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Introduction

Retinitis is the inflammation of retina.it may be present in single (retinitis)or chorioretinitis, neuroretinitis or retinal vasculitis1

DISEASE REVIEW

Retinitis : It may be infectious and non infectious. infectious is bacterial retinitis: retinitis caused by pyogenic organism It may be acute and subacute retinitis Viral retinitis: it includes cytomegalo virus retinitis .Cytomegalo virus retinitis is the most common opportunistic ocular infection among patients with AIDS since advent of HAART its incidence has declined and its rate of progression reduced even in patients with low CD4+ T cell counts.it also appears that the rate of second eye involvement and retinal detachment are less than in the pree HAART era2 This occurs after exposure of the eyes to bright sunlight as in looking at an eclipse of the sun with inadequately protected eyes (exposure blindness )or exposure to flash of short circuiting of strong current. practically all the visible rays, ultraviolet and many infrared rays pass unimpeded to the retina and these are absorbed by the pigmentary epithelium pathological changes are produced by the resultant heating effect .the lesion is in fact a burn of the retina generally seen in paramacular area

The symptoms are persistence of after image progressing later into positive scotoma ,metamorphopsia . ophthlmoscopically there may be no signs at first or a pale spot is seen at the fovea with brownish red ring around it .later there are usually deposits of pigment and small ,grey punctate spots around the fovea or even the formation of macular hole.3

CASE PRESENTATION:

A 26 Yr male patient visited to ophthalmology OPD of shalakyatantra department with chief complaint of blurred vision of left eye since 1year.he consulted another ophthalmologist and was diagnosed with retinitis to left eye. He was advised for intravitreal bevacizumab (ANTIVEGF)injection in left eye before starting the ayurvedic treatment.patient was not willing for injection hence he came in our hospital and advised with above mentioned ayurvedic treatment

MATERIALS AND METHODS :

LOCAL EXAMINATION

(AC- anterior chamber, IOP-Intra ocular pressure ,RRR-Round Regular Reacting to light )

  Fundus examination

(CD ratio –cup disc ratio, ERM- Epiretinal membrane )

 Treatment Given To Patient

Results

OCT Reports of Patient

Before Treatment OCT reports

Discussion

Probable Mode Of Action : Chakshushya basti mainly contain Madhu having yogvahi, Raktapittahara, sandhan properties is absorbed and assimilated by body very quickly4 Saindhav acts as vrushya dipan due to sukshma guna it reaches up to micro channels5 Shatapushpa acts as shothhar which reduces inflammation of retina6 Erandamul kwath acts as vatahar so it pacifying vata which reduces the epiretinal membrane as vatprakop get reduced7 Yastimadhu acts as shothhar and ropan properties which reduces shoth and ropan does the healing process at retina and rasayan property create new dhatus8 Taila for allevation of vata it increases permeability of cell membrane9

ORAL MEDICINE

1)PUNARNAVA MANDUR :Punarnava mandur generally act on Shoth in retinitis there is inflammation(shoth) punarnava reduces shoth as it decreses fluid level in cells10

2)SAPTAMRUT LOHA: It is useful in all types of netrarog it contain triphala and lohabhasma which acts as rasayan helpful in formation of new cell11

3) AAMPACHAK VATI: this does the pachan of Aam and reduces dhatu sang and mala sang increases appetite12

4) VASAGUDUCHYADI KASHAY: it increases the blood circulation of retina and provide nutrition to the cells which is helpful in formation of new cells13

5)TRIPHALA GHRITA : it is useful in all types of netraroga and it pacify vata14

Conclusion

Inflammation of retina is incurable according to modern science. In Ayurveda the disease can be cured with the various procedure. chakshushya basti pacifying vata Dosha in the retinitis and yastimadhu, Shatapusha acts as shoth har properties so reduces shotha by decreasing fluid in the retina. Also yastimadhu act as Rasayan so it produces new cells. After basti, virechan also helpful in the management of retinitis. oral medications also helpful in the management of retinitis