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Acupuncture for acute hordeolum.

Ke Cheng1, Andrew Law2, Menghu Guo1

  • 1School of Acupuncture-Moxibustion and Tuina, Shanghai University of Traditional Chinese Medicine, 1200, Cailun RD, Shanghai, China, 201203.

The Cochrane Database of Systematic Reviews
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Acupuncture may offer short-term benefits for acute hordeolum (stye) treatment, with or without conventional therapies. However, evidence quality is low, necessitating further research with improved methodology for definitive conclusions.

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Area of Science:

  • Ophthalmology
  • Integrative Medicine
  • Evidence-Based Medicine

Background:

  • Hordeolum, an acute eyelid inflammation, commonly results from blocked sebaceous glands.
  • It can be internal (affecting meibomian glands) or external (affecting Zeis or Moll glands), often resolving spontaneously but prone to recurrence.
  • Conventional treatments exist, but the efficacy and safety of acupuncture for acute hordeolum remain unclear.

Purpose of the Study:

  • To evaluate the effectiveness and safety of acupuncture for treating acute hordeolum.
  • To compare acupuncture against no treatment, sham acupuncture, or other active treatments.
  • To assess the benefits of acupuncture combined with other therapies versus those therapies alone.

Main Methods:

  • A systematic review of randomized clinical trials (RCTs) was conducted.
  • Searches included major databases (CENTRAL, MEDLINE, Embase, PubMed, LILACS, Chinese databases) and trial registers up to June 2016.
  • RCTs involving patients with acute internal or external hordeolum were included, comparing various acupuncture interventions.

Main Results:

  • Six RCTs (531 participants) from China were included, with low to very low certainty of evidence and high/unclear risk of bias.
  • Acupuncture showed potential benefits over topical or oral antibiotics plus warm compresses in some trials, but results were inconsistent.
  • Acupuncture combined with conventional treatments suggested a slight increase in resolution rates compared to conventional treatments alone, with no reported adverse events.

Conclusions:

  • Low-certainty evidence suggests acupuncture may offer short-term benefits for acute hordeolum, with or without conventional treatments.
  • Limitations include small sample sizes, methodological flaws, and lack of valid sham controls, preventing definitive conclusions.
  • Further high-quality RCTs with robust methodology and diverse populations are needed to confirm acupuncture's efficacy and safety for hordeolum.