Ayurvedic Management of Primary Open Angle Glaucoma

Primary open angle glaucoma (POAG) is a chronic, progressive optic neuropathy causing irreversible vision loss. Currently available conventional options have certain limitations; considering which options from alternative resources are being searched. Ayurvedic treatment principles which are targeted towards the basic pathophysiology can play a significant role in the integrated management of this disease. In this case study, Ayurvedic treatment was done along with conventional treatment. A male patient aged 58 years visited Shalakaya - Netra OPD complaining defective vision for both distance and near since six months. He was a diagnosed case of POAG since 5 years and was on Latanoprost eye drops once daily. He was given Deepana, pachana, anulomana, Shiro virechana and six sittings of Tarpana with Shigru Arka. He was also taking Rasayana yoga (~herbomineral formulation with rejuvenating properties) for three months. There was improvement in visual acuity in both eyes along with significant reduction of intraocular pressure. Visual field analysis showed improvement in retinal sensitivity. Blood parameters showed no significant changes in hematological and biochemical parameters except for reduction in Triglyceride value from 205 mg/dl to 153 mg/dl. Thus, it can be concluded that Ayurvedic approach is helpful in giving a complimentary treatment protocol for Primary open angle glaucoma.