EFFECT OF JALAUKAVACHARANA IN CENTRAL RETINAL VEIN OCCLUSION (CRVO) - A CASE STUDY

*Dr. Mehjabeen Mohammad Yunus Quraishi and Dr. A. P. Vaijwade

ABSTRACT

Central retinal vein occlusion (CRVO) is a retinal vascular disease. CRVO is one of the common diseases presenting to emergency in shalakya and leading cause of painless vision loss. Incidence is 7 people per 10000. It present with sudden, unilateral blurred vision to a moderate-severe degree. Ischaemic CRVO constitutes about 20-25 percent of all cases of CRVO while the majority (75-80%) of eyes with CRVO are of the non-ischaemic type. The present study deals with the patient of non-ischaemic type. The management of CRVO using various drugs is still uncertain. Various modulators of the hemorrheological factors have been tried such as anticoagulants, thrombolytic and hemodilution but none of them is of proven beneficial so far. Generally the patients are gone for modern medications but repeated USG may ignore a retinal tear or detachment and deny vitrectomy that is the only treatment for serious forms. In Ayurveda, CRVO is caused due to Raktavaha Sroto Dushti. Hence treatment was based on Raktapitta Shodhana and Shamana. The patient of 58 years old came with complaints of sudden left eye vision loss. He was treated with Punarnava guggul, Saptamrut loha, Haritaki Churna with procedures of Jalaukavacharna. At the end of treatment left eye visual acuity was improved. Fundus examination revealed resolving of retinal haemorrhages. Observations showed that Ayurvedic approach is helpful in managing CRVO.

Keywords: Ayurveda, CRVO, Jalaukavacharana.