CENTRAL SEROUS RETINOPATHY AND ITS MANAGMENT IN AYURVEDA - A SPECIAL CASE STUDY
*Dr. Darshana Dhotre, **Dr. Veena Shekar, ***Dr. Mamatha K V, ****Dr. Sujathamma. K
ABSTRACT
Central serous retinopathy (CSR) is characterised by spontaneous serous detachment of neuro sensory retina in the macular region, with or without retinal pigment epithelium detachment. Etiopathogenesis is not known exactly. The condition typically affects males between 20 and 40 years of age[1]. It is now believed that an increase in choroidal hyper permeability causes a breach in the outer blood retinal barrier. Leakage of fluid across this area results in development of localized serous detachment of neuro sensory retina. The condition is characterized with a sudden onset of painless loss of vision associated with relative positive scotoma, micropsia and metamorphopsia[2]. Reassurance or Laser photocoagulation are the only treatment indicated in contemporary science but these have their side effects and can even make the patient blind in raised complication. The clinical features of CSR simulates to Dwitiya patalagata & tritiyapatalagata timira to a greater extent due to the occurrence of certain characteristic features and treatment modalities can be adopted based on doshas and patalas involved in pathogenesis. The treatment morals of Ayurveda virtuously lies on the doshic principles, sroto dusti, other samprapti ghatakas and the samprapti involved. If a physician is able to analyse these and plan accordingly with combination of Shodhana, Shamana and kriyakalpas, the arrest of the condition and possible contradiction of the disease can be of great achievement from our science. A special case report of a 41 yrs old male patient with Central serous retinopathy who showed marked improvement with Ayurvedic management is presented in this article. The possible role of Ayurveda in its management and mode of action is also discussed here.
Keywords: Central serous retinopathy, Timira, Shodana, Virechana, kriyakalpas.
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