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The new PMC design is here! Learn more about navigating our updated article layout. The PMC legacy view will also be available for a limited time. Federal government websites often end in. The site is secure. Although many treatments are available to manage glaucoma, patients may seek complementary or alternative medicine approaches such as acupuncture to supplement their regular treatment.
The underlying plausibility of acupuncture is that disorders related to the flow of Chi traditional Chinese concept of vital force or energy can be managed by stimulating relevant points on the body surface.
To assess the effectiveness and safety of acupuncture compared with other treatments, no treatment, or placebo in patients with glaucoma. We did not use any language or date restrictions in the search for trials. We last searched Chinese electronic databases on November 19, We included randomized controlled trials RCTs in which one arm involved acupuncture treatment.
Two review authors independently screened results, then extracted the data and assessed risk of bias for eligible trials. We included three completed trials and one ongoing trial in the update of this review. The three completed trials, conducted in Taiwan and the United States, included participants with glaucoma or intraocular hypertension. The interventions investigated varied across trials. Another trial compared transcutaneous electrical nerve stimulation TENS with a sham procedure in 82 patients.
All three trials were rated at high risk of bias for at least one domain. The certainty of evidence across all outcomes was very low due to high risk of bias in at least one contributing study; substantial clinical heterogeneity and methodological heterogeneity; and imprecision of results. All three trials reported data for estimation of reduction of intraocular pressure IOP. However, time points of IOP measurement varied.