DIABETIC RETINOPATHY- Ayurvedic Treatment, Diet, Exercises, Yoga & Pranayama  

Diabetes mellitus is a metabolic disease that causes high blood glucose. Diabetic retinopathy is the complication of diabetes that affects the eyes.

  • SIGNS AND SYMPTOMS OF DIABETIC RETINOPATHY  
  • CAUSES OF DIABETIC RETINOPATHY  
  • PATHOPHYSIOLOGY OF DIABETIC RETINOPATHY  
  • DIAGNOSIS OF DIABETIC RETINOPATHY  
  • TREATMENTS FOR DIABETIC RETINOPATHY  
  • PROGNOSIS OF DIABETIC RETINOPATHY  
  • COMPLICATIONS OF DIABETIC RETINOPATHY  
  • DIABETIC RETINOPATHY    AND AYURVEDA
  • NIDANA- AYURVEDIC CAUSES OF DIABETIC RETINOPATHY  
  • PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF DIABETIC RETINOPATHY  
  • SAMPRAPTI – AYURVEDIC PATHOGENESIS OF DIABETIC RETINOPATHY  
  • LAKSHANA- AYURVEDIC SIGNS AND SYMPTOMS OF DIABETIC RETINOPATHY  
  • AYURVEDIC PROGNOSIS OF DIABETIC RETINOPATHY  
  • CHIKITSA- AYURVEDIC TREATMENT FOR DIABETIC RETINOPATHY  
  • AYURVEDIC SAMANA TREATMENT FOR DIABETIC RETINOPATHY  
  • AYURVEDIC SODHANA TREATMENT FOR DIABETIC RETINOPATHY  
  • COMMONLY USED AYURVEDIC MEDICINES FOR DIABETIC RETINOPATHY  
  • HOME REMEDIES FOR DIABETIC RETINOPATHY  
  • DIET AND BEHAVIOUR FOR DIABETIC RETINOPATHY  
  • YOGA FOR DIABETIC RETINOPATHY  
  • RESEARCH PAPERS OF AYURVEDIC MANAGEMENT OF DIABETIC RETINOPATHY  

SIGNS AND SYMPTOMS OF DIABETIC RETINOPATHY  

  • Blurred vision
  • Distorted vision
  • Impaired colour vision
  • Seeing spots (eye floaters)
  • Loss of vision

CAUSES OF DIABETIC RETINOPATHY 

  • Uncontrolled diabetes is the cause of retinopathy
  • Diabetes caused due to:
  • Family history
  • Certain medications
  • Type 1 DM – Failure of the pancreas to produce enough insulin
  • Type 2 DM – Caused due to insulin resistance
  • Gestational diabetes   

PATHOPHYSIOLOGY OF DIABETIC RETINOPATHY  

In type 1 DM, symptoms may develop rapidly. It is also called insulin-dependent DM. In the case of type 2 DM, cells fail to respond to insulin properly. So type 2 DM is called non-insulin dependent DM. Uncontrolled diabetes can lead to the blockage of the tiny blood vessels that nourish the retina, so the blood supply in the retina obstructed. As a result, the eye attempts to grow new blood vessels. But these new blood vessels don’t develop properly and can leak easily.

Diabetic Retinopathy -

DIAGNOSIS OF DIABETIC RETINOPATHY  

  • Diagnosis through clinical features
  • Blood tests – to measure the blood glucose level (Random blood sugar, FBS, PPBS, Glycated haemoglobin (A1C) test)
  • Vision tests
  • Fluorescein angiography
  • Optical coherence tomography (OCT) 

TREATMENTS FOR DIABETIC RETINOPATHY  

  • Antidiabetic medications
  • Insulin therapy
  • Focal laser treatment
  • Vascular endothelial growth factor (VEGF) inhibitors injecting into the eyes

PROGNOSIS OF DIABETIC RETINOPATHY  

  • The early diabetic retinopathy is manageable with medications. Untreated diabetic retinopathy leads to complications.

COMPLICATIONS OF DIABETIC RETINOPATHY          

  • Retinal detachment
  • Vitreous haemorrhage
  • Complete loss of vision

DIABETIC RETINOPATHY AND AYURVEDA

  • In Ayurveda, diabetic retinopathy is known as ‘madhumehajanya timira’
  • It is managed based on ‘prameha chikilsa’ and ‘timira chikilsa’.

NIDANA- AYURVEDIC CAUSES OF DIABETIC RETINOPATHY  

  • Excess consumption of unctuous and sweet food
  • Janma krita – congenital
  • Lack of exercise
  • Sedentary life
  • Excess consumption of jaggery, milk and milk products

PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF DIABETIC RETINOPATHY  

  • Blurred vision

SAMPRAPTI – AYURVEDIC PATHOGENESIS OF DIABETIC RETINOPATHY  

Due to the above-mentioned causes, 20 types of Prameha manifested due to the interaction of the three doshas and ten dushyas. This disease is closely related to Sthaulya (i.e., obesity). Sahaja Prameha and Jatah Pramehi correlate with type 1 diabetes mellitus; Apathyanimittaja Prameha correlates with type 2 diabetes mellitus. When the excess dosha accumulates in the eyes of persons with uncontrolled diabetes, the ‘madhumehajanya timira’ manifested.

LAKSHANA- AYURVEDIC SIGNS AND SYMPTOMS OF DIABETIC RETINOPATHY  

  • Diminished  vision – heena drishti
  • Syava varna darsana  – blackish or greyish spots in the vision

AYURVEDIC PROGNOSIS OF DIABETIC RETINOPATHY  

  • Yapya roga – symptoms are manageable with Ayurvedic medicines

CHIKITSA- AYURVEDIC TREATMENT FOR DIABETIC RETINOPATHY  

AYURVEDIC SAMANA TREATMENT FOR DIABETIC RETINOPATHY   

  • Nishakatakadi kashayam
  • Nishamalaka churna
  • Aveera beeja churna
  • Vasantha kusumakara ras
  • Kataka khadiradi kashayam
  • Chandra prabha gulika
  • Lodhrasavam  – after food
  • Amrita mehari churna
  • Kanmada bhasma
  • Shivagulika
  • Internal administration of triphala churna along with honey
  • Triphaladi Ghana vati
  • Saptamrita loha
  • Netra bandha with Kadalikandha
  •  Padabhyanga with Ksheerabala taila
  •   Netra seka with kwatha of Triphala, Yastimadhu, Lodra and Musta
  •   Bidalaka with Triphalachoorna and Rasanjana
  •   Shirodhara (Takradhara) with vasaguduchyadikwatha
  •   Tarpana with Mahatriphala ghrita

 AYURVEDIC SODHANA TREATMENT FOR DIABETIC RETINOPATHY  

  • Virechana – purgation
  • Vasthi – medicated enema
  • Nasya – anutaila, durvadi ghrita, shatbindhu taila

COMMONLY USED AYURVEDIC MEDICINES FOR DIABETIC RETINOPATHY  

Internal administration

HOME REMEDIES FOR DIABETIC RETINOPATHY  

  • Exercise regularly
  • Intake of Indian gooseberry with turmeric powder and honey

DIET AND BEHAVIOUR FOR DIABETIC RETINOPATHY  

  • Avoid food items that produce dosha imbalance like unctuous food, hard to digest. Because dosha imbalance aggravates the symptoms.
  • Consume a balanced diet rich in vitamin A 
  • Avoid more oily foods, junk foods, sugar-containing diet

YOGA FOR DIABETIC RETINOPATHY  

  • Nadi Shuddi Pranayam   

The patient needs to be seated in a meditative posture with the head and spine erect, with the body relaxed. The patient has to close his one nostril (e.g. left nostril if using the right hand and vice versa) with the thumb and exhale completely through the other nostril. Again, he will have to breathe in deeply through the other nostril while the opposite nostril is still closed with the thumb.

                            

  • Dhanurasana
  • Paschimottasana
  • Kapalbhati pranayama
  • Shavasana

RESEARCH PAPERS OF AYURVEDIC MANAGEMENT OF DIABETIC RETINOPATHY  

1.     Ayurvedic Management of Diabetic Retinopathy

https://www.researchgate.net/publication/330837635_Ayurvedic_Management_of_Diabetic_Retinopathy

  • Diabetic retinopathy and its management in ayurveda- a special case report

http://www.iamj.in/posts/2015/images/upload/2nd_article_publication.pdf

  • Management of prameha with mustadi kwatha – a case study

https://www.jaims.in/index.php/jaims/article/view/623

  • A clinical study on the effect of Rishyagandha (Withania coagulans) in the management of Prameha (Type II Diabetes  Mellitus)

                https://www.ayujournal.org/article.asp?issn=0974-   8520;year=2011;volume=32;issue=4;spage=507;epage=511;aulast=Upadhyay

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