EFFICACY OF JIVANTYADI GHRITA NASYA AND NETRA TARPANA IN THE MANAGEMENT OF EALES DISEASE (TIMIRA) – A CASE STUDY

Abstract

Introduction – Eales disease is an idiopathic occlusive vasculitis involving the peripheral retina. Clinical find-ings in Eales disease are characterized by avascular areas in the peripheral retina followed by microaneurysms, and neovascularization and are hallmarked by recurrent vitreous hemorrhages and vision loss. The symptoms of Eales disease can be correlated to Dwitiya Patalagata Doshdushtijanya Timira in Ayurveda. When the vitiat-ed Doshas are situated in the Dwitiya Patala, it causes confused visual perception and appearance of bees, flies, and circles in front of the eyes, which can be correlated with Timira described by Acharya Sushruta. According to Acharya Vagbhata, Nasya and Netra Tarpana are indicated in Timira’s samanya chikitsa. Here, we present a case of 38 years old male patient, previously diagnosed and treated with Eales disease that underwent Ayurve-dic treatment at our institution and showed remarkable improvement. Case presentation – A 38-year-old male patient, presented to our institution's OPD with complaints of diminution of vision in both eyes, floaters, specks, and cobwebs in the vision of both eyes in the last eight months. He was previously diagnosed with Eales disease in both eyes with the help of FFA and fundus photography. He was treated with oral steroids, AKT (Anti- Koch's Therapy), Intravitreal injection in both eyes, and Pan-retinal photocoagulation therapy in the left eye. But due to poor response and recurrent retinal haemorrhages and neovascularization, he was ad-vised of left eye Vitrectomy. Hence the patient opted for Ayurvedic management. He underwent Jivantyadi Ghrita Nasya, and Netra Tarpana along with oral medications like Saptamrut Lauha, Panchatiktaghrita Guggul, and Avipattikar Churna for one month. Result- His visual acuity improved significantly from 6/18 to 6/9 in the right eye and 6/36 to 6/12 in the left eye. In fundoscopic findings, vitreous haze decreased, and active haemor-rhages were arrested after one month of treatment. Conclusion- Thus it can be concluded that Jivantyadi Ghri-ta Nasya and Netra Tarpana were found to be effective in treating signs and symptoms of Eales disease.