Ayurvedic treatment for Eales Disease

Eales disease (also known as periphlebitis retinae, perivasculitis of the retina, and Eales Retinopathy) is an eye disease which affects the retina of the eye.

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Eales Disease Ayurvedic Treatment At Matha

Eales disease (also known as periphlebitis retinae, perivasculitis of the retina, and Eales Retinopathy) is an eye disease which affects the retina of the eye.

The retina is the most sensitive part of the eyeball. The light rays reflecting from the external object after passing through the eyeball converge at a particular point on the retina. Then, a series of reactions gets initiated. These are photochemical changes, electrical changes and nervous changes. As a result of all these reactions, a nerve impulse gets formed. Sine the light rays are reflected from the object, these rays carry all the object’s details such as its size, shape, colour, etc. In short, the impulse formed in the retina represents the external object from which the light rays got reflected. Thus, the external object is converted into a biological factor inside the eye. Then, the optical nerve carries this impulse to the brain. In the brain, this nerve impulse gets transformed into actual visual sense. So any pathology of this part is capable of developing visual defects.

In the case of Eales disease, the retina’s blood vessels are affected. A particular type of inflammatory change develops and the vessel walls are damaged. The structure and texture of the vessel walls become defective and get destroyed. These indirectly affect the quality of blood flow also. In short, the blood circulation of the retina becomes vitiated.

According to the changes that develop on the retinal vessels, there will be different clinical conditions or clinical stages in Eales disease.

1. Congestion of the blood vessels
Most often, this is the very initial change that happens. The blood flow starts to become defective. There may not be significant visual defects in this stage. So itself, it may be unnoticed and untreated in this stage.

2. Blockages in the retinal vessels.
Since the blood flow becomes defective, blockages develop in the blood vessels, leading to further complications.

3. Hemorrhages
Here, leakages from the vessels happen. In mild conditions, tiny dots of blood are seen on the retina. But, in severe conditions, there is a possibility of vast haemorrhages. The bleeding may be in the retinal layers, and this condition is known as retinal haemorrhage. Sometimes, it may be into the vitreous fluid, and if so, it is known as vitreous haemorrhage. Both are difficult situations and affect the vision seriously.

4. Neovascularisation
Neovascularisation is the formation of new vessels. When there are blockages or any discontinuity to the blood flow due to bleeding, new vessels – collateral vessels will be developed from the proximal end. They will grow to the distal end to compensate for the blood supply. These collateral vessels will be very delicate and will again bleed easily.

5. Hypoxia
Deficiency of blood supply later develops the clinical condition known as hypoxia. Here, the area of the retina where there is no blood supply becomes anaemic and non-functioning.

Eales disease is a particular condition affecting the blood vessels of the retina, the innermost layer of the eye responsible for vision. This condition involves inflammation of the retinal blood vessels, leading to various pathological changes such as blockages, bleeding, and neovascularization.

Typically, young adults between the ages of 20 and 30, mainly males, are affected by Eales disease. Initial stages may not present significant visual defects, making it crucial for early diagnosis and treatment. Symptoms may include congestion of blood vessels or abnormal textures, indicating the need for ophthalmic examination.

In Ayurvedic treatment, Eales disease is associated with the vitiation of the pitta dosha, with kapha also playing a role. The treatment aims to control pitta vitiation and inflammation while promoting healing. Local ophthalmic medications, generalized treatment procedures, and oral medications are employed to achieve this goal.

Specialized treatment procedures like Netra Kriyakalpa are tailored for eye conditions, focusing on maximum absorption of medicinal properties. Sega, vitiligo, and ashodhana are among the suitable procedures for Eales disease. Medicines selected for treatment should aim to balance pitta and promote healing.

In advanced stages with hemorrhage or clot formation, treatment becomes more challenging, requiring expert intervention to arrest bleeding and drain clots. Success in treatment depends on timely diagnosis, careful observation, and the selection of appropriate treatment methods and medicines.

Overall, Ayurvedic treatment offers a high success rate in managing Eales disease when handled by experienced practitioners.

Systematic ayurvedic cure for Eales Disease

In Ayurveda, there are various methods for the application of medicines. There are precise and modified methods for ophthalmic medications. Among these are the ways Seka, Aschotana, Vitalaka, etc., are more effective in treating Eals disease. It is the doctor’s expertise to select the appropriate method for the patient.

According to Ayurvedic principles, Eales disease is a condition where Pitta and Kapha are equally important. The vitiated Pitta and Kapha are confined to the Drishtipatalas of the eye.

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Ayurvedic Theory on the treatment of Eales Disease

Eales Disease Clinical stages - Infographics

According to ayurvedic theory, this pathological condition is mainly due to Pitta and Kapha vitiation. In any pathological condition where blood or blood vessels are involved, there will be vitiation of Pitta. Here, the situation being an inflammatory change, Kapha also is associated. The fraction of Pitta responsible for eye functions is Alochakapitta and the fraction of Kapha responsible for eye functions is Tharpakakapha. These vitiated Pitta and Kapha are confined to the Raktha Dhatu. Later, it affects the retina. Then, the changes mentioned in Eales disease are manifested.

So, treatment aims to normalise the properties and functions of Pitta and Kapha in the eye. There are various properties to these doshas – Kapha and Pitta. For Pitta, the main among these properties are Singdhatha, Theekshnatha, Ushna, Laghu, Visram, Sara, and Drava. The main properties of Kapha are mainly Guru, Manda, Hima, Snigdha, Slakshna, Sandra, Sthira, and Pichila.

Among these, the properties of Sara, Drava, Snighdhatha and Pichila are the main ones to be considered for treatment. Here, we have to select the drugs and medicines having the following properties.
– It should be chakshushya – Chakshushya means it acts on the ophthalmic tissues properly and positively.

– Pitta and Kapha Samana – It should be capable of reducing the vitiation of Kapha and Pitta, especially the properties mentioned above. By analysing the signs and symptoms and all other information, an expert hand can find out which properties of the Kapha and Pitta are mainly affected.

-Ropana Properties – This means the medicines or drugs should have anti-inflammatory actions.

In short, the treatments are to be planned with medicines having these properties.

In Ayurveda, there are various methods for the application of medicines. There are precise and modified methods for ophthalmic medications. Among these are the ways Seka, Aschotana, Vitalaka, etc., are more effective in treating Eals disease. It is the doctor’s expertise to select the appropriate method for the patient.

Above all, the patient’s body constitution (dosha prakriti) is also to be considered before selecting the medicine or a treatment procedure.

Differential diagnosis is critical while handling a case of Eales disease because many clinical findings of this disease are also common in other retinal diseases.

Eales disease is mainly affected in young adults. So, early diagnosis is critical.

How to get ayurvedic treatment for Eales Disease from Matha


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Frequently Asked Questions 

I am 31 years old. Recently, I had some vision problems, and after investigations, doctors diagnosed it as Eales disease. Is it treatable in Ayurveda?

Yes, It can be managed by Ayurvedic Methods. It is a condition which affects mainly the vessel walls of the retinal veins. Since the disease has different clinical stages, the treatment varies accordingly.

What are the main symptoms of Eales Disease?

It is a clinical condition confined to veins of the retina. Since the retina is the most sensitive part of the eye, and the steps for the formation of vision start from here, visual symptoms will be prominent in this condition. The haziness of vision and blurring of vision are the main symptoms. Gradually, vision will be affected seriously.

I am interested in Ayurveda, and I know Ayurveda to some extent. How is Eales disease diagnosed in Ayurveda?

Okay. Any diagnosis is for the purpose of treatment. So, the signs and symptoms of Eals disease are to be analyzed based on ayurvedic theory and can be reached to a diagnosis. Generally, Eales Disease is diagnosed as a condition where Kapha and Pitta are equally important, and the vitiated Kapha and Pitta is confined to the Drishtipatala. Pathological stages (according to Ayurvedic Theory) such as Abhyshyandha, Shobha, and Srodhorodha etc., are to be considered while diagnosing a case of Eals disease.

I have been suffering from Eales disease for the last year and have tried different streams of medicines. Is it totally curable ?

That depends upon the severity and clinical stage of the disease. There are different pathological changes in Eals disease, such as inflammation, haemorrhage, blocks in the vessels, clots, etc. Anyway, it is treatable, and it can be managed and the practical problems can be reduced.

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Matha Ayurveda Eye Hospital & Panchakarma Centre

Near Civil Station, Jayaprakash Ln, Kudappanakunnu, Thiruvananthapuram, Kerala 695043

Reception: 04712731352

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Eye Hospital Road (Moongode - Meppukada Road), Moongode P O Near, Thachottukavu, Kerala 695573

Reception: 9562997799

Matha Ayurveda Eye Hospital - Eighteenth Stone

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