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A 17-year-old male patient presented with a sudden onset of headache followed by blurring of vision of left eye since 14 days. He had consulted an allopathic doctor and based on the ONH and RNFL OU Analysis OD OS, the biomedical diagnosis was made as Neuro Myelitis Optica Syndrome disease. The serum sample tested very strongly positive MOG IgG antibodies and so he was prescribed steroids. The patient refused and opted for Ayurvedic management. He approached Dr Sreeja who made the Ayurvedic diagnosis as Timira- kapha pittotthara sannipataja. The line of treatment followed was Shopha hara and Kapha- pitta shamana. With one month of Ayurvedic treatment, the vision became normal and clear. Perimetry, ONH and RNFL OU Analysis OD OS done during and at endpoint indicated a significant improvement. This case report demonstrates the standalone successful ayurvedic management of papilledema, in a patient who was recommended steroids but was not willing to take them.