{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T15:19:30Z","timestamp":1761664770420,"version":"3.41.2"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2025,1,31]],"date-time":"2025-01-31T00:00:00Z","timestamp":1738281600000},"content-version":"vor","delay-in-days":41,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,12,21]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Acupuncture is a complementary therapy used in many parts of the world to treat a variety of disorders. Two women aged 61 and 86\u00a0years old presented with painless bruising around their right eye for 3 and 10\u00a0days, respectively, following acupuncture therapy for dry eye. The younger woman was on oral acetylsalicylic acid 100\u00a0mg daily and it was her second episode of ocular bruising from a total of 20 therapy sessions. Clinical examination disclosed severe periocular ecchymosis in their right eye. There was no proptosis or globe perforation. The ecchymosis gradually resolved over a few weeks without any visual sequelae in both cases. Periocular acupuncture can cause severe periocular ecchymoses. Patients should be informed of this and other potentially sight-threatening complications associated with this form of treatment, and both acupuncture practitioners and ophthalmologists should be alert to recognize such complications early so that they can be appropriately managed.<\/jats:p>","DOI":"10.1093\/jscr\/rjae783","type":"journal-article","created":{"date-parts":[[2025,1,31]],"date-time":"2025-01-31T17:48:36Z","timestamp":1738345716000},"source":"Crossref","is-referenced-by-count":2,"title":["Severe periocular ecchymosis following acupuncture therapy for dry eye: a report of two cases"],"prefix":"10.1093","volume":"2025","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9583-7628","authenticated-orcid":false,"given":"Jarryl H J","family":"Tsai","sequence":"first","affiliation":[{"name":"Lee Kong Chian School of Medicine, Nanyang Technological University , 11 Mandalay Road, Singapore 308232 ,","place":["Singapore"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0531-0318","authenticated-orcid":false,"given":"Jonathan T W","family":"Au Eong","sequence":"additional","affiliation":[{"name":"Lee Kong Chian School of Medicine, Nanyang Technological University , 11 Mandalay Road, Singapore 308232 ,","place":["Singapore"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7373-8925","authenticated-orcid":false,"given":"Kah-Guan","family":"Au Eong","sequence":"additional","affiliation":[{"name":"Lee Kong Chian School of Medicine, Nanyang Technological University , 11 Mandalay Road, Singapore 308232 ,","place":["Singapore"]},{"name":"International Eye Cataract Retina Center , Farrer Park Medical Center, 1 Farrer Park Station Road #14-07\/08, Connexion, Singapore 217562 ,","place":["Singapore"]},{"name":"Department of Ophthalmology and Visual Sciences, Khoo Teck Puat Hospital , 90 Yishun Central, Singapore 768828 ,","place":["Singapore"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,1,31]]},"reference":[{"key":"2025020311160084400_ref1","doi-asserted-by":"publisher","first-page":"6","DOI":"10.7453\/gahmj.2014.042","article-title":"Acupuncture: past, present, and future","volume":"3","author":"Hao","year":"2014","journal-title":"Glob Adv Health Med"},{"key":"2025020311160084400_ref2","doi-asserted-by":"publisher","first-page":"740508","DOI":"10.1155\/2013\/740508","article-title":"An exploration of the needling depth in acupuncture: the safe needling depth and the needling depth of clinical efficacy","volume":"2013","author":"Lin","year":"2013","journal-title":"Evid Based Complement Alternat Med"},{"key":"2025020311160084400_ref3","doi-asserted-by":"publisher","first-page":"915","DOI":"10.2471\/BLT.10.076737","article-title":"Acupuncture-related adverse events: a systematic review of the Chinese literature","volume":"88","author":"Zhang","year":"2010","journal-title":"Bull World Health Organ"},{"volume-title":"Acupuncture","year":"2023","author":"Van Hal","key":"2025020311160084400_ref4"},{"key":"2025020311160084400_ref5","doi-asserted-by":"publisher","first-page":"731","DOI":"10.2147\/OPTH.S175321","article-title":"Acupuncture and dry eye: current perspectives. A double-blinded randomized controlled trial and review of the literature","volume":"13","author":"Dhaliwal","year":"2019","journal-title":"Clin Ophthalmol"},{"key":"2025020311160084400_ref6","doi-asserted-by":"publisher","first-page":"e21625","DOI":"10.1097\/MD.0000000000021625","article-title":"Acupuncture for the treatment of dry eye","volume":"99","author":"Zhu","year":"2020","journal-title":"Medicine (Baltimore)"},{"key":"2025020311160084400_ref7","doi-asserted-by":"publisher","first-page":"124","DOI":"10.1080\/01676830.2022.2142944","article-title":"Spontaneous periocular ecchymosis: a major review","volume":"42","author":"Hartley","year":"2023","journal-title":"Orbit"},{"key":"2025020311160084400_ref8","doi-asserted-by":"publisher","first-page":"255","DOI":"10.3341\/kjo.2022.0111","article-title":"Severe adverse events of periocular acupuncture: a review of cases","volume":"37","author":"Lee","year":"2023","journal-title":"Korean J Ophthalmol"},{"key":"2025020311160084400_ref9","doi-asserted-by":"publisher","first-page":"975","DOI":"10.1007\/s11684-022-0923-4","article-title":"Acupuncture for the management of dry eye disease","volume":"16","author":"Prinz","year":"2022","journal-title":"Front Med"},{"key":"2025020311160084400_ref10","doi-asserted-by":"publisher","first-page":"489","DOI":"10.1111\/aos.14651","article-title":"Therapeutic effects of acupuncture in typical dry eye: a systematic review and meta-analysis","volume":"99","author":"Na","year":"2021","journal-title":"Acta Ophthalmol"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/1\/rjae783\/61721568\/rjae783.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/1\/rjae783\/61721568\/rjae783.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,3]],"date-time":"2025-02-03T11:16:17Z","timestamp":1738581377000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjae783\/7994314"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12,21]]},"references-count":10,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2024,12,21]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjae783","relation":{},"ISSN":["2042-8812"],"issn-type":[{"type":"electronic","value":"2042-8812"}],"subject":[],"published-other":{"date-parts":[[2025,1]]},"published":{"date-parts":[[2024,12,21]]},"article-number":"rjae783"}}