| Objective: To investigate the effects of fascial manipulation therapy (FMT) combined with routine care on ocular hemodynamics and clinical symptoms in patients with visual display terminal syndrome (VDTS). Methods: A randomized controlled trial was conducted on 47 VDTS patients, and the patients were randomly divided into a treatment group (24 cases receiving fascial manipulation therapy combined with routine care) and a control group (23 cases receiving basic care only). Color Doppler ultrasonography was used to measure hemodynamic parameters of the central retinal artery (CRA) and anterior ciliary artery (ACA), including peak systolic velocity (PSV), end-diastolic velocity (EDV), and resistance index (RI). Symptom scores and clinical efficacy were also evaluated. Results: The treatment group showed significant reductions in CRA (PSV), ACA (PSV), and ACA (RI) indicators (P<0.05), which were significantly lower than those in the control group. After two weeks of treatment, scores for dry eyes, eye itching, lacrimation severity and total symptom score in the treatment group were significantly reduced compared to pre-treatment (P<0.05), with scores for dry eyes, eye itching, and lacrimation severity showing significant improvement compared to the control group during the same period (P<0.05). The total effective rate in the treatment group (41.7%) was significantly higher than in the control group (17.3%). Conclusion: FMT combined with routine care can significantly reduce the ocular vascular resistance index and regulate blood flow velocity in VDTS patients, effectively alleviating VDTS-related symptoms, making it worthy of clinical application and promotion. |
