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Prasanta Kumar Sahoo* and Aswinee Kumar Sahu


Central serous chorioretinopathy (CSR) is a non cystoids type of macular edema mostly affects young or middle age person. The disease occurrence is mostly unilateral. Though the disease is self limiting but due to recurrence and severity it may lead to permanent vision loss. Pathogenesis, sign and symptoms of CSR has similarities with Dhoomadarshi and Raktaja or Pittaja Abhisyanda. In contemporary medicine Anti VEGF injections, Intravitreal Triamicinolone and Photocoagulation are advised in this case. Here in this case study we have treated the case with Panchakarma, Kriyakalpa and internal medications based on Dhoomadarshi dristigata roga and Pitaja Abhisyanda chikitsa described in Sushruta Samhita. The patient was treated with Sneha Virechan, Tarpana Nasya, Ashyotana, Netra pariseka, and oral medications like Amrutadi Guggulu for three months. Follow up was done in every 1 month interval and OCT was taken before and after completion of treatment. Significant improvement in vision in this case study led us to prepare a standard operating protocol for Ayurvedic treatment of all types of Macular Edema including cystoid macular edema (CME) and clinical significant macular edema (CSME) which are having even more vision threatening prognosis.

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