Central serous retinopathy (CSR)

Is an idiopathic disease that primarily affects young white men, 20 to 50 years of age, although it is seen occasionally in older patients, females, and other ethnic groups. The condition may be triggered or exacerbated by stress or corticosteroid use.

CSR is characterized by avascular focal leakage through the retinal pigment epithelium (RPE), resulting in serous detachment of the neurosensory retina. It is usually selflimiting and in most cases resolves spontaneously within a 3-month period, with visual acuity usually recovering to 20/30 or better. In a small minority of cases, however, chronic CSR may develop, with the potential for progressive RPE atrophy and permanent visual loss.

In such cases, treatment is challenging. Options include focal laser, which itself can cause scarring and result in visual loss, and photodynamic therapy, which is not always effective.

First... Solutions:

Actions for remedying the situation

4th leading cause of blindness in the world

Retina has one of the highest metabolic needs in body, likewise contains 50% fatty acids

STRESS CONTROL:

• ashwagandha
• Breathing exercises
• Running workin out
• Meditate
• Yoga / kriya
• Adaptogens

NATURAL REMEDIES:

• Aspirin during the day
• Melatonin during the night
• Ashwagandha during day or night
• Spirulina
• Omega-3s (EPA BHA) 2000-3000 mgs a day
• Magnesium glycinate daily
• Attempt a fast? Intermittent fasting
• Cut out dairy/processed food/sugars 
• Eat only organic grass fed pasture raised stuff
• Consult for keto?
• Vitamin A * with zinc which helps absorption (absorption is important with poor absorption liver suffers)
• Rhodeola
• Schisandra
• B Vitamins (check which ones)
• Vitamin C, beta carotene, vitamin E, selenium, zinc,
• Carotenoids (lutein16mg, xeazqnthin4-6mg)* perhaps astaxanthan 6-12mg 
• Blue light protective glasses
• Red lens exercise therapy (5 mins of exposure to morning Red light in 670nm range 5-7 days a week)
• Bilberry, taurine, ginkgo
• Nitric oxide???
• 30-60 mins of natural sunlight (morning time best)
• No screen time after 6pm without blue light glasses
• Weses yoga teacher
• Reishi + lions mane
• SAMe supplement

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Comprehensive Introductory Study

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MELATONIN TREATMENT FOR CHRONIC CSR

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4541344/

https://iovs.arvojournals.org/article.aspx?articleid=2638564

https://www.mdpi.com/1420-3049/20/12/22395

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https://journals.lww.com/nrronline/fulltext/2020/15120/Medicinal_plants_and_natural_products_as.5.aspx

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6979308/

https://iovs.arvojournals.org/article.aspx?articleid=2272079

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