Kao Lan, Hui Ka-Kit, Hui Edward
UCLA Department of Medicine, UCLA Center for East-West Medicine, University of California Los Angeles, Los Angeles, California.
UCLA Department of Medicine, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, California.
Glob Adv Health Med. 2021 May 26;10:21649561211021081. doi: 10.1177/21649561211021081. eCollection 2021.
We present a case involving a patient with a complicated visual field defect preventing her from renewing her driver license. It highlights the underappreciated role of chronic stress in the genesis and perpetuation of ill health and the potential of Chinese medicine (CM) to complement biomedicine in the treatment of an intractable visual disorder. The patient experienced impaired vision from age 15, and ophthalmologists considered various diagnoses including optic neuritis and acute zonal occult outer retinopathy (AZOOR)-complex disorder with acute macular neuroretinopathy. She was treated with an integrative East-West medical approach incorporating acupuncture, cupping, trigger point injections, guidance on self-care and lifestyle modification. Although the eye disorder was not cured, there was visual improvement as demonstrated by various objective ophthalmologic tests, and the patient was able to renew her driver license. Visual improvement remained stable upon follow-up examination three years after the treatment intervention. Other concomitant health issues reported by the patient also improved including amelioration of neck pain, a more regular menstrual cycle, and decreased anxiety. This case demonstrates how a patient with an intractable complex eye disorder can have objective visual improvement when treated with an integrative patient-centered approach.
我们报告了一例患者，其患有复杂的视野缺损，导致她无法更换驾照。该病例凸显了慢性压力在疾病发生和持续发展中未得到充分认识的作用，以及中医在治疗难治性视觉障碍方面补充生物医学的潜力。该患者自15岁起视力受损，眼科医生考虑了多种诊断，包括视神经炎和急性区域性隐匿性外层视网膜病变（AZOOR）——伴有急性黄斑神经视网膜病变的复杂疾病。她接受了中西医结合的治疗方法，包括针灸、拔罐、触发点注射、自我护理指导和生活方式调整。尽管眼部疾病未治愈，但各种客观眼科检查显示视力有所改善，患者得以更换驾照。治疗干预三年后的随访检查显示视力改善情况保持稳定。患者报告的其他伴随健康问题也有所改善，包括颈部疼痛减轻、月经周期更规律以及焦虑减轻。该病例表明，采用以患者为中心的综合方法治疗时，患有难治性复杂眼部疾病的患者的视力可实现客观改善。
