An integrative approach to panuveitis- A case report

Abstract

Uveitis is one of the major causes of blindness in the world. The International Uveitis Study Group (IUSG) defines panuveitis as a generalized inflammation of all three uveal organs (iris, ciliary body, and vitreous humour) based on anatomical location. The standard line of management of panuveitis involves the use of Immunosuppressive drugs, steroid therapy and NSAIDs. We describe how an integrative approach can help a patient with bilateral panuveitis become less dependent on immunosuppressive medications. A 55-year-old female, diagnosed with bilateral panuveitis sought Ayurvedic treatment after being dependent on steroids for 3 years. She was managed with internal medicines and external therapies for 4 years. During quarterly follow ups in this time, her immunosuppressive drugs, DMARD and NSAID were all gradually tapered and withdrawn. The frequency of acute phases of the disease was considerably reduced and her vision markedly improved to normalcy. There was also significant improvement in her overall health status. Integration of Ayurveda with the conventional treatment can reduce the dependence on immunosuppressive drugs and also improve the quality of life of the patient.