| CASE REPORT |
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| Year : 2022 | Volume
: 5
| Issue : 1 | Page : 10-16 |
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Ayurvedic management of retinopathy combined with central serous macular edema: A case report
K Nethradas Pathiyil, Sumitha Prakash Cheruvillil
Ramavarma District Ayurveda Hospital, Trissur, Kerala, India
Correspondence Address:
Dr. K Nethradas Pathiyil
Ramavarma District Ayurveda Hospital, Trissur, Kerala
India
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/jacr.jacr_49_21
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Dealing with intemperate diabetes and hypertension, one of the main challenge to deal with is retinopathy. Early management and preventive treatments through Ayurveda can make a great impact as it helps in preventing vision loss. The major cause of vision loss in diabetic retinopathy is macular edema, which is the thickening of macula due to fluid accumulation. This will result in significant deterioration of vision and if untreated will result in permanent loss of vision. The pathophysiology of hypertension and diabetes can cause altered immune functions and vascular endothelial dysfunction. In Ayurveda, retinopathy can be considered as Timira (~errors of refraction/partial blindness). A 61-year-old male patient complaining of defective distant and near vision for one year sought Ayurvedic treatment. Clinical findings include Central Serous Macular Edema (CSME), Non-proliferative Diabetic Retinopathy (NPDR) with maculopathy, and Grade 2 hypertensive retinopathy in both eyes. The selected treatment protocol includes Rakta sangrahi (~medicine that helps in blood coagulation), Stambhana (~procedure or action of drug causing arrest of secretion or control of bleeding), and Ama pachana (~the action of a drug or medicine which helps in digesting toxins in body), Sirovirechana (~medication through nose for cleansing or errhine), Talapotichil (~patching the scalp with herbal paste), Sirodhara (~pouring medicated oil over the scalp), Takradhara (~therapeutic butter milk-streaming over body), and Akshi tarpanam (~filling the eyes with medicated Ghee). Significant improvement in Visual Acuity (VA) and changes in CSME were observed at the end of the treatment. During follow-up period of three months, VA was further improved. The observations reveal that Ayurvedic management of the mixed retinopathy is significantly effective in reducing the subjective and objective symptoms and improve VA.
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