Ayurvedic Management of Choroidal Osteoma: A Case Report
DOI:
https://doi.org/10.70066/jahm.v13i10.2189Keywords:
Case report, choroidal osteoma, choroidal fluid loculation, ocular retinal tubules, kanjanara guggulu, netragranthi.Abstract
Background: Choroidal osteoma, a rare benign intraocular tumor characterized by mature bone replacing the choroid, often leads to vision loss due to complications like choroidal neovascularization (CNV) and subretinal fluid. Conventional anti-VEGF injections often face symptom recurrence. Case: A 47-year-old female presented on June 16, 2023, with progressive vision loss in her right eye since 2013, confirmed as peripapillary choroidal osteoma with subretinal fluid and CNV via fundoscopy and OCT. Intervention: After recurrent symptoms/side effects from anti-VEGF injections, Ayurvedic management began in June 2023, classifying the condition as ‘Dwiteeya Patalagata Kaphaja Timira’. Treatments included oral medicines (e.g., Kanjanara guggulu, Varanadi kashayam) and external therapies (e.g., Seka [eyewash], Vidalaka [medicated-paste to eyelids], Tarpanam [medicated-ghee retention over eyes]) targeting Kapha imbalance and vitiated Dhatus. Outcome: Ayurvedic management improved visual acuity, reduced sub-retinal fluid (SRF) and prevented CNV recurrence. Vision remained stable at the January 2025 follow-up. Conclusion: This case suggests Ayurvedic management is a potential complementary approach for choroidal osteoma, though larger studies are needed confirm effectiveness due single-case limitations.
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