Ayurvedic management of retinitis pigmentosa: a case report

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Retinitis Pigmentosa (RP) or pigmentary retinal dystrophy is a hereditary disorder predominantly affecting the rods more than the cones. It is a most common hereditary fundus disorder, with a prevalence of approximately 1:5000.The clinical features of retinitis pigmentosa can be correlated to kaphavidagdhadristi . A 33 year old female patient with a prior diagnosis of RP was admitted in SJIIM hospital, Bangalore. She was treated with Shiroudwartana followed by Shiroabyanga, Nasya, Tailadhara, Tarpana, Putapaka and punarnavaswarasapana. There was improvement in visual acuity and the patient was able to perceive the objects clearer than before, since there is no treatment in contemporary science to reverse the damage caused by RP. Hence here an approach is made to improve the eyesight by slowing down the progression of disease with the help of various treatment modalities Keywords: Retinitispigmentosa, Kaphavidagdhadristi , Nasya, Tailadhara, punarnavaswarasapana INTRODUCTION Retinitis Pigmentosa (RP) is a slow, degenerative disease of the retina, almost invariably occurring in both eyes, beginning in the childhood and often resulting in blindness in middle or advanced age. The degeneration primarily affects the rods and cones, particularly the former and commences in a zone near the equator of the eye gradually spreading bothanteriorly and posteriorly. The macula region is not affected until a late stage 1 RP may occur asa) Sporadic disorder–without family history due to the mutation of rhodopsin gene (38%) , b) Inherited disorder–Autosomal recessive (25%), Autosomal dominant (20%), X–linked (9%) , c) Undetermined inheritance (8%). Males are more INTERNATIONAL AYURVEDIC MEDICAL JOURNAL International Ayurvedic Medical Journal, ( ISSN: 2320 5091) (September, 2017) 5(9) AYURVEDIC MANAGEMENT OF RETINITIS PIGMENTOSA: A CASE REPORT Anuja Singh V. 1 , Sumithra T Gowda. 2 1 Post Graduate Scholar, 2 Professor & HOD, Department of ShalakyaTantraGovernment Ayurvedic Medical College Bengaluru, Karnataka, India Email: anuja.singh.v@gmail.com ABSTRACT Retinitis Pigmentosa (RP) or pigmentary retinal dystrophy is a hereditary disorder predominantly affecting the rods more than the cones. It is a most common hereditary fundus disorder, with a prevalence of approximately 1:5000.The clinical features of retinitis pigmentosa can be correlated to kaphavidagdhadristi . A 33 year old female patient with a prior diagnosis of RP was admitted in SJIIM hospital, Bangalore. She was treated with Shiroudwartana followed by Shiroabyanga, Nasya, Tailadhara, Tarpana, Putapaka and punarnavaswarasapana. There was improvement in visual acuity and the patient was able to perceive the objects clearer than before, since there is no treatment in contemporary science to reverse the damage caused by RP. Hence here an approach is made to improve the eyesight by slowing down the progression of disease with the help of various treatment modalities Keywords: Retinitispigmentosa, Kaphavidagdhadristi , Nasya, Tailadhara, punarnavaswarasapana INTRODUCTION Retinitis Pigmentosa (RP) is a slow, degenerative disease of the retina, almost invariably occurring in both eyes, beginning in the childhood and often resulting in blindness in middle or advanced age. The degeneration primarily affects the rods and cones, particularly the former and commences in a zone near the equator of the eye gradually spreading bothanteriorly and posteriorly. The macula region is not affected until a late stage 1 RP may occur asa) Sporadic disorder–without family history due to the mutation of rhodopsin gene (38%) , b) Inherited disorder–Autosomal recessive (25%), Autosomal dominant (20%), X–linked (9%) , c) Undetermined inheritance (8%). Males are more INTERNATIONAL AYURVEDIC MEDICAL JOURNAL International Ayurvedic Medical Journal, ( ISSN: 2320 5091) (September, 2017) 5(9) AYURVEDIC MANAGEMENT OF RETINITIS PIGMENTOSA: A CASE REPORT Anuja Singh V. 1 , Sumithra T Gowda. 2 1 Post Graduate Scholar, 2 Professor & HOD, Department of ShalakyaTantraGovernment Ayurvedic Medical College Bengaluru, Karnataka, India Email: anuja.singh.v@gmail.com ABSTRACT Retinitis Pigmentosa (RP) or pigmentary retinal dystrophy is a hereditary disorder predominantly affecting the rods more than the cones. It is a most common hereditary fundus disorder, with a prevalence of approximately 1:5000.The clinical features of retinitis pigmentosa can be correlated to kaphavidagdhadristi . A 33 year old female patient with a prior diagnosis of RP was admitted in SJIIM hospital, Bangalore. She was treated with Shiroudwartana followed by Shiroabyanga, Nasya, Tailadhara, Tarpana, Putapaka and punarnavaswarasapana. There was improvement in visual acuity and the patient was able to perceive the objects clearer than before, since there is no treatment in contemporary science to reverse the damage caused by RP. Hence here an approach is made to improve the eyesight by slowing down the progression of disease with the help of various treatment modalities Keywords: Retinitispigmentosa, Kaphavidagdhadristi , Nasya, Tailadhara, punarnavaswarasapana INTRODUCTION Retinitis Pigmentosa