Ayurvedic Management of Lamellar Macular Hole: A Case Report
DOI:
https://doi.org/10.70066/jahm.v14i4.2693Keywords:
Case Report, Dwitiya Patalagata Timira, Kriyakalpa, Lamellar macular hole, Vitreomacular Traction, Vataja KacaAbstract
Background Lamellar Macular Hole (LMH) is a retinal disorder affecting partial-thickness in the macula characterized by an irregular foveal contour. Ayurveda correlates LMH to Dwitiya Patalagata Timira, a disorder where vitiated Vata dosha enters the Dwitiya patala (second layer of eyeball), resulting in scotoma, floaters and flashes. Case Description: A 60-year-old male presented with central scotoma, distortion, floaters, and photopsia in the left eye (LE). Unaided Distant Visual acuity (DVA) was LogMAR 0.477, and Optical Coherence Tomography (OCT) confirmed Vitreomacular Traction (VMT) with LMH in LE. Intervention: The patient received one course of Inpatient The protocol included external treatments and internal medications aiming at Shodhana (cleansing) and Samana (pacification). The patient under went one IP and two follow-ups over 12-months. Outcome: The DVA improved 0.477→0.176 LogMAR, and the symptoms of central scotoma, distortion, floaters and flashes reduced considerably. The OCT showed complete closure of LMH with normal foveal contour. Conclusion: This case report shows the effect of Ayurvedic interventions in LMH in maintaining normal contour in the fovea.
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