Evidence map›Paper›PMID 41747246›Full record

ArticleJMIR research protocols2026

Impact of Ocular Massage on Intraocular Pressure and Schlemm Canal Dimensions in Healthy Adults: Protocol for a Randomized Controlled Trial.

Mingxuan Zhang, Luning Qin, Liangzhang Tan, Yongtao Li, Qing Zhang, Shuhan Wang, Zhihui Zhang, Emmanuel Eric Pazo, Xinjun Ren

Abstract readClinical Trial Protocol
In one paragraph

Article in JMIR research protocols, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
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0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Mingxuan ZhangDepartment of Ocular Trauma, Tianjin Key Laboratory of Retinal Functions and Diseases, Tianjin Branch of National Clinical Research Center for Ocular Disease, Eye Institute and School of Optometry, Tianjin Medical University Eye Hospital, Tianjin, China.ORCID 0009-0001-7428-8815
Luning QinTianjin Key Laboratory of Retinal Functions and Diseases, Tianjin Branch of National Clinical Research Center for Ocular Disease, Eye Institute and School of Optometry, Tianjin Medical University Eye Hospital, Tianjin, China.ORCID 0009-0009-8657-3734
Liangzhang TanDepartment of Ocular Trauma, Tianjin Key Laboratory of Retinal Functions and Diseases, Tianjin Branch of National Clinical Research Center for Ocular Disease, Eye Institute and School of Optometry, Tianjin Medical University Eye Hospital, Tianjin, China.ORCID 0000-0001-8211-8640
Yongtao LiTianjin Key Laboratory of Retinal Functions and Diseases, Tianjin Branch of National Clinical Research Center for Ocular Disease, Eye Institute and School of Optometry, Tianjin Medical University Eye Hospital, Tianjin, China.ORCID 0000-0001-5237-4555
Qing ZhangTianjin Key Laboratory of Retinal Functions and Diseases, Tianjin Branch of National Clinical Research Center for Ocular Disease, Eye Institute and School of Optometry, Tianjin Medical University Eye Hospital, Tianjin, China.ORCID 0000-0002-7777-6777
Shuhan WangIndependent Consultant, Shanghai, China.ORCID 0009-0009-7355-1130
Zhihui ZhangTianjin Key Laboratory of Retinal Functions and Diseases, Tianjin Branch of National Clinical Research Center for Ocular Disease, Eye Institute and School of Optometry, Tianjin Medical University Eye Hospital, Tianjin, China.ORCID 0009-0002-7596-3816
Emmanuel Eric PazoDepartment of Clinical Research, Tianjin Key Laboratory of Retinal Functions and Diseases, Tianjin Branch of National Clinical Research Center for Ocular Disease, Eye Institute and School of Optometry, Tianjin Medical University Eye Hospital, Tianjin, China.ORCID 0000-0002-0848-827X
Xinjun RenDepartment of Ocular Trauma, Tianjin Key Laboratory of Retinal Functions and Diseases, Tianjin Branch of National Clinical Research Center for Ocular Disease, Eye Institute and School of Optometry, Tianjin Medical University Eye Hospital, Tianjin, China.ORCID 0000-0002-8113-2069

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOcular massage has been reported to lower intraocular pressure (IOP) temporarily. This effect could be related to enhanced aqueous humor outflow; however, the mechanism is unclear.

objectiveThis study aims to examine the impact of digital and EyePeace ocular massage on IOP fluctuations and investigate whether the observed reduction in IOP is attributable to morphological changes in the Schlemm canal (SC).

methodsParticipants were randomly assigned in a 1:1:1 ratio to 1 of 3 groups: digital ocular massage, EyePeace ocular massage, or no ocular massage. The primary outcome measure will be IOP. The secondary outcome measures will include anterior segment optical coherence tomography assessment of the SC and trabecular meshwork. In addition, adverse events in the quality of vision will be monitored and documented using a mobile app-based questionnaire. All assessments will be performed at baseline and 10 minutes after the assigned interventions.

resultsData collection was completed in the summer of 2025. The study results are expected to be published by the end of 2025.

conclusionsThis study will investigate the impact of ocular massage on IOP and SC dimensions by using a randomized controlled design. As preliminary evidence suggests that ocular massage may transiently reduce IOP by enhancing aqueous humor outflow, this study will aim to clarify the underlying mechanism. By comparing digital ocular massage, EyePeace ocular massage, and no ocular massage, the study will assess changes in IOP and SC morphology. The findings are expected to provide insights into the role of mechanical manipulation in modulating aqueous humor outflow, potentially informing nonpharmacological strategies for possible glaucoma management.

trial registrationChinese Clinical Trial Registry ChiCTR2400093512; https://www.chictr.org.cn/showproj.html?proj=250459. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/78864.

Indexed as

Intraocular PressureMassageSchlemm's CanalAdultAqueous HumorFemaleHealthy VolunteersHumansMaleRandomized Controlled Trials as TopicTomography, Optical CoherenceTrabecular Meshworkaqueous humorintraocular pressureocular massageSchlemm canaltrabecular meshwork

Identifiers

PMID41747246
PMCPMC12982946

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.