Abstract
CLINICAL APPROACH TO DIABETIC VITREOUS HAEMMORHAGE – AN OBSERVATIONAL CASE STUDY

*Dr. Vidhyasri M. and Dr. S. M. Pasha

ABSTRACT

Purpose: To report the visual acuity response after ayurvedic treatment protocol in patients with proliferative diabetic retinopathy complicated by vitreous hemorrhage. Methods: THREE patients with vitreous hemorrhage due to proliferative diabetic retinopathy were treated with a tailored ayurvedic approach, The patients underwent Snellen visual acuity testing, ophthalmoscopic examination, at baseline and follow-up visits. Results: All the three patients had proliferative diabetic retinopathy with vitreous hemorrhage extensive enough to preclude pan retinal photocoagulation. And all were started on cap celin (vitamin C 500MG OD) and was on observational period of 6 weeks; during this period ayurvedic management was structured following which patients experienced improvement in visual acuity starting within the second week. After 1 month of treatment including Virechana, Takradhara, & Madhutailika Basti two patients had 2 lines of improvement in visual acuity and the other 4 lines. Each patient had regression of retinal neo vascularization at 1 month of follow-up. The vitreous hemorrhage in each patient showed partial resolution at 1 week and nearly complete regression at 1 month. No adverse events were observed in either of the patient. Conclusions: After the treatment approach considering the pradhanika dosha samprapti apparent clearing of vitreous hemorrhage was documented, Initial treatment results of patients with vitreous hemorrhage and proliferative diabetic retinopathy are- resolution of vitreous hemorrhage with no further evidences of neovascularisations which are favorable short-term results observed and is suggestive of further study in a larger group of patients.

Keywords: vitreous hemorrhage, Virechana, pradhanika dosha samprapti Takradhara, & Madhutailika Basti.


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