Ayurvedic Management of Retinitis –Single Case Study

Abstract

Retinitis refers to inflammation of the retina and may present in various forms, including infectious (bacterial, viral, mycotic, rickettsial, parasitic), non-infectious, acute multifactorial, and retinitis caused by bright light exposure. Patients commonly experience persistence of after-images, positive scotoma, and metamorphopsia. Ophthalmoscopic findings may initially be absent, but a pale foveal spot with a brownish ring can appear as the disease progresses. This case study presents a 26-year-old male diagnosed with retinitis in the left eye who declined intravitreal anti-VEGF (bevacizumab) therapy and sought Ayurvedic management. The patient was treated with Chakshushya Basti along with oral Ayurvedic medications including Punarnava Mandur, Saptamrut Loha, Aampachak Vati, Vasaguduchyadi Kashay, and Triphala Ghrita. Significant improvement in visual acuity was observed over the treatment duration, supported by OCT findings showing reduction in retinal inflammation and epiretinal membrane changes. Chakshushya Basti, containing Madhu, Saindhav, Taila, Shatapushpa, Erandamool Kwath, and Yastimadhu, demonstrated Vata-pacifying, anti-inflammatory (Shothahara), and Rasayana effects, supporting retinal healing and functional improvement. Oral medications further aided in reducing inflammation, improving retinal nourishment, and enhancing tissue regeneration. The results indicate that Ayurvedic therapies, particularly Chakshushya Basti along with supportive oral medications, may play a beneficial role in the management of retinitis, a condition considered difficult to cure through modern ophthalmic treatment alone.