Diabetic Retinopathy

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Casestudies of Contents

Brief Medical History

A 70-year-old male patient with NPDR (Non-Proliferative Diabetic Retinopathy) with Retinal Haemorrhage (on Ophthalmoscopy) from type 2 diabetes mellitus and Parafoveal Telengiectacia with Vitreal Floaters (on Ophthalmoscopy) was first diagnosed in 2011 and had a baseline visual acuity (VA) of FC at 1meter in OD, 6/18 in OS, corrected VA is 6/60 in OD and 6/9 in OS, when he visited AyurVAID: Hospitals. Ophthalmoscopic examination reveals unclear and hazy fundus of both eyes.

Integrated Summary

Allopathy Ayurveda

GC – Stable, Afebrile

Prakriti – pitta-kapha
Dosa – tridosha
Dushya – roopavaha, rasavaha, raktavaha
Agni – sama
Aama – nirama
Koshta – madhyama
Srotas and Sroto dushti prakara – roopavaha,
Roga bala –
Rogi bala –
Satmya / Asatmya -

General findings:
BP – 112/70 mm Hg
Pulse – 76bpm
Appetite – low
Bowels – clear with medication
Micturition – normal
Sleep – good

Diagnosis –
Diabetic Retinopathy (Linganasha)
PFT, Cataract (Parimlayi Linganasha)

Clinical examinations –
CVS – normal
CNS – normal
RS – normal
PA – normal
Eye Examination –
R (6/60) at 1metre R (normal)
DVA NV
L (6/18) N6
On Ophthalmoscopic examination –
Unclear and hazy fundus of both eyes.
NPDR (Non-Proliferative Diabetic Retinopathy) with Retinal
Haemorrhage and Retinal Haemorrhagic
Cataract (on Ophthalmoscopy) from type 2 diabetes
mellitus and Parafoveal Telengiectacia with
Vitreal floaters.

Internal medicines –
Triphala choornam
Rasnadi kashayam
Kaishora guggulu
Ksheerabala 101
avipathy choornam

External medicines –
Ksheerabala tailam
Triphala, amalaki, musta, yashti, buttermilk
Triphala yashti kwatham for sekam
Jeevantyadi ghritam for tarpanam
Triphala, yashti, ashwagandha, daruharidra, Ajamamsa, triphala kwatham.

Laboratory investigations –
FBS – 126 mg/Dl
PPBS – 173 mg/Dl
RBS – 122 mg/Dl

Treatments –
Abhyangam bashpa swedana
Shirolepam
Sadyo virechanam
Akshi sekam
Tarpanam
Putapakam

Outcome

Vision Before Treatment After
1Month
After 2Months After 3Months After 1Year After
2Years

VISUAL ACUITY

DVA – R (6/60) FROM 1METRE L (6/18)

DVA – R (6/60) FROM 1METRE L (6/18 P)

DVA – R (6/36 P) L (6/18)

DVA – R (6/36 P) L (6/18)

DVA – R (6/36 P) L (6/12 P)

DVA – R (6/36 P) L (6/12 P)

PINHOLE VISION

PH – R ( L (6/12)

-

PH – R (6/24 P) L (6/12 P)

-

PH – R (6/24 P) L (6/9 P)

PH – R (6/24 P) L (6/6 P)

Condition is still maintained even after two years with regular follow ups and minor treatments at correct advised intervals. His blood sugar levels are also controlled with only ½ tablet (Euglin) per day, where in it was 2 tablets (Euglin) per day before starting treatments.

Date During consultation With allop. medicine After ayurvedic internal medicines After 3-4months Allop. Medicine reduced, ayurvedic treatment done After 8-9months Allop. Medicines reduced After
2Years

FBS

126 mg/Dl

98 mg/Dl

109 mg/Dl

92 mg/Dl

123 mg/Dl

 

PPBS

173 mg/Dl

121 mg/Dl

235 mg/Dl

144 mg/Dl

195 mg/Dl

RBS

240 mg/Dl

-

85 mg/Dl

61 mg/Dl

172 mg/Dl

Conclusion

After treatments there was considerable improvement in patient’s persisting complaints. His visual acuity had improved in both eyes. Eye pressure was maintained in normal limits. Pain in his eyes had reduced completely and floaters were also absent. Even the dependency of allopathic medications for diabetes were reduced, and eye medications were stopped with more results with the help of Ayurvedic medicines and treatments. Moreover, even after 2 years the results achieved are maintained.

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