Ayurvedic management of recurrent unilateral central serous retinopathy with neurosensory detachment: A case report

Abstract

Central Serous Retinopathy (CSR) is a retinal disorder caused by subretinal fluid accumulation leading to serous detachment of the neurosensory retina, often involving the macular region. It usually presents with sudden, painless visual impairment, image distortion, and central scotoma. Major predisposing factors include psychological stress, hypertension, prolonged corticosteroid use, and a type A personality. Conventional therapy such as anti‑VEGF injections, laser photocoagulation, or observation primarily offers symptomatic relief but does not prevent recurrence and may risk retinal damage. In Ayurvedic context, CSR resembles Sannipatika Timir described under Drishtipatalagata Rogas, caused by vitiation of Tridosha affecting the inner ocular layers. A 43‑year‑old male presented with blurred and double vision, central dark spot, insomnia, constipation, and stress for 25 days and was diagnosed with CSR in the left eye. He underwent Panchakarma therapy including Netra Basti and Shirodhara, along with internal medicines—Punarnavadi Kashaya, Gandharvahasthadi Kashaya, and Chandraprabha Vati for 20 days. Following treatment, vision improved from 6/12 to 6/6 with complete resolution of macular edema confirmed on optical coherence tomography. One‑year follow‑up showed no recurrence. The case highlights the potential of Ayurvedic management in promoting retinal recovery and preventing CSR relapse naturally.