EFFECTIVE MANAGEMENT OF CENTRAL SEROUS RETINOPATHY IN AYURVEDA- A SINGLE CASE STUDY

*Dr. Mamatha K. V., Dr. Sandhya Rani D. and Dr. Rashma S.

ABSTRACT

Central serous retinopathy (CSR) is also known as Central Serous Chorio Retinopathy (CSCR), typically affects middle-aged men and is characterized by serous neurosensory detachment (NSD) of retina at the posterior pole. The underlying pathogenesis revolves around functional or structural defect in the fluid-pumping capabilities of the retinal pigment epithelium (RPE) and choroidal vascular stasis or hyperpermeability. Most cases are idiopathic and regress spontaneously within 4 months with good visual recovery. However, a few suffer from persistent or recurrent serous macular detachment leading to progressive visual loss. In contemporary medicine observation, Anti VEGF injections, Mineralocorticoid receptor antagonists, Intravitreal Triamicinolone and Photocoagulation are advised in this case. The pathogenesis, sign and symptoms of CSR has similarities with Tritiyapatalagata timira explained in Ayurveda. A diagnosed case of huge CSR was treated with Panchakarma, Kriyakalpa and internal medications based on Tritiyapatalagata timira chikitsa described in Sushruta Samhita.

Keywords: Central serous retinopathy (CSR), Central Serous Chorio Retinopathy (CSCR), Tritiyapatalagata timira, Panchakarma, Kriyakalpa.