 1. Homogeneity Test of General Characteristics and Pretest Dependent Variables

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Table 2. Homogeneity Test on OSDI, NEI-VFQ25, Eye Fatigue Score before Treatment

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Table 3. OSDI of Control Group and Experimental Group after Auricular Acupressure

HKHKB2_2018_v31n3_178_t0003.png 이미지

References

  1. DEWS Definition and Classification. The Definition and Classification of Dry Eye Disease: Report of the definition and classification subcommittee of the international dry eye workshop (2007). Ocular Surface. 2007;5(2):75-92. https://doi.org/10.1016/S1542-0124(12)70081-2
  2. Kim JH. Clinical study on ocular fatigue (Dry Eye) patients. Journal of Oriental Neuropsychiatry. 2012;23(2):59-66. https://doi.org/10.7231/JON.2012.23.2.059
  3. Health Insurance Review & Assessment Service. The statistics of public interest [Internet]. Seoul: 2018 [cited 2018 November 15]. Available from: http://opendata.hira.or.kr/op/opc/olapMfrnIntrsIlnsInfo.do
  4. Kim HJ, Park CJ, Lim BS, Kim HH. Effects of dry eye symptoms on work productivity and general activity in newly building. Journal of Ophthalmic Optic Society. 2014;19(3):389-396. https://doi.org/10.14479/jkoos.2014.19.3.389
  5. Jeon YW, Kim JH, Beak SS, Rhee KO, Lee YT, Lee H. Analysis of prevalence and risk factor for dry eye syndrome in Korean adults; Based on the 5th national health and nutrition examination survey (2012). The Korean Journal of Vision Science. 2017;19(1):19-27. https://doi.org/10.17337/JMBI.2017.19.1.19
  6. Smartphone overreliant survey in 2017 [Internet]. Seoul: Ministry of Science and ICT & NIA National Information Society Agency; 2018 [cited 2018 November 15]. Available from: https://www.nia.or.kr/site/nia_kor/ex/bbs/View.do?cbIdx=65914&bcIdx=19592&parentSeq=19592.
  7. Hwang HB. The pathogenesis of dry eye disease and trend in treatment. Journal Korean Medical Association. 2016;59(9): 713-718. https://doi.org/10.5124/jkma.2016.59.9.713
  8. Oleson T. Auriculotherapy manual: Chinese and western system of ear acupuncture 4th ed.. Oxford: Elsevier; 2014. p. 50-60. https://doi.org/10.1136/acupmed-2014-010591
  9. Lee JO, Kim SJ, Kim JS, Park HH. Ear Acupressure Therapy. Seoul: The Korea-China Self Healing Power Association; 2010. p. 12-23.
  10. Kwon SJ, Park JS. Analysis of Korean nursing research on auricular acupuncture and ear acupressure therapy. Keimyung Journal of Nursing Science. 2011;5(1):103-114.
  11. 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. The Journal of Korean Acupuncture & Moxibustion Medicine Society. 2012;29(4):55-69.
  12. Lee CW, Lee EK, Jeon JH, Kim JH, Kim YI, Kim JI. Effect of acupuncture therapy on dry eye syndrome: 43 Case Series. The Journal of Korean Acupuncture & Moxibustion Society. 2010;27(6):85-94.
  13. Schiffman RM, Christianson MD, Jacobson G, Hirsh JD, Reis BL. Reliability and validity of the ocular surface disease index. Archives of Ophthalmology. 2000;118(5):615-21. https://doi.org/10.1001/archopht.118.5.615
  14. Miller KL, Walt JG, Mink DR, Saram-Hoang S, Wilson SE, Perry HD, et al. Minimal clinically important difference for the ocular surface disease index. Archives of Ophthalmology. 2010;128: 94-101. https://doi.org/10.1001/archophthalmol.2009.356
  15. Heo JW, Yoon HS, Shin JP, Moon SW, Chin HS, Kwak HW. A validation and reliability study of the Korean version of national eye institute visual function questionnaire 25. Journal of the Korean Ophthalmological Society. 2010;51(10):1354-1367. https://doi.org/10.3341/jkos.2010.51.10.1354
  16. Unver YB, Yavuz GA, Sinclair SH. Interactive, computer-based, self-reported, visual function questionnaire. Eye. 2009;23:1572-1581. https://doi.org/10.1038/eye.2009.101
  17. Ames S, Wolffsohn JS, McBrien NA. The development of a symptom questionnaire for assessing virtual reality viewing using a head-mounted display. Optometry and Vision Science. 2005;82(3):168-176. https://doi.org/10.1097/01.opx.0000156307.95086.6
  18. Yun CM, Kang SY, Kim H, Song J. Prevalence of dry eye disease among university students. Journal of the Korean Ophthalmological Society. 2012;53(4):505-509. https://doi.org/10.3341/jkos.2012.53.4.505
  19. Han SH, Kim EY. Prevalence of dry eye disease its affecting factors by using OSDI questionnaire. Journal of the Korean Academia-Industrial Cooperation Society. 2016;17(10):93-103. https://doi.org/10.5762/kais.2016.17.10.93
  20. Lee JS, Hwang SH, Jeon JB. Treatment of dry eye disease by electrical stimulation. The Journal of Pusan National University Hospital. 2005;18:247-254.
  21. Kim MK, Yoon HM, Jung HM. The effects of self-acupressure on the visual health of college students. The Journal of Korean Acupuncture & Moxibustion Medicine Society. 2012;29(5):39-50.
  22. Lee JS, Hwang SH, Shin BC, Park MS. Electrical stimulation of auricular acupressure for dry eye: A randomized controlledclinical trial. Chinese Journal of Interactive Medicine. 2016;22(4):1-7. https://doi.org/10.1007/s11655-016-2449-6
  23. Kim MJ. Oriental medicine, acupoint therapy. Seoul: Hakjisa medical; 2006. p. 265-360.
  24. National Eye Institute. Facts about dry eye [Internet]. USA: NEI; 2017 [cited 2018 November 20]. Available from: https://nei.nih.gov/health/dryeye/dryeye.
  25. Kim EC. Diagnosis and treatment of dry eye syndrome. Journal of Korean Medical Association. 2018;61(6):352-364. https://doi.org/10.5124/jkma.2018.61.6.352
  26. Suner IJ, Kokame GT, Yu E, Ward J, Dolan C, Bressler NM. Responsiveness of NEI VFQ-25 to changes in visual acuity in neovascular AMD: Validation studies from two phase 3 clinical trials. Investigative Ophthalmology & Visual Science. 2009;50(8):3629-3635. https://doi.org/10.1167/iovs.08-3225
  27. Yuzawa M, Fujita K, Wittrup-Jensen KU, Norenberg C, Zeitz O, Adachi K, et al. Improvement in vision-related function with intravitreal aflibercept: Data from phase 3 studies in wet agerelated macular degeneration. Ophthalmology. 2015;122(3):571-578. https://doi.org/10.1016/j.ophtha.2014.09.024

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