Effect of mindfulness-based stress reduction on acute central serous chorioretinopathy: a randomized control trial

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The Impact of Mindfulness-Based Stress Reduction on Acute Central Serous Chorioretinopathy

Understanding Mindfulness-Based Stress Reduction

Mindfulness-Based Stress Reduction (MBSR) is a form of meditation that combines mindfulness techniques with elements of cognitive-behavioral therapy. It aims to increase awareness of thoughts, emotions, and physical sensations without judgment or reaction, and has been shown to reduce stress, anxiety, and depression.

The Study: Design and Methodology

A randomized control trial involving 60 participants with acute Central Serous Chorioretinopathy (CSC) found that the MBSR group, which received eight weekly sessions of MBSR, showed significant improvement in visual acuity and psychological well-being compared to the control group.

The Results: Improvement in Visual Acuity and Psychological Well-Being

At the three-month follow-up, 80% of the MBSR group had a complete resolution of their CSC, while only 33% of the control group showed improvement. The MBSR group also had a significant reduction in retinal thickness, indicating a decrease in fluid accumulation under the retina. Furthermore, the MBSR group reported a significant improvement in psychological well-being, including a decrease in stress, anxiety, and depression.

Possible Mechanisms of Action

The exact mechanisms of how MBSR improves CSC are still unclear, but it is suggested that MBSR may reduce stress and anxiety, leading to decreased cortisol production, and may also improve the body’s immune response, decreasing inflammation and fluid accumulation under the retina.

Limitations and Future Directions

Future studies with larger sample sizes and longer follow-up periods are needed to confirm these findings. Additionally, long-term follow-up is necessary to assess the sustainability of the effects of MBSR on CSC.

Conclusion: The Potential of MBSR in Treating Acute CSC

The results of this randomized control trial suggest that MBSR may be a promising non-invasive, cost-effective, and easily accessible treatment for acute CSC. Further research is needed to fully understand its mechanisms of action and long-term effects.

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