Universal Informatics · Research reading room

Effect of Mindfulness Meditation on Intraocular Pressure and Trabecular Meshwork Gene Expression: A Randomized Controlled Trial.

Dada T, Bhai N, Midha N, Shakrawal J, Kumar M, Chaurasia P, Gupta S, Angmo D, Yadav R, Dada R, Sihota R. · American journal of ophthalmology · 2021 · Single-blind randomized controlled trial

Original publication · Original publication

Recorded summary

In 60 glaucoma patients, a three-week meditation adjunct reduced intraocular pressure relative to medication alone and was associated with trabecular-meshwork expression changes involving nitric-oxide and inflammatory pathways.

Recorded limitations

The measured tissue was ocular rather than brain tissue. The short, small trial and multiple molecular endpoints do not establish a general genomic mechanism or replacement for glaucoma care.

Evidence and provenance

Chapter Trust Factor uses a minimum of three distinct qualifying studies. Publication records retain their own evidence and assessment.

Study design and assessment
design
Single-blind randomized controlled trial
assessment
category
peer-reviewed
peer Reviewed
true
basis
Reported design checked against the primary publication abstract. Blinding terminology reflects the source report, not an independent risk-of-bias rating.
sources

https://pubmed.ncbi.nlm.nih.gov/33393484/ · https://doi.org/10.1016/j.ajo.2020.10.012

assessed At
2026-10-26
registered Masking Basis
false
trust Factor
score
2
scope
Paper
status
assessed
randomized Controlled Trial
true
blinding
single
peer Reviewed
true
basis
Reported design checked against the primary publication abstract. Blinding terminology reflects the source report, not an independent risk-of-bias rating.
sources

https://pubmed.ncbi.nlm.nih.gov/33393484/ · https://doi.org/10.1016/j.ajo.2020.10.012

review Scope
Existing publication-specific assessments and bibliographic indexing; no blanket full-text appraisal.
assessed At
2026-10-27
jadad
status
unassessed
score
Not recorded
evidence
intervention
Three-week meditation adjunct
comparator
Glaucoma medication alone
evidence Type
Gene expression
source URLs

https://pubmed.ncbi.nlm.nih.gov/33393484/ · https://doi.org/10.1016/j.ajo.2020.10.012

checked At
2026-10-26
review Scope
Primary publication abstract and bibliographic identity checked; comprehensive full-text risk-of-bias and Jadad assessment pending.
discovery Sources

https://daytab.com/study/b5xzgp8h · https://europepmc.org/article/MED/33393484

selection Policy
Success-focused discovery selection, with material limitations retained; not an exhaustive systematic review.
measurement
Trabecular-meshwork gene expression and intraocular pressure
measured Genes

NOS1 · NOS3

sample
60 glaucoma patients
Topics and recorded topic scores
  1. key
    language:mindfulness-rna
    title
    Mindfulness interventions and gene expression
    collection
    language
    trust Score
    2
Citation snapshot and identifiers
id
pmid-33393484
doi
10.1016/j.ajo.2020.10.012
pmid
33393484
citation Snapshot
count
32
source
Europe PMC
retrieved At
2026-10-26
url
https://europepmc.org/article/MED/33393484
citations By Collection
language
32
Complete approved library record
id
pmid-33393484
publication Key
doi:10.1016/j.ajo.2020.10.012
aliases
None recorded
title
Effect of Mindfulness Meditation on Intraocular Pressure and Trabecular Meshwork Gene Expression: A Randomized Controlled Trial.
journal
American journal of ophthalmology
neurotransmitters
None recorded
year
2021
authors
Dada T, Bhai N, Midha N, Shakrawal J, Kumar M, Chaurasia P, Gupta S, Angmo D, Yadav R, Dada R, Sihota R.
design
Single-blind randomized controlled trial
identity Conflict
Not recorded
doi
10.1016/j.ajo.2020.10.012
pmid
33393484
urls

https://pubmed.ncbi.nlm.nih.gov/33393484/ · https://doi.org/10.1016/j.ajo.2020.10.012

collections

language

categories

Gene expression

targets

NOS1 · NOS3

priority
0
quotes
None recorded
summary
In 60 glaucoma patients, a three-week meditation adjunct reduced intraocular pressure relative to medication alone and was associated with trabecular-meshwork expression changes involving nitric-oxide and inflammatory pathways.
limitation
The measured tissue was ocular rather than brain tissue. The short, small trial and multiple molecular endpoints do not establish a general genomic mechanism or replacement for glaucoma care.
citation Count
32
citation Snapshot
count
32
source
Europe PMC
retrieved At
2026-10-26
url
https://europepmc.org/article/MED/33393484
study Design Assessment
category
peer-reviewed
peer Reviewed
true
basis
Reported design checked against the primary publication abstract. Blinding terminology reflects the source report, not an independent risk-of-bias rating.
sources

https://pubmed.ncbi.nlm.nih.gov/33393484/ · https://doi.org/10.1016/j.ajo.2020.10.012

assessed At
2026-10-26
registered Masking Basis
false
paper Trust Assessment
score
2
scope
Paper
status
assessed
randomized Controlled Trial
true
blinding
single
peer Reviewed
true
basis
Reported design checked against the primary publication abstract. Blinding terminology reflects the source report, not an independent risk-of-bias rating.
sources

https://pubmed.ncbi.nlm.nih.gov/33393484/ · https://doi.org/10.1016/j.ajo.2020.10.012

review Scope
Existing publication-specific assessments and bibliographic indexing; no blanket full-text appraisal.
assessed At
2026-10-27
citations By Collection
language
32
topics
  1. key
    language:mindfulness-rna
    title
    Mindfulness interventions and gene expression
    collection
    language
    trust Score
    2
journal Key
americanjournalofophthalmology
journal Label
American journal of ophthalmology
chapter Entries
  1. title
    Effect of Mindfulness Meditation on Intraocular Pressure and Trabecular Meshwork Gene Expression: A Randomized Controlled Trial.
    journal
    American journal of ophthalmology
    year
    2021
    authors
    Dada T, Bhai N, Midha N, Shakrawal J, Kumar M, Chaurasia P, Gupta S, Angmo D, Yadav R, Dada R, Sihota R.
    design
    Single-blind randomized controlled trial
    urls

    https://pubmed.ncbi.nlm.nih.gov/33393484/ · https://doi.org/10.1016/j.ajo.2020.10.012

    doi
    10.1016/j.ajo.2020.10.012
    pmid
    33393484
    targets

    NOS1 · NOS3

    categories

    Gene expression

    citation Count
    32
    citation Snapshot
    count
    32
    source
    Europe PMC
    retrieved At
    2026-10-26
    url
    https://europepmc.org/article/MED/33393484
    study Design Assessment
    category
    peer-reviewed
    peer Reviewed
    true
    basis
    Reported design checked against the primary publication abstract. Blinding terminology reflects the source report, not an independent risk-of-bias rating.
    sources

    https://pubmed.ncbi.nlm.nih.gov/33393484/ · https://doi.org/10.1016/j.ajo.2020.10.012

    assessed At
    2026-10-26
    registered Masking Basis
    false
    evidence
    intervention
    Three-week meditation adjunct
    comparator
    Glaucoma medication alone
    evidence Type
    Gene expression
    source URLs

    https://pubmed.ncbi.nlm.nih.gov/33393484/ · https://doi.org/10.1016/j.ajo.2020.10.012

    checked At
    2026-10-26
    review Scope
    Primary publication abstract and bibliographic identity checked; comprehensive full-text risk-of-bias and Jadad assessment pending.
    discovery Sources

    https://daytab.com/study/b5xzgp8h · https://europepmc.org/article/MED/33393484

    selection Policy
    Success-focused discovery selection, with material limitations retained; not an exhaustive systematic review.
    measurement
    Trabecular-meshwork gene expression and intraocular pressure
    measured Genes

    NOS1 · NOS3

    sample
    60 glaucoma patients
    id
    language-mindfulness-rna-pmid-33393484
    record Id
    pmid-33393484
    quotes
    None recorded
    source Pages
    None recorded
    summary
    In 60 glaucoma patients, a three-week meditation adjunct reduced intraocular pressure relative to medication alone and was associated with trabecular-meshwork expression changes involving nitric-oxide and inflammatory pathways.
    limitation
    The measured tissue was ocular rather than brain tissue. The short, small trial and multiple molecular endpoints do not establish a general genomic mechanism or replacement for glaucoma care.
    paper Trust Assessment
    score
    2
    scope
    Paper
    status
    assessed
    randomized Controlled Trial
    true
    blinding
    single
    peer Reviewed
    true
    basis
    Reported design checked against the primary publication abstract. Blinding terminology reflects the source report, not an independent risk-of-bias rating.
    sources

    https://pubmed.ncbi.nlm.nih.gov/33393484/ · https://doi.org/10.1016/j.ajo.2020.10.012

    review Scope
    Existing publication-specific assessments and bibliographic indexing; no blanket full-text appraisal.
    assessed At
    2026-10-27
    publication Key
    doi:10.1016/j.ajo.2020.10.012
    collection
    language
    chapter Number
    4
    topic Id
    mindfulness-rna
    topic Title
    Mindfulness interventions and gene expression
    trust Score
    2
evidence
intervention
Three-week meditation adjunct
comparator
Glaucoma medication alone
evidence Type
Gene expression
source URLs

https://pubmed.ncbi.nlm.nih.gov/33393484/ · https://doi.org/10.1016/j.ajo.2020.10.012

checked At
2026-10-26
review Scope
Primary publication abstract and bibliographic identity checked; comprehensive full-text risk-of-bias and Jadad assessment pending.
discovery Sources

https://daytab.com/study/b5xzgp8h · https://europepmc.org/article/MED/33393484

selection Policy
Success-focused discovery selection, with material limitations retained; not an exhaustive systematic review.
measurement
Trabecular-meshwork gene expression and intraocular pressure
measured Genes

NOS1 · NOS3

sample
60 glaucoma patients
jadad
status
unassessed
score
Not recorded
condition Evidence
None recorded
conditions
None recorded
topic Trust Scores

2

full Text
status
not-indexed
retrieval Available
false

Open this publication in the interactive library