Role of Ayurveda in the Management of Branch Retinal Vein Occlusion

Abstract

Branch retinal vein occlusion (BRVO) is a common retinal vascular disorder that can lead to visual impairment and is frequently complicated by cystoid macular oedema (CME). Systemic inflammation, stress, and post-COVID vascular dysregulation have been recognized as potential contributing factors. This case report describes a 36-year-old male patient who presented with a history of sudden painless onset of blurred vision in the Left eye, accompanied by metamorphosia. Ocular examination revealed reduced visual acuity in the left eye with inferotemporal retinal haemorrhages. Optical Coherence Tomography showed significant macular oedema with a central macular thickness (CMT) of 482 µm, consistent with BRVO-associated CME. Systemic evaluation and laboratory investigations were within normal limits. The clinical condition paralleled Saraktha sannipatha kacham. Here, the patient was managed with Ayurvedic interventions, including internal medications such as Dasamoola Kashayam, Vaiswanara choornam, Chandraprabha Tablet, Gokshura Choornam, Trivrit Choornam, and ocular procedures like Yashti Lodhra Sekam and Mukkadipurampada. Over a 10-month follow-up, visual acuity improved to 6/9, with resolution of macular oedema and normalization of foveal contour (CMT 248 µm). This case suggests a potential role of Ayurveda in the management of BRVO with associated macular oedema, particularly in post-COVID vascular pathology.