CYSTOID MACULAR EDEMA

• Cystoid Macular Oedema refers to collection of fluid in the outer plexiform (Henle's layer) and the inner nuclear layer of the retina, centred around the foveola
• It might be asymptomatic in several cases and diagnosed during a routine eye check-up

• Complication of ocular treatment such as Ocular surgery, Ocular laser therapy
• Retinal vascular disorders
• Intraocular inflammations
• Systemic diseases such as leukaemia, chronic renal failure and multiple myeloma

• Visual loss
• A patient with painless Blurred or decreased central vision can be a case of Cystoid macular oedema
• Asymptomatic in several cases

• Visual acuity - Decreased
• Ophthalmoscopy-reveals loss of foveal contour, retinal thickening, a yellow spot at the centre of the fovea and in clinically established cases a typical ‘Honeycomb appearance’ of the macula
• Fundus Fluorescein Angiography- Demonstrates leakage and accumulation of dye in a ‘flower-petal appearance
• Optical Coherence Tomography (OCT) –reveals loss of foveal depression

• Treatment of the causative factor
• Topical and systemic steroids
• Topical anti prostaglandin
• Lifestyle modifications such as proper sleep, avoid stress etc as these are the key factors

Ayurvedic Treatment

Internal medicines

To relieve fluid collection in the retina

• Punarnavadi kashaya
• Guduchyadi kashaya
• Triphala Gritha
• Dashamoolaarishta
• Punarnavasava
• Vaiswanara choorna

Procedures

• Netra dhara - Triphala+ Erandamoola kashaya
• Jaloukavacharana - forehead
• Sirolepa - Erandamoola + Lodhra +Triphala choorna
• Takradhara - highly beneficial