Ayurvedic management of Branch Retinal Vein Occlusion (BRVO) with Macular Oedema - A Case Report

Branch Retinal Vein Occlusion (BRVO) is the second most common retinal vascular disorder associated with systemic vascular disorders such as hypertension, diabetes mellitus, obesity and dyslipidemia. It causes defective vision due to macular edema, venous congestion, and ischemia. Modern treatment mainly includes anti-VEGF injections and laser therapy, but recurrence and complications often seen. Ayurveda provides a holistic approach through internal medicines, ocular therapies, and life style modification. This case report presents a 64-year-old female with BRVO and macular edema, managed with Ayurvedic medicines and therapies such as Netra Sekam, Takradhara, Murdha Taila, Nasya Anjanam, Mukhalepam, and Jaloukavacharana. The right eye improved from counting fingers at 1.5 m to 6/24 (pinhole~6/18), with OCT central macular thickness reducing from 502 µm to 254 µm. The left eye-maintained vision at 6/60 with symptomatic relief and stabilization of OCT values. This suggests Ayurveda as a supportive therapy in BRVO management.