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Unfair Comparison of In-Office Acupuncture vs At-Home Patching for Amblyopia

Unfair Comparison of In-Office Acupuncture vs At-Home Patching for Amblyopia Five office visits per week for acupuncture is fairly intense, especially compared with the passive treatment in the other group, which consisted of having the parents struggle with the child at home to keep the patch on his or her good eye for 2 hours per day. As Zhao et al1 acknowledge, it would have been useful to perform “placebo” acupuncture on the patching group to eliminate the Hawthorne effect—the fact that many problems tend to get better when they receive intensive positive attention. It wouldn't be surprising if the children in the acupuncture group actually performed the daily at-home near-vision activities and wore their spectacle correction more conscientiously owing to greater positive reinforcement during the daily acupuncture sessions. It would also be informative to see a comparison of acupuncture with atropine fogging of the dominant eye in hyperopic anisometropic amblyopia. With atropine therapy, it is harder for the child to avoid compliance than with patching; therefore, wearing the spectacle correction and fixating with the amblyopic eye is more effectively promoted. Back to top Article Information Correspondence: Dr Milsky, Comprehensive Eye Care Professionals, 525 Waterford Dr, Edison, NJ 08817 (eliotmilskyod@yahoo.com). Financial Disclosure: None reported. References 1. Zhao J, Lam DS, Chen LJ, et al. Randomized controlled trial of patching vs acupuncture for anisometropic amblyopia in children aged 7 to 12 years. Arch Ophthalmol. 2010;128(12):1510-151721149771PubMedGoogle ScholarCrossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Unfair Comparison of In-Office Acupuncture vs At-Home Patching for Amblyopia

Archives of Ophthalmology , Volume 129 (7) – Jul 1, 2011

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Publisher
American Medical Association
Copyright
Copyright © 2011 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archophthalmol.2011.156
Publisher site
See Article on Publisher Site

Abstract

Five office visits per week for acupuncture is fairly intense, especially compared with the passive treatment in the other group, which consisted of having the parents struggle with the child at home to keep the patch on his or her good eye for 2 hours per day. As Zhao et al1 acknowledge, it would have been useful to perform “placebo” acupuncture on the patching group to eliminate the Hawthorne effect—the fact that many problems tend to get better when they receive intensive positive attention. It wouldn't be surprising if the children in the acupuncture group actually performed the daily at-home near-vision activities and wore their spectacle correction more conscientiously owing to greater positive reinforcement during the daily acupuncture sessions. It would also be informative to see a comparison of acupuncture with atropine fogging of the dominant eye in hyperopic anisometropic amblyopia. With atropine therapy, it is harder for the child to avoid compliance than with patching; therefore, wearing the spectacle correction and fixating with the amblyopic eye is more effectively promoted. Back to top Article Information Correspondence: Dr Milsky, Comprehensive Eye Care Professionals, 525 Waterford Dr, Edison, NJ 08817 (eliotmilskyod@yahoo.com). Financial Disclosure: None reported. References 1. Zhao J, Lam DS, Chen LJ, et al. Randomized controlled trial of patching vs acupuncture for anisometropic amblyopia in children aged 7 to 12 years. Arch Ophthalmol. 2010;128(12):1510-151721149771PubMedGoogle ScholarCrossref

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Jul 1, 2011

References

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