An Ayurvedic Approach on Recurrent Anterior Uveitis (Raktaja Adhimantha) by Panchakarma

Abstract

A 34‑year‑old male patient came to the outpatient department with the complain of recurrent anterior uveitis since mid of 2022, had complaints of blurred vision, severe pain, redness, watering from left eye, and intolerance of bright light in the left eye. On examination, inflammatory changes were seen in the anterior chamber. These symptoms appeared once in 20-25 days for consecutively two years. He was under pred forte 1% e/d, homide e/d and prednisolone 5mg tablets during relapses as advised by an ophthalmologist. During this period, oral steroids were withdrawn. Considering the limited benefits, he opted for Ayurveda treatment. Where the sign and symptoms were diagnosed with Raktaja Adhimantha and treated with Virechana followed by Jalaukavacharna (leech therapy), Netra seka, Akshitarpana and oral medicines. The symptoms subsided within a 15 days, while after one and half month, the signs of the anterior chamber were normalized. The oral medicines were continued for 2 months. He was asymptomatic for four months. A similar mild symptom appeared in the same eye that was managed in similar lines. Thereafter, no exacerbation was noticed till December 2025. Raktamokshana along with Virechana, Akshitarpana and oral medicines are effective and safe as a stand‑alone therapy in recurrent anterior uveitis and prolong the interval between recurrent attacks in uveitis.