World Journal of
Pharmaceutical and Life Sciences

A CASE STUDY ON TRITIYA PATALAGATA PITTAJA TIMIRA W.S.R TO AGE RELATED MACULAR DEGENERATION WITH CHOROIDAL NEOVASCUALAR MEMBRANE

*Dr. Sangeeta and Dr. Sujathamma K.

ABSTRACT

Age-Related Macular Degeneration (ARMD) is a degenerative condition associated with aging, primarily affecting the macula and causing a gradual decline in central vision. It stands as the leading cause of vision impairment and blindness in developed nations, particularly among individuals aged 40 years and older. The pathology of ARMD involves the Retinal Pigment Epithelium (RPE) cells accumulate metabolic byproducts due to incomplete degradation of phagocytosed rod and cone membranes that supply oxygen and nutrients to the retina, leading to a deprivation of essential elements to the macula and ultimately resulting in progressive vision loss. Contemporary medical approaches typically involve offering zinc supplements, antioxidants, and vitamins in the early stages, and resorting to intravitreal injections (ranibizumab, bevacizumab) and laser photocoagulation in advanced cases. However, these interventions often prove insufficient in arresting the unyielding progression of vision loss. Ayurveda, on the other hand, presents a promising alternative with its emphasis on Shodhana therapy (purification treatments) and Kriyakalpa (therapeutic procedures). These modalities aim not only to alleviate symptoms but also to impede the advancement of the disease process.In a clinical scenario involving a diagnosed case of Wet ARMD, presenting with central vision loss in the left eye over the course of a year, the patient sought treatment at the outpatient division of the hospital. The management approach adopted included Shodhana therapy, Nasya, Aschyotana, Anjana, and Vasaguduchyadi Kashaya. Remarkably, significant improvement in vision was observed following the Ayurvedic intervention, indicative of a favourable treatment outcome. Furthermore, the progression of the disease was notably curtailed, underscoring the efficacy of Ayurvedic interventions in addressing the complexities of ARMD. These encouraging results highlight the potential of Ayurveda as a viable therapeutic option in the management of ARMD, offering hope for patients seeking alternatives to conventional treatment modalities.

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