Effects of Acupuncture Treatment on Dry Eye Disease in İndividuals Working With Visual Display Terminals
Acupuncture and Electro-Therapeutics Research, 2026 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Basım Tarihi: 2026
- Doi Numarası: 10.1177/03601293261494468
- Dergi Adı: Acupuncture and Electro-Therapeutics Research
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, CINAHL, EMBASE, Biomedical Reference Collection: Corporate Edition (EBSCO), Health Research Premium Collection (ProQuest)
- Anahtar Kelimeler: acupuncture, computer vision syndrome, dry eye disease, Ocular Surface Disease Index, Schirmer test, visual display terminal work
- Lokman Hekim Üniversitesi Adresli: Evet
Özet
Objective: This study aimed to evaluate the effects of a 4-week acupuncture intervention on dry eye symptoms and ocular outcomes in adults with previously diagnosed dry eye disease (DED) and occupational visual display terminal (VDT) exposure. Methods: Sixty participants were included in the final analysis (acupuncture, n = 30; control, n = 30). The acupuncture group received one 30-min session weekly for 4 weeks; the control group received no study-specific intervention. Ocular Surface Disease Index (OSDI), Schirmer testing, Snellen visual acuity, Computer Vision Syndrome Questionnaire (CVS-Q), Beck Anxiety Inventory (BAI), and Beck Depression Inventory (BDI) were assessed at baseline and after the fourth session. Revised efficacy analyses emphasized baseline-adjusted between-group effects; ocular analyses accounted for correlation between the two eyes, and multiplicity across CVS-Q symptom analyses was addressed using the Holm procedure. Results: After adjustment for baseline OSDI, post-treatment OSDI was lower in the acupuncture group than in the control group (adjusted treatment effect, −29.20 points; 95% confidence interval [CI], −37.43 to −20.97; p < 0.001). Schirmer values were higher after accounting for baseline measurements and within-participant correlation between eyes (adjusted treatment effect, +6.14mm; 95% CI, +4.61 to +7.67; p < 0.001). The adjusted between-group effect on Snellen visual acuity was not statistically significant (+0.017; 95% CI, −0.003 to +0.037; p = 0.091). Secondary analyses favored acupuncture for BAI (−4.06; 95% CI, −7.02 to −1.10; p = 0.008) and BDI (–3.94; 95% CI, −7.39 to −0.49; p = 0.026). Conclusions: Four weeks of acupuncture were associated with greater improvement in DED symptom burden and tear production than no study intervention, but not with a statistically significant improvement in visual acuity.