Effects of auricular point sticking on dry eye in myopia patients after SMILE surgery: a prospective randomized controlled clinical trial
- VernacularTitle:耳穴贴压对近视患者SMILE术后干眼的作用:前瞻性随机对照临床试验
- Author:
Dan ZHANG
;
Xiao-Fei HUANG
;
Yue ZHAO
;
Guang YANG
;
Xie-He KONG
;
Cui-Hong ZHANG
;
Jue HONG
;
Yan-Ting YANG
;
Jie LIU
;
Xiao-Peng MA
- Keywords:
Auricular Point Sticking;
Laser Therapy;
Myopia;
Postoperative Complications;
Dry Eye Syndrome;
Artificial Tears;
Randomized Controlled Trial
- From:
Journal of Acupuncture and Tuina Science
2021;19(2):139-146
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To observe the intervention effect of auricular point sticking on dry eye in myopia patients after small-incision lenticule extraction (SMILE) surgery.Methods: This was a prospective randomized controlled study conducted among the myopia patients who received SMILE surgery at Eye and ENT Hospital of Fudan University. The post-SMILE operation patients who screened by the inclusion and exclusion criteria were randomized into a control group and a treatment group. Patients in the control group were given 0.1％ fluorometholone and 0.5％ carboxymethylcellulose sodium eye drops, while the treatment group was given additional unilateral auricular point sticking for 1 month. The patients were estimated using ocular surface disease index (OSDI), Schirmer tear test-1 (STT-1), tear film break-up time (TF-BUT), corneal fluorescein staining (CFS) score, corneal sensitivity (CS) and visual quality (VQ) at 1 d, 1 week and 1 month after surgery; the changes in anxiety and depression were also observed in the patients. Results: Compared with the first day after operation, CS in the nasal region was improved in the treatment group, and the VQ score increased in the control group patients at 1 week after operation (both P<0.05); at 1 month after operation, the TF-BUT increased, CFS score decreased, CS in the central and nasal regions increased (all P<0.05), and VQ score increased (P<0.01) in the treatment group, and the CS in the central, upper, lower and nasal regions were improved (all P<0.05), and VQ score increased (P<0.01) in the control group. The between-group comparison showed that the differences in the change of TF-BUT were statistically significant at 1 week and 1 month after surgery, respectively (both P<0.05). Conclusion: Auricular point sticking therapy can increase the TF-BUT and accelerate the repair of ocular surface function in post-SMILE patients.
