Management of Central Retinal Vein Occlusion through Ayurvedic Outpatient Medicines

Central Retinal Vein Occlusion (CRVO) is divided into ischaemic and non-ischaemic varieties and are differentially diagnosed based on characteristic symptoms and signs. Treatment modalities include pan-retinal LASER photocoagulation, intra-vitreal antiVascular Endothelial Growth Factor (anti-VEGF) injections, and pars plana vitrectomy in advanced cases. A case of a 53-year-old male who presented with a 1-month history of foggy vision and inability to see in the morning hours is presented here. He was provisionally diagnosed with CRVO. Assessment using Ayurvedic diagnostics revealed that he had Timira or blurring of vision. He underwent five courses of outpatient management. He was prescribed Kashaya (decoction), Gutika (tablet), and Lepa (pastes). He was assessed using Visual Acuity (VA), posterior segment examination and Optical Coherence Tomography (OCT) scanning. VA showed improvement at the second consultation and was maintained through the final three consultations. Posterior segment examination and OCT scanning showed gradual improvement over the course of the consultations and ended up as an almostnormal appearance at the fifth consultation. This case illustrates that prompt diagnosis and intervention brought about a maintained visual acuity and almost near-normal results for the retina.