AYURVEDIC MANAGEMENT OF RECURRENT CENTRAL SEROUS RETINOPATHY WITH PIGMENT EPITHELIAL DETACHMENT- A CASE REPORT

Abstract

Central Serous Retinopathy (CSR) is an idiopathic disorder characterized by spontaneous serous detachment of the neurosensory retina in the macular region, with or without retinal pigment epithelium detachment (PED). Symptoms of CSR include unilateral blurring of vision, metamorphopsia and micropsia. Management of CSR includes conservative measures, laser treatment and anti-VEGF injection, but recurrence is also seen in up to 50% of cases. According to Ayurveda, the signs and symptoms of CSR can be considered under the dosha vitiation in Pradhama and Dvideeya patala, mainly because of the imbalance of kapha pitha dosha and Rasa and raktha dhathus. Rasa and raktha dhathu vitiation is caused by the Vata dosha. This implies the involvement of tridosha in the manifestation of CSR. So we can correlate the CSR with PED to the Sannipathika timira lakshana. The pathogenesis of this disease can be considered under the sopha samprapthi; thus, kapha pitha samana, sophahara chikitsa and sannipathika timira chikitsa were adopted for the management of this disease. Here we illustrated the case of a male patient with 38 year old had gradual blurring of vision in the right eye for one month diagnosed with CSR with PED. It is effectively managed with internal medications and procedures like takradhara, avagundanam, rooksha vasthi etc. After the treatment, his right eye vision improved from 6/18 to 6/6b. Optical Coherence Tomography (OCT) also presented with a marked reduction in macular oedema. Six-month follow-up was done with Chakshushya and Rasayana drugs like Sapthamrithaloha tablet, Aswagandhaghana vati etc. There is no recurrence of the symptoms during this period. Thus, this case proves that Ayurvedic m