In central serous retinopathy (CSR), there is serous detachment of neurosensory retina occurs over an area of leakage from the choriocapillaris through the retinal pigment epithelium. Type A personalities, hypertension, may be associated with it. The pathogenesis here is thought to be elevated circulating cortisol and epinephrine, which affect the autoregulation of the choroidal circulation. Persons showed impaired autonomic response with decreased parasympathetic activity and increased sympathetic activity. Thus going through the disease, it can be analyzed that it simulate as vataj timira as described in our ayurvedic texts. So its line of treatment should be vata pacifying .so in our study the patient was chosen that was pre diagnosed as CSR 1 yr back who was treated by the ophthalmologist on modern line of treatment. But he was unable to gain his normal vision. He approached for ayurvedic treatment and got improvement in his vision acuity from 6/60 to 6/24 from three sittings of tarpana with patoladi ghrita in duration of 2 months. His other eye was normal.
