[Effect of acupuncture on retinal and choroidal thickness in patients with optic atrophy].

To observe the effect of acupuncture on visual acuity, intraocular pressure, visual field, retinal and choroidal thickness on optic disc and macular area in patients with optic atrophy.A total of 33 patients with optic atrophy were treated with acupuncture. Acupuncture was given at Chengqi (ST 1), Shangjingming (Extra), Qiuhou (EX-HN 7) and Fengchi (GB 20) etc., 30 min each time, once a day, for 14 days. The visual acuity, intraocular pressure, visual field indexes (mean deviation [MD], pattern standard deviation [PSD] and visual field index [VFI]), optic disc retinal nerve fiber layer thickness, macular retinal thickness and choroidal thickness of optic disc and sub-foveal were compared before and after treatment.Compared before treatment, the visual acuity was increased (P<0.05), the MD value was decreased (P<0.05), the thickness of nerve fiber layer on the upper temporal side of optic disc was thinner (P<0.05), and the choroidal thickness of average, nasal side and lower temporal side of optic disc was increased (P<0.05). There was significant correlation between visual field MD and retinal nerve fiber layer thickness in different quadrants before and after treatment (P<0.01).Acupuncture could improve visual acuity, increase choroidal thickness in part of optic disc area in patients with optic atrophy.目的：观察针刺对视神经萎缩患者视力、眼压、视野指标及视盘区和黄斑区视网膜、脉络膜厚度的影响。方法：33例视神经萎缩患者采用针刺治疗，穴取承泣、上睛明、球后、风池等，留针30 min，每日1次，连续治疗14 d。比较患者治疗前后视力、眼压、视野指标[平均偏差（MD）、图形标准差（PSD）、视野指数（VFI）]及视盘区视网膜神经纤维层厚度和视盘周围脉络膜厚度，黄斑区视网膜厚度和黄斑中心凹下脉络膜厚度。结果：与治疗前比较，患者治疗后视力升高（P<0.05），MD值降低（P<0.05），视盘颞上侧神经纤维层厚度变薄（P<0.05），视盘全周平均、鼻侧、颞下侧脉络膜厚度增加（P<0.05）。患者治疗前后视野MD与不同象限视网膜神经纤维层厚度有明显相关性（P<0.01）。结论：针刺能提高视神经萎缩患者视力，增加部分视盘区脉络膜厚度。.