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Retinitis Pigmentosa – Ayurveda Management

Retinitis Pigmentosa, also know as RP is a rare eye condition that affects the layer of the eye that is sensitive to light  – the Retina.

Retinitis Pigmentosa (RP) is a genetic disease that is passed on through generations and the type of vision loss varies. Patients suffering from Retinitis Pigmentosa lose eyesight over time but do not become completely blind. It is a rare disease and usually affects both the eyes simultaneously.

Retinitis PigmentosaWhat is Retinitis Pigmentosa (RP)?

The retina is a layer at the back of your eye that converts light into electrical signals, allowing your brain to see the world around you. Retinitis pigmentosa (RP) is the term for a group of inherited eye diseases that affect your retina.

Your retina consists of special nerve cells that react to light. These cells include photoreceptor cells such as rods and cones and retinal pigment epithelium cells. For proper sight, it’s essential that these cells work together harmoniously. The genetic mutations that cause RP prevent these cells from functioning properly.

Since RP is a group of disorders, the visual changes vary among different people. Most people with RP have low vision and some people go blind. The vision changes usually start in childhood. But, sometimes these changes occur so slowly that you don’t realize it’s happening. Some people have faster vision loss. In some types of RP, vision loss stops at a certain point.

Retinitis pigmentosa generally affects both eyes.

Retinitis PigmentosaHow common is RP?

There are an estimated 1 in 3,500 to 1 in 4,000 people in India who have retinitis pigmentosa. Globally, RP affects about 1 in 3,000 to 1 in 4,000 people, or about two million people total.

Signs and symptoms of RP: 

Early signs and symptoms:

  • Problems with night vision.
  • Problems seeing in dim light.
  • Blind spots in peripheral (side) vision.

Later retinitis pigmentosa signs and symptoms may include:

  • Having a sensation of twinkling or flashing light.
  • Having tunnel vision (only central vision).
  • Being sensitive to or uncomfortable in bright light (photophobia).
  • Losing the ability to see color.
  • Having very low vision.

What causes RP?

Retinitis pigmentosa, is caused by changes in certain genes. These genes control the cells that make up your retina.

Tests to diagnose RP?

Dilated eye examination with visual field test

You may get your eyes examined by an optometrist or an ophthalmologist. Your provider will:

  • Ask you to read letters off a chart on the wall.
  • Ask you to follow objects with your eyes.
  • Test the pressure in your eyes.
  • Check your side vision (peripheral vision) with a peripheral field test.
  • Check how your pupils react to light.
  • Dilate your pupils with eye drops so they can see inside your eye.
  • Take images of the retina.

Retinitis PigmentosaElectroretinography (ERG) test

Electroretinography is a test that measures your retina’s response to light.

Optical coherence tomography scan

Optical coherence tomography (OCT) is a noninvasive test that can measure the thickness of your retina and analyze the retinal integrity.

Fundus autofluorescence test

This type of imaging test is noninvasive and can reveal information about the health of your retinas. It’s used for diagnosis, treatment and monitoring.

Management of RP:

The ways to manage RP include:

  • Using low vision aids and assistive devices.
  • Using sunglasses and other methods to avoid exposure to too much light. Light may make RP worse.
  • Treating associated conditions, such as cystoid macular edema (CME), which may happen with RP.
  • Treating cataracts which happens when the lens of your eyes becomes cloudy, with surgery to remove them.

Retinitis PigmentosaTips to Prevent vision loss:

  • Making and keeping regular appointments with your ophthalmologist.
  • Wearing sunglasses and avoiding bright lights.
  • Being as healthy as possible by eating right and exercising safely.
  • Avoid places with too much light.
  • Night vision goggles can help improve night vision by enhancing light levels.
  • Low-vision aids such as iris vision come with a dedicated RP Mode designed especially for people with retinitis pigmentosa.
  • Some people with retinitis pigmentosa suffer from poor color perception. Color filters may help some individuals distinguish colors better.
  • Tinted lenses may help reduce glare and improve contrast sensitivity for some people.
  • A healthy diet can reduce your risk of developing retinitis pigmentosa, especially foods that are rich in antioxidants such as vitamin A i.e. dairy products, beef liver and fish oils.
  • Avoid eating saturated fatty foods, fried foods and sugary drinks.
  • Wear sunglasses with UV protection. Ultraviolet (UV) rays have been linked to increased risk of eye conditions, which can affect people with RP even more than they do in the general population.
  • Exercise regularly. Some studies indicate that exercise may play a role in preventing degenerative eye diseases such as retinitis pigmentosa.
  • Wear protective eyewear during sports and other activities that could cause injury to your eyes. Even minor eye trauma can lead to further vision loss in people with RP.

Ayurveda Treatment of RP

Retinitis PigmentosaTreatment principles:- 

  • Treatment is aimed to arrest the progress of the diseases.
  • Vata pradana Sannipätika timira chikitsa
  • Consider the treatment of Nakulandya.
  • Deepana – Pachana oushadhas
  • Akshi prasadana oushadhas
  • Akshi visesha chikitsa
  • Raktaprasadana oushadhas
  • Dhatukshayajanya vata roga chikitsa
  • Nadi balya oushadhas
  • Chakshushya aushadhas
  • Psychotherapy

Retinitis PigmentosaPanchakarma Treatment modalities: – 

  • Snehapana
  • Talam
  • Nasya (brmhana, prasadana)
  • Virechana
  • Shiro abyanga.
  • Shiro lepana
  • Shiro dhara
  • Shiro vasti
  • Anjanam
  • Tarpanam
  • Putapaka (Snehana)
  • Vasti – Chakshushya.

Internal medicines: 

Kashaya:-

  • Amritä shadangam kashaya
  • Bala shadangam kashaya
  • Jivantyadi gana kashaya
  • Mahā manjshthadi kashaya
  • Mahatiktakam kashaya
  • Pathya shadangam kashaya
  • Vidaryadi kashaya

Arishta / asava:

  • Aswagandhärishtam
  • Balarishtam
  • Drakshärishta
  • Vidaryadyāsavam

Churna:

  • Amalaki + yashti churna
  • Avipatti cúrna (if virechana is needed)
  • Triphala churna

Swarasa:-

  • Amalaki swarasa
  • Guduchi satwa
  • Jivaniya putapaka rasa

Anjana:-

  • Churnitanjana
  • Kanasaindhavadianjana
  • Usiradianjana

Taila (ext/nasya):-

  • Bhrigamalakadi taila
  • Bhingaraja taila
  • Brahmi taila
  • Dhanwantaram taila & avartti
  • Kayyonnyadi taila
  • Kshirabala taila & avartti
  • Triphaladi taila

Ghrita (int/tarpana/nasya):-

  • Jivaniya gana Ghrita-tarpana & int
  • Jivanthyadi Ghrita
  • Mahatiktakam Ghrita
  • Mahatraiphala Ghrita
  • Patoladi Ghrita
  • Satahwadi Gritha -tarppana
  • Vidaryadi Ghrita

Lehya: –

  • Amalaki rasayana
  • Aswagandhadi lahya
  • Vidäryadi lehyam

Bhasma: –

  • Abhraka bhasma
  • Kanmada bhasma
  • Pravala bhasma
  • Rajata bhasma
  • Swarna bhasma
  • Yashada bhasma

Rasa/ loha preparations: –

  • Mahalakshmivilasa rasa
  • Saptamrita louha
  • Jivaniya putapaka rasa
  • Yakrut pippali rasayana

Retinitis PigmentosaRetinitis Pigmentosa treatment in Ayurdhama Ayurveda Netralaya: 

The most effective way of treating Retinitis Pigmentosa is with ADVANCED AYURVEDIC EYE CARE treatments provided in Ayurdhama Ayurveda Netralaya. Ayurdhama Ayurveda Netralaya has treated high number of patients suffering from an array of retinal issues with a very good success rate. And our treatments are tailor made to every patient making sure they are treated to perfection without causing harmful and uncomfortable side effects.

About Our Doctor

Our Doctor - Dr. Hariprasad Shetty

Dr. Hariprasad Shetty – B.A.M.S, M.S
Medical Director, Ayurdhama Ayurveda Netralaya
Call: +91-98804 64302

Dr. Hariprasad Shetty has done her B.A.M.S , M.D from Rajiv Gandhi University of Health Sciences in 2005. He is an accomplished Ayurvedic doctor and has delivered results in the field of eye care since 2005. His areas of interest include in detail understanding and management of Retinitis pigmentosa. His approach into finding the root cause of any issue with a holistic approach towards finding the solution through Proper consultation, Panchakarma treatment and Internal medication.

PACKAGE INCLUDES

  • Initial Consultation with Ayurveda Doctor and daily follow up consultation
  • Accommodation
  • All Ayurvedic Meals (Breakfast, Lunch & Supper) & herbal drinks
  • Advice on Diet & Lifestyle Management
  • Ayurveda Therapies – Customized for each client.
  • Yoga (once a day – Yoga Asanas, Breathing, Meditation and Relaxation)

RESERVATION DETAILS:

  • We are committed to keep up the quality of our treatment programs and we take only a limited number of patients each month.
  • So we advise you to reserve your treatment programs a minimum one month in advance.
  • The 50% charges of the treatment programs should be paid in advance to reserve the treatment programs.
  • The advance deposit will be deducted from the total treatment programs and the balance must be paid on the first day of the treatment program.
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