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acupuncture:evaluation:ophtalmologie:15.08 myopie [05 Oct 2016 16:09]
Pernice Claude [1. Wei 2011]
acupuncture:evaluation:ophtalmologie:15.08 myopie [30 Oct 2016 06:23] (Version actuelle)
Nguyen Johan
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 ====== Myopie : évaluation de l'​acupuncture ====== ====== Myopie : évaluation de l'​acupuncture ======
  
 +===== Revues systématiques et méta-analyses =====
  
-===== Wei 2011 Ø =====+==== Wei 2011 Ø ====
  
  
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 ^Main results: |We included **two RCTs conducted in Taiwan with a total of 131 participants**. We did not perform a meta-analysis as the trials were assessing different outcomes. Neither trial met our pre-defined primary outcome criteria of myopia progression defined as one diopter mean change. Only one trial reported the changes of axial length without non-significant difference among groups and both trials reported that several children experienced mild pain during acupuncture stimulation. | ^Main results: |We included **two RCTs conducted in Taiwan with a total of 131 participants**. We did not perform a meta-analysis as the trials were assessing different outcomes. Neither trial met our pre-defined primary outcome criteria of myopia progression defined as one diopter mean change. Only one trial reported the changes of axial length without non-significant difference among groups and both trials reported that several children experienced mild pain during acupuncture stimulation. |
 ^Authors'​ conclusions|Two trials are included in this review but **no conclusions can be drawn for the benefit of co-acupressure** for slowing progress of myopia in children. Further evidence in the form of RCTs are needed before any recommendations can be made for the use of acupuncture treatment in clinical use. These trials should compare acupuncture to placebo and have large sample sizes. Other types of acupuncture (such as auricular acupuncture) should be explored further as well as compliance with treatment for at least six months or longer. Axial length elongation of the eye should be investigated for at least one year. The potential to reduce/​eliminate pain from acupuncture experienced by children should also be reviewed.| ^Authors'​ conclusions|Two trials are included in this review but **no conclusions can be drawn for the benefit of co-acupressure** for slowing progress of myopia in children. Further evidence in the form of RCTs are needed before any recommendations can be made for the use of acupuncture treatment in clinical use. These trials should compare acupuncture to placebo and have large sample sizes. Other types of acupuncture (such as auricular acupuncture) should be explored further as well as compliance with treatment for at least six months or longer. Axial length elongation of the eye should be investigated for at least one year. The potential to reduce/​eliminate pain from acupuncture experienced by children should also be reviewed.|
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 +===== Recommandation de bonne pratique =====
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 +==== American Academy of Ophthalmology (AAO, USA) 2012 ====
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 +American Academy of Ophthalmology. Acupuncture for slow myopia in children. ​ San Francisco (CA): American Academy of Ophthalmology. 2012; 7P.  {{:medias securises:​acupuncture:​evaluation:​ophtalmologie:​american-168140.pdf| [168140].}} ​
 +|The decision to recommend acupuncture in children with myopia should be individualized to the patient'​ needs and preferences,​ as the data do not permit any clear conclusions regarding the benefits or harms of these proposed treatment.|
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