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Tritiya patala gata timiram
A 42-year-old female patient, an Ayurvedic Doctor by profession presented with visualizing straight lines/objects as curves (metamorphopsia). She consulted an ophthalmologist who diagnosed the clinical condition as ARMD (age-related macular degeneration) which is unique considering the patient’s age. The patient refused to take the injections and drops prescribed by the ophthalmologist. After 1 year, when the symptoms worsened, she consulted Dr Sreevidhya Unni who diagnosed it as Tritiya patala gata timiram (ie pittaja kacam), which is kricchrasadhya. The line of treatment followed was pittahara and adhishtanagata netra cikitsa to address the symptoms of Drishti vihvalata. After 15 days of Ayurvedic treatments, almost all the symptoms disappeared. But the treatments were continued. Inpatient treatments were done in March- April and November-December 2021. Last followed up, the patient is completely free from symptoms and even after 7 years, the latest OCT, perimetry and fundus fluorosin angiography showed a significant improvement and there is no deterioration. Even after stopping all Ayurvedic medicines in 2015, the latest OCT, fundus flourosin angiography and perimetry done in 2022 show no deterioration. The patient is in remission.
