INTEGRATIVE AYURVEDIC MANAGEMENT OF ACUTE CENTRAL SEROUS RETINOPATHY: A CASE REPORT WITH OCT CORRELATION

Background: Central Serous Retinopathy (CSR) is an acute macular disorder characterised by serous detach-ment of the neurosensory retina, commonly associated with stress and choroidal dysfunction. Ayurveda corre-lates this condition with Timira and Drishti-mandya, arising from Pitta–Vata dushti and Rasavaha–Raktavaha srotodushti. This case report presents the structural recovery of CSR following an integrative Ayurvedic treat-ment protocol, supported by OCT imaging. Case Presentation: A 46-year-old female presented with acute blurring of vision in the left eye (VA: 6/36P). Initial OCT revealed a large serous neurosensory detachment with markedly increased central macular thickness (~789–854 µm). Fundus examination showed a blunted foveal reflex and mild RPE alterations. The patient un-derwent a structured Ayurvedic regimen including Marsha Nasya, Shiro Pichu, Anjana-Kshalana, Ksheer-Neti, Akshi-Tarpana, and Matra Basti, supported by internal Medhya–Rasayana and Chakshushya formula-tions. Results: Follow-up OCT demonstrated complete resolution of subretinal fluid with normalisation of central macular thickness (176 µm), correlating with significant visual improvement. Conclusion: The findings indicate that targeted Ayurvedic interventions to correct Pitta–Vata imbalance, nourish ocular tissues, and modulate stress pathways may enhance structural recovery in CSR. OCT correlation provides objective support for the efficacy of this integrative approach.