Central Serous Chorioretinopathy and Homoeopathy

7/21/2019 Central Serous Chorioretinopathy and Homoeopathy

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CENTRAL SEROUSCHORIORETINOPATHY (CSR)AND HOMOEOPATHY DR. RAJNEESH KUMAR SHARMA MD(HOMOEOPATHY)DR. SWATI VISHNOI BHMS



Central Serous Chorioretinopathy (CSR) and Homoeopathy

CENTRAL SEROUSCHORIORETINOPATHY (CSR)

AND HOMOEOPATHY © Dr. Rajneesh Kumar Sharma M.D.(Homoeopathy)

Dr. Swati Vishnoi B.H.M.S.Homoeo Cure & Research nstitute!H "#$ Mora%aa% Roa%$ Kashipur('ttarancha) !D *in+ ,##"- *h. /01#"+,2/,"$ 131"2-301#

4. mai+ %rrajneeshhom5hotmai.comwww.treatmenthomoeopathy.comwww.homeopathictreatment.or6.inwww.homeopathywor%community.com

ContentsSynonyms.......................................................................................................................... 2

Defnition........................................................................................................................... 2

History o the disease........................................................................................................2

Incidence........................................................................................................................... 2

Race............................................................................................................................... 2

Age.................................................................................................................................

Se!.................................................................................................................................

Causes............................................................................................................................... Ris" #actors.......................................................................................................................

$athogenesis.....................................................................................................................%

R$& dysunction theory...............................................................................................%

Choroid dysunction theory.........................................................................................%

Symptoms.........................................................................................................................'

Stages o CSR....................................................................................................................

Acute..............................................................................................................................

Su*acute.......................................................................................................................

Chronic...........................................................................................................................

Inacti+e..........................................................................................................................

,ate complications.........................................................................................................

Diagnosis...........................................................................................................................

Distance - ear /isual Acuity testing............................................................................

$rocedure o distance +isual acuity testing.................................................................

$rocedure o near +isual acuity testing.......................................................................

Retinoscopy...................................................................................................................

$rocedure o Retinoscopy...........................................................................................0

Amsler 1rid....................................................................................................................0

$rocedures o Amsler 1rid testing..............................................................................0

$hotostress Reco+ery testing.........................................................................................0

Clinical procedure or photostress reco+ery testing....................................................0

phthalmoscopy............................................................................................................0

-© Dr. Rajneesh Kumar Sharma MD (Hom)

mailto:[email protected]

http://www.treatmenthomoeopathy.com/

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http://www.homeopathyworldcommunity.com/

http://www.treatmenthomoeopathy.com/

http://www.homeopathictreatment.org.in/

http://www.homeopathyworldcommunity.com/

mailto:[email protected]




Special In+estigations.....................................................................................................3

#undus #luorescein Angiography (##A).......................................................................3

Indo*Cyanine*1reen Angiography (IC1A)....................................................................3

ptical Coherence 4omography (C4)........................................................................3

$rognosis........................................................................................................................... 3

4reatment.......................................................................................................................... 3ser+ation.................................................................................................................... 3

$hotodynamic therapy ($D4)..........................................................................................3

$hotodynamic 4herapy (/isudyne).................................................................................3

,aser photocoagulation..................................................................................................3

,aser 4reatment.............................................................................................................3

$re+ention o CSR.............................................................................................................. 5

Homoeopathic treatment...................................................................................................5

aphthalinum.................................................................................................................5

1elsemium semper+irens.............................................................................................67

Digitalis purpurea.........................................................................................................67

8aorandi...................................................................................................................... 67

Ruta gra+eolens...........................................................................................................67

Aurum metallicum........................................................................................................67

9iliography....................................................................................................................66

SynonymsCentra Serous Chorio+retinopathy$ Centra Serous retinopathy$ CSC$ CSCR

De7nitiont is characteri8e% y a usuay se9+imitin6$ spontaneous serous %etachment o9 neurosensory retina in the macuar re6ion$ with or without retina pi6mentepitheium %etachment with retina ee:ation ea%in6 to hypermetropia. (*sora;Syphiis; Sycosis)

History o9 the %isease -322 + Von <rae9e+7rst %escrie% the %isease as recurrent serous

retinitis. -1-2 + =uch wor>e% appreciay on this %isease.

-1," + Horni>er ? name% %isease as @Centra n6iospasticRetinitisA.

-1/ + ash & Soane + @%iopathic at %etachment o9 macuaA. -1/ + <ior% an% MarEuar%t + Fheory on n6ioneurotic

%iathesis. -10/ + Bennett & Maumenee + spectrum o9 macuar %isci9orm

%e6eneration. -10 + Kien + Fheory on autonomic ner:ous system %ys9unction. -100 + Bennett + @Centra Serous RetinopathyA. -12/ + Maumenee an% <ass ? =uorescein n6io6raphy

appearance o9 CSC. -12" + <ass + @Centra Serous Choroi%opathyA.

,© Dr. Rajneesh Kumar Sharma MD (Hom)




nci%enceRacet commony aects Caucasians$ Hispanics an% sians an% rarey the 9rican+mericans.

6et typicay aects maes etween ,/ to 0/ years o9 a6e especiay personaitytype $ who are ri6i%y or6ani8e%$ hi6h status$ conscious$ sensiti:e$ truth9u$impatient an% aways tryin6 to hep others. (*sora; *seu%opsora)

SeGMae to 9emae ratio is 3- to -/-.

Causes Fhe actua cause o9 centra serous retinopathy is not we un%erstoo%. Stress an%seepessness may e the main causes (*sora). 4Gposure to any steroi%me%ication (nasa spray$ cortisone cream$ joint injection$ etc.) ha:e aso eenassociate%. (Causa occasionais)

Ris> =actors Re9racti:e error chan6es (increases hyperopia %ue to retina ee:ation)

(*sora)

© Dr. Rajneesh Kumar Sharma MD (Hom)




*re6nancy (Causa occasionais) Ioca or systemic steroi%s (Causa occasionais) Hypertension (*sora; Sycosis) 4motiona stress (*sora; Causa occasionais) *ersons who are type personaity+ Sensiti:e$ truth9u$ impatient$ aways

tryin6 to hep others (*sora; *seu%opsora) er6ic respiratory %isease (*sora; *seu%opsora)

*atho6enesis Fhe source o9 su+retina ui% is the choroi%$ where a 9oca %e9ect in the retinapi6ment epitheium (R*4) aows serous ui% to accumuate un%er theretina resutin6 in a ocai8e% separation o9 the retina 9rom the retina pi6mentepitheium (*sora; Syphiis; Sycosis).

Fhere are two theories+

R*4 %ys9unction theory Fhe intact retina pi6ment epitheium creates a arrier etween the

neurosensory retina an% choroi%. (*sora) n areas o9 chorioretina scar tissue$ occurin6 a9ter inammation or

photocoa6uation$ the pi6ment epitheia %iusion arrier is permanenty%estroye%. (Sycosis; Syphiis)

Choroi%a capiaries eGert suction on the surroun%in6 ui%. (*sora) Fhe intact R*4 asors ui% in a retinochoroi%a %irection. (*sora) 'n%er certain con%itions$ the 9unction o9 the R*4 is re:erse% an% it

secretes in a chorioretina %irection. (*sora)

Choroi% %ys9unction theory *sycho6eny$ pre6nancy$ transpantation$ personaity type $ raise% cortiso

e:es causes a %isturance in the auto re6uation o9 choriocapiariesoo% ow. (*sora; Causa occasionais)

Circuatory %isturance in the micro circuation o9 the choriocapiariesea%s to increase ui% ea>a6e in the su+R*4 space. (*sora; Sycosis)

n the e6innin6$ the R*4 ces are ae to maintain their inte6rity an%9unction an% pump in a retina+choroi% %irection an% >eep the su+R*4space %ry.

Fhe proon6e% eGcessi:e stress on the R*4 ces utimatey causes a6enerai8e% %ama6e to the ces themse:es an% aso oss o9 9unction.(Syphiis; Causa occasinais)

Fhe oss o9 9unction o9 the conti6uous R*4 ces aows the ui% toaccumuate in the su+retina spaces cause a serous+retina %etachment orneurosensory %etachment. (*sora; Sycosis; Syphiis)

CSR presents with ui% spontaneousy ea>in6 into the su+retina space 9rom thechoroi% (*sora). Fhe retina ies on top o9 the choroi%$ a ar6e ayer o9 tissuepac>e% with oo% :esses an% capiaries. Fhe choroi% is 9unctionay separate%9rom the retina y a memrane cae% BruchJs Memrane an% a sin6e ayer o9 ces cae% the retina pi6ment epitheium (R*4). Fhis ayer wor>s i>e a arrierai%in6 nutrients to ow into the retina 9rom the un%eryin6 :esses. t aso aowsretina wastes to ea:e 9or remo:a y the choroi%a :esses. Fhe R*4 ayerpre:ents 9ree ow o9 ui%. n CSR$ this sea rea>s %own$ an% ui% ea>s into thesu+retina space (*sora; Syphiis; Causa occasionais). Fhis can occur in oth

eyes ut usuay presents in one at a time. 9ter a 9ew months$ the con%ition mayreso:e on its own. Fhere is up to a 0/ chance o9 ha:in6 a recurrent episo%e in

#© Dr. Rajneesh Kumar Sharma MD (Hom)




either eye. Recurrent episo%es in the same ocation or a persistent ea> in asin6e ocation can cause permanent %ama6e to :ision (Syphiis). Fhe rare utserious compication happens i9 scar tissue an% oo% :esses 9rom the choroi%occupy the space un%er the retina (Sycosis). Fhis tissue$ i9 not stoppe%$ cancontinue to 6row an% %estroy the centra retina or macua (*sora; Syphiis;

Sycosis). Fhis occurs more commony in o%er patients with recurrences.

SymptomsSymptoms are usuay uniatera+

Burrin6$ %istortion$ mini7cation o9 ojects an% a %ar> patch at 7Gation(*sora; Syphiis)

0© Dr. Rajneesh Kumar Sharma MD (Hom)




Burre% :ision (*sora) Hypermetropia+ DiLcuty in near wor>$ i>e rea%in6 a newspaper (*sora;

Sycosis) reati:e centra scotoma (*sora; Syphiis) Sow reco:ery 9rom ri6ht i6ht (*sora)

Metamorphopsia (ima6e %istortion) (*sora) Macropsia (oject oo>s ar6er than they appear) (*sora) Micropsia (oject oo>s smaer than they appear) (*sora) *hotophoia (*sora) Hyperopic shi9t in re9raction (%ue to ee:ation o9 sensory retina) (*sora;

Sycosis) Re%uce% contrast sensiti:ity (*sora) mpaire% %epth perception (*sora)

Sta6es o9 CSR

cute*atients are asymptomatic as there is no rea> in %iusion arrier.

Su+acutes the acute sta6e o9 the %isease pro6resses some patients %e:eop 9oca rea>sin the ti6ht junction o9 the R*4 ces. (*sora; Sycosis)

Chronic Fhe ea>in6 throu6h the rea> o9 ti6ht junction ecomes chronic a 7e% %e9ectwi %e:eop which o9ten in:o:es 9o:ea resutin6 mar>e% %ecrease in :isuaacuity. (*sora; Syphiis)

nacti:eMost o9 the patients in this sta6e ha:e no history o9 pre:ious eye proem. Fheyha% asymptomatic sta6e an% spontaneousy impro:e.

Iate compicationsSu+retina neo+:ascuari8ation %e:eops which is seen 0 to -/ years a9ter the7rst %ia6nosis o9 CSR. Su+retina neo+:ascuari8ation are o9 two types onuorescein an6io6raphy+

Fypica (one or two ea>in6 areas are seen on == (=un%us uoresceinan6io6raphy).

typica (Mutipe ea>s are seen on ==).

Dia6nosisDistance & !ear Visua cuity testin6Visua acuity can measure 2;2/ to 2;2. 2;2 is -// :isua acuity.

*roce%ure o9 %istance :isua acuity testin6 Distance :isua acuity chart is >ept at 2 meter. Ie9t eye is co:ere%. *atient is as>e% to rea% the chart 9rom top to ottom. 'p to which smaest

ine patient can rea% that is his :isua acuity in that eye. !orma %istance:isua acuity is 2;2 or ,/;,/.





Fhe test 9or other eye is repeate%.

*roce%ure o9 near :isua acuity testin6 Fhe near :ision chart is ho% at cm. Ie9t eye is co:ere%. Fhen patient is as>e% to rea% which smaest ine he can rea% that is the

near :isua acuity in his that eye. !orma near :isua acuity is !2. Fhe test 9or other eye is repeate%.

n CSR in:o:e% eye %istance :isua acuity re%uces 2;-3 to 2;1 an% o9tencorrectae to 2;2 with the a%%ition o9 a pus or con:eG ens. Some %isparity isaways seen etween the sujecti:e an% ojecti:e re9raction o9 the eye. But near:ision may not impro:e to !2$ i9 impro:es to !2 with stron6est pus ens thenaso patient is not ecome satis9y$ i9 he compares the :ision with other eye. Butthis acuity 9reEuenty chan6es with time.

Retinoscopyt is an ojecti:e metho% to %etermine the re9racti:e error o9 the eye.

*roce%ure o9 Retinoscopy Fhis test is per9orme% in a %ar> room. *atient shou% 7Gate on a %istant non accommo%ati:e tar6et that is 2;2/

or ,/;,// etter. Nser:er per9orms retinoscopy at a 7Ge% %istance that is - meter. n CSR

in:o:e% eye retinoscopic eGamination re:eas hypermetropia up to O- D%ue to swein6 in the centra retina as CSR shortens the :isua aGis.

mser <ri%*roce%ures o9 mser <ri% testin6 Fhe mser chart is ho% at cm away 9rom the eye with patient wearin6

rea%in6 6asses. Fhe e9t eye is co:ere% to per9orm the test 9or the ri6ht eye. *atient is as>e% to oo> at the centra %ot o9 the chart at a the time. *atient is instructe% to %raw on the chart i9 he notices any missin6 an%

%istorte% areas. n CSR cases centra :ision ecome urre% %ue to ui% accumuation in

the Macua. So in mser <ri% testin6 we 6et centra scotoma (non+seein6area) aon6 with %istorte% ine or wa:y ine.

Fhe proce%ure is repeate% 9or e9t eye.

*hotostress Reco:ery testin6*hotostress reco:ery testin6 is aso re9erre% to as %a88in6 time an% re+

a%aptation time. t is the perio% reEuire% 9or the macua to return to a normae:e o9 9unction a9ter ein6 eGpose% to an intense i6ht source.

Cinica proce%ure 9or photostress reco:ery testin6 =irsty$ the est correcte% :isua acuity 9or each eye is %etermine%. Ie9t eye o9 the patient is occu%e%. *atient is as>e% to 7Gate with ri6ht eye on the centre o9 the i6ht source

(Nphthamoscope or Forch i6ht) whie it is positione% approGimatey ,.0cm (Some practitioner maintain -/ cm) 9rom the eye.

Fhe %uration o9 :iewin6 is -/ to / secon%s. Remo:e the i6ht source an% imme%iatey patient is as>e% to rea% the ine

ao:e est correcte% :isua acuity. 9 *atients pre+test :isua acuity is 2;1then patient is as>e% to rea% 2;-, ine.

"© Dr. Rajneesh Kumar Sharma MD (Hom)




Fhe time (in secon%s) reEuire% 9or the patient to rea% at east one+ha9 o9 the ine is measure%. 9 the ine has 7:e etters then patient shou% rea% ateast etters. Fhe time ta>es 9or the norma eye is / secon%s or ess. Butin CSR patient the time ta>es more than the norma.

Fhe proce%ure 9or e9t eye is repeate% an% the resut is compare%. Fhe

%ierence etween norma eyes a:era6e 0 to 2 secon%s. But in CSRpatient the %ierence increases.

Nphthamoscopy Fhe 9oowin6 points are noteworthy+

4e:ation o9 Macuar area. circuar rin6+reeG on the retina. roun% or o:oi% ister i>e sensory retina %etachment o9 :arious si8es. =o:ea reeG asent or %istorte%. 9ter a 9ew wee>s o9 onset o9 the %isease$ tiny irre6uar white or yeow

precipitates ecome %eposite% on the retina. trophic R*4 chan6es as e:i%ence o9 pre:ious episo%es. n chronic cases$ a 7ne rown an% white pi6ment epitheia scar is seen. 4Gtra Macuar R*4 tracts.

Specia n:esti6ations=un%us =uorescein n6io6raphy (==)=uorescein %ye is injecte% in intra:enous an% simutaneousy seria photos o9 theretina with a 9un%us camera are ta>en. n CSR$ the %e9ecti:e area is so sma (inthe e:e o9 R*4)$ ony a tiny ea>a6e point is :isie %urin6 the eariest phase o9 ==. SuseEuenty$ there is rapi% increase in uorescein staine% iEui% in the su+retina ister %urin6 the 9oowin6 sta6es o9 an6io6raphy.

n%o+Cyanine+<reen n6io6raphy (C<)9ter the C< is injecte% intra:enousy$ the %ye is seen within the choroi%a:esses. ithin a 9ew minutes$ hyper+uorescent patches appear within thechoroi%.

Nptica Coherence Fomo6raphy (NCF)NCF is an eGceent non+in:asi:e %ia6nostic test which ceary %emonstrates theserous %etachment$ especiay when the serous %etachment is shaow.

*ro6nosis out 3/ o9 patients with CSR$ Spontaneous resoution o9 su+retinaui% an% :isua acuity impro:es to 2;1 or etter within # months.

Fhe remainin6 ,/ ast on6er than 2 months$ ut reso:e within -,months.

4:en i9 :isua acuity returns to norma$ some %e6ree o9 sujecti:e :isuaimpairment such as micropsia can persist.

Recurrences o9 the %isease may occur / to 0/ o9 patients. n chronic CSR$ pro6ressi:e R*4 chan6es associate% with a permanent

impairment o9 :isua 9unction.





Freatment

Nser:ationNser:ation is o9ten use% in the 7rst month or two to see whether centra serousretinopathy mi6ht cear on its own. Routine eGercise an% 3 hours per %ay seep

seems to hep.

*hoto%ynamic therapy (*DF)t is sti eGperimenta.

*hoto%ynamic Fherapy (Visu%yne) Fhis treatment seems to e Euite eecti:e in some cases o9 centra serousretinopathy an% %oes not ea:e the same scarrin6 that aser can.

Iaser photocoa6uationIaser photocoa6uation can e %one at the point where ea>a6e seen on

uorescein an6io6raphy.

Iaser FreatmentIaser treatment 9or centra serous retinopathy has een one o9 the mainstays o9 acti:e therapy. Fhe i%ea is that with a si6ht amount o9 therma aser stimuation$the R*4 ces may scar$ an% the ui% ea> stop.

*re:ention o9 CSR :oi%ance o9 unnecessary stress Me%itation

Po6a coho restriction Corticosteroi% restriction :oi%ance o9 eGcessi:e eGercise :oi%ance o9 crash %iets <oo% seep mpro:ement o9 i9estye :oi%ance o9 caeine containin6 %rin>s+ caeine stimuates the pituitary

6an% an% increases the cortiso e:e.

Homoeopathic treatment!aphthainum(naphtin.) (Boeric>e)

( chemica compoun% 9rom Coa+tar Far Camphor)

Cory8a$ hay+9e:er$ phthisis pumonais$ aso 6onorrhoea ha:e een inuence%9a:oray y this %ru6. *yeonephritis. rritation o9 the periphery o9 the urinaryapparatus. hoopin6+cou6h.

Hea%.+Iyin6 as i9 stupe7e% y a narcotic. Restess. =ace pae yeowish hue.

4yes.+Mar>e% aLnity 9or the eye. t pro%uces %etachment o9 the retina papio+retina in7tration %eposits in patches upon the retina amyopia an%





consecuti:e amaurosis spar>in6 synchisis so9t cataract.. 4Gu%ation in theretina$ choroi% an% ciiary o%y. Cataract. Npacity o9 the cornea.

'rine.+rresistie %esire. Meatus re%$ swoen$ an% oe%ema o9 prepuce. Bac>urine. Cuttin6 pain %own penis. *ain in a%%er. Ferriy oensi:e o%or o9 %ecomposin6 ammoniaca urine.

Respiratory.+Snee8in6 eyes iname% pain9u hea% hot. Hay+9e:er. Spasmo%icasthma etter in open air. Soreness in chest an% stomach must oosen cothin6.Dyspnoea an% si6hin6 inspiration. 4mphysema in the a6e% with asthma.hoopin6+cou6h$ on6 an% continue% paroGysms o9 cou6hin6$ unae to 6et arespiration. cute aryn6o+tracheitis. Bronchitis when the spasmo%ic eement isassociate% with tenacious

eGpectoration an% oppression. (Cartier).

S>in.+Dermatitis itchin6 in7tration. 4ruptions at corners o9 mouth an%pi6mentation aroun% nais.

!on+Homoeapathic 'ses+=or worms$ an% especiay pin+ worms$ one+6ramme%ose. 4Gternay in s>in %iseases$ 7:e percent. ointment.

Reationship.+Compare Dros. Cora. Coccus.Ferpin. hy%rat. (hoopin6+cou6h$hay asthma an% ronchia aections. -+, 6rain %oses).

Dose.+Fhir% trituration.

Nther Homoeopathic me%icines o9 repute in Retina %etachment

<esemium semper:irens

=RR!<FN! ? 4yes$ aections o9 ? *araysis o9 the eye+i%s an% occuar musces%ipopia$ %oue :ision$ ptosis eye+as osciatin6 ateray when usin6 themcannot te which si%e o9 the street he is on compete in%ness comin6 onsu%%eny.

<aucoma intra+occuar inammations with serous eGu%ations$ intense pain o:erthe ri6ht eye$ %oue :ision an% :erti6o.

Serous ritis$ Choroi%itis$ with 6ra%ua impairment o9 :ision an% hea:y i%s %etachment o9 the retina straismus 9rom wea>ness o9 the musces or 9oowin6Diphtheria.

CIRK4 ? Cinica ? Retina$ %etachment o9. Rheumatism. SeGua eGcessH4R!< ? Fherap.$ p.32 Detachment o9 retina$ Boynton$ see !ortonAs Npth.

*tosis$ <ain6er$ RaueAs Rec.$ -3"/$ p.-// n9ra+orita neura6ia$ Cushin6$RaueAs Rec.$ -3"#$ p.,2/ Dea9ness an% oss o9 speech$ Haw>e$ RaueAs Rec.$-3"/$ p.--1 *rosopa6ia$ Hen%ric>s$ 6. ? Detachment o9 retina %epen%entupon an injury$ with %iuse ha8iness o9 :itreous an% serous inammation o9 choroi% an% retina.

Si6ht an% 4yes+ Ri6ht :ision ,/ with %iLcuty e9t :ision$ counte% 7n6ers at ,/9eet serous inammation o9 iris an% choroi%$ %eposits on memrane o9 Descemet$ aEueous an% :itreous ha8y in oth eyes$ e9t pupi %iate% an%su66ish sensation o9 pressure o:er oth eyes an% hea%ache in tempes.

-/© Dr. Rajneesh Kumar Sharma MD (Hom)




Detachment o9 retina 9rom myopia se:ere attac>s o9 neura6ia.

Di6itais purpureaBN4RCK4 ? 4yes+ Bueness o9 eyei%s$ Dar> o%ies$ i>e ies$ e9ore eyes.Chan6e in acuteness o9 perception o9 sha%es o9 6reen. Njects$ appear 6reen

an% yeow. My%riasis i% mar6ins re%$ swoen$ a66utinate% in mornin6.Detachment o9 retina. Dim :ision$ irre6uar pupis$ %ipopia.

H4R!< ? Si6ht an% 4yes+ QQ Detachment o9 retina wa:erin6$ e:erythin6 appears6reen or yeow. Super7cia inammation o9 eye an% its appen%a6esepharoa%enitis.

Fherap.$ p.32 ri%o+choroi%itis (, cases)$ see !ortonAs Npth.

aoran%iCIRK4 ? Characteristics ? San%eser6 (B. . H.$ G. ,/-) notice% that the internause o9 aoran%i an% *iocarpin in cases o9 %etachment o9 retina an% choroi%itis

seeme% to occasion opacity o9 the crystaine ens. He treate% a horse 9or iri%o+choroi%itis an% ar6e opacities o9 the :itreous with in9usion o9 a. ea:es an%injections o9 *io..

Ruta 6ra:eoensCIRK4 ? Symptoms. ? 4ye ? Fen%ency to stare. Contraction o9 pupi (it>en).(Detachment o9 retina.)

sthenopia. sti6matism (). Nn usin6 eyes$ sensation o9 :ioent heat in them.

urum metaicum

H4R!< ? Si6ht an% 4yes ? Centra portion o9 retina :esses stron6y pusatin6.Chorio+retinitis chronica$ with an accumuation o9 ui% eneath retina$ whichsette% to ower portion o9 e9t eye$ causin6 a ar6e %etachment o9 retina.Hemiopia. Iar6e ac> suchoroi%a tumor ehin% ens in 9un%us$ 6rowin6 9rominner si%e. *upis not :ery acti:e 6eneray contracte%.

Fhere is mar>e% impro:ement in a the patients with retina %etachment as weas macuar hoes an% %e6eneration. can now say homoeopathy is as 6oo% inthis %isor%er as sur6ery %oes up to 1/.

Biio6raphy

4ncycope%ia Homoeopathica

. 4Gterna Mani9estations T -/2. Retinopathy o9 cute Ieu>emia IichtmanUs tas o9 Hematoo6y ... ..-/2 Retinopathy o9 acute eu>emia. =i9teen+year+o% 6ir with 7rst reapse o9 poor...

Chapter -/. Retina T Centra Serous Chorioretinopathy Vau6han & suryUs <eneraNphthamoo6y$ -3e .... =i6ure -/+,#. Iate uorescein an6io6ram showin6 accumuation o9 %ye inthe serous %etachment o9 CSR...

--© Dr. Rajneesh Kumar Sharma MD (Hom)




Chapter -. Disturances o9 Vision T Nther Diseases o9 the Retina %ams & VictorUs*rincipes o9 !euroo6y$ -/e ...+Korn8wei6 %isease$ Batten+Mayou %isease$ an% others (see Chap. "). Serous retinopathy $ a cause...

Chapter -. Sensory mpairment T Diaetic Retinopathy 4ssentias o9 Cinica <eriatrics$ "e ...o9 micro:ascuar %isease$ incu%in6 retinopathy in type , %iaetes (see Chapter -, ). *anretina an%9oca retina...

Chapter -#. Fhe History$ *hysica 4Gamination$ an% Car%iac uscutation T VascuarNccusion HurstUs Fhe Heart$ -e ... in the %raine% area. s coatera %raina6e$ the e%ema an%hemorrha6ic retinopathy susi%e$ ea:in6 white+wae%...

Chapter -0. Ncuar Disor%ers ssociate% with Systemic Diseases T Diaetic Retinopathy

( =i6ures -0?-3 $ -0?-1 $ -0?,/ an% -0?,- ) Vau6han & suryUs <enera Nphthamoo6y$ -3e ...=i6ure -0+-3. Diaetic retinopathy sta6e . Frypsin+%i6este% whoe mount showin6...

Chapter ,. Iasers in Nphthamoo6y T Centra Retina Vein Nccusion Vau6han & suryUs<enera Nphthamoo6y$ -3e ... retinopathyWpre9eray with the >rypton re% or %io%e in9rare% aserto a:oi% preretina 7rosis cause%...

Chapter #. ssessment an% Rehaiitation o9 N%er %uts with Iow Vision T DiaeticRetinopathy Ha88ar%Us <eriatric Me%icine an% <erontoo6y$ 2e ... Fhe pro6ression o9 %iaeticretinopathy incu%es macuar e%ema that may cause urre% :ision...

Chapter 2". Ncuar nammatory Diseases 9or Rheumatoo6ists T Nphthamic Disease Dueto Me%ications 'se% to Freat Rheumatic Disease C'RR4!F Dia6nosis & Freatment Rheumatoo6y$e ... sucapsuar cataracts$ centra serous retinopathy$ or 6aucoma 9rom 6ucocorticoi%s iritis orsceritis 9rom...

Chapter 1. <ucocorticoi%s an% %rena n%ro6ens T Misceaneous 4ects <reenspanJsBasic & Cinica 4n%ocrinoo6y$ 1e .... Centra serous chorioretinopathy$ an accumuation o9 suretina %etachment$ may aso compicate en%o6enous...

Diaetes Meitus T Diaetic Retinopathy iiams Nstetrics$ ,#e ... retinopathy$ or macuare%ema. 9ourth o9 these women %e:eope% pro6ression o9 retinopathy in at east one...

Disor%ers o9 the 4ye T Centra Serous Chorioretinopathy HarrisonUs *rincipes o9 nternaMe%icine ... Fhis primariy aects maes etween the a6es o9 ,/ an% 0/ years. Iea>a6e o9 serousui% 9rom...

4ye T Cinica =in%in6s C'RR4!F Dia6nosis & Freatment *e%iatrics$ ,,e ...$ episceritis$ an%sterie cornea in7trates. *osterior se6ment 7n%in6s may incu%e centra serous...

-,© Dr. Rajneesh Kumar Sharma MD (Hom)




Mana6in6 Vision mpairment in N%er %uts T Compications Current Dia6nosis & Freatment <eriatrics ... Vision oss cause% y %iaetic retinopathy is cause% mainy y macuare%ema an% proi9erati:e...

!euroo6ic & Muscuar Disor%ers T C4!FRI !4RVN'S SPSF4M D4<4!4RFV4 DSNRD4RSN= !=!CP &amp CHIDHNND C'RR4!F Dia6nosis & Freatment *e%iatrics$ ,,e ... enteropathyStraismus Retinopathy Dysmorphic 9acies *rominent 9at pa%s n:erte% nippes...

!euroo6ic *araneopastic Syn%romes T *!Ds o9 the Centra !er:ous System an% Dorsa Root<an6ia HarrisonUs Manua o9 Me%icine$ -3e ... retinopathies in:o:e cone an% ro% %ys9unctioncharacteri8e% y photosensiti:ity$ pro6ressi:e oss o9 :ision...

*araneopastic !euroo6ic Syn%romes an% utoimmune 4ncephaitis T *R!4N*ISFC

VS'I SP!DRNM4S HarrisonUs *rincipes o9 nterna Me%icine .... Fhe term cancer+associate%retinopathy is use% to %escrie paraneopastic cone an% ro% %ys9unction...

Fhe 4ye & Ncuar %neGa T ,. 4Gu%ati:e (@etA) Macuar De6eneration C'RR4!F Dia6nosis& Freatment Sur6ery$ -#e ... neo:ascuar memrane that ea>s ui% an% oo%. Fhis causes aserous %etachment o9 the centra 9o:ea that can...

Fhe 4ye & Ncuar %neGa T Freatment C'RR4!F Dia6nosis & Freatment Sur6ery$ -#e ... o9 %iaetic retinopathy. Recent epi%emioo6ic stu%ies show that many %iaetics 9ai to ha:erecommen%e% yeary...

Fhe Hea% an% !ec> T Diaetic retinopathy De<owinJs Dia6nostic 4Gamination$ -/e ... *ate,# Diaetic Retinopathy !on+*roi9erati:e Retinopathy. Fhis ri6ht eye shows...

'se o9 the Han%+He% Nphthamoscope T R4F!I D4FCHM4!F HarrisonUs *rincipes o9 nterna Me%icine ... main types (-) serous;eGu%ati:e$ (,) tractiona$ an% () rhe6mato6enousretina %etachment...

Ra%ar -/

-© Dr. Rajneesh Kumar Sharma MD (Hom)

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Central Serous Chorioretinopathy and Homoeopathy

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