International Journal of Homoeopathic Sciences

Background: Glaucoma is a chronic, progressive optic neuropathy primarily caused by increased intraocular pressure (IOP) resulting from defective aqueous humour drainage. Acute congestive glaucoma—also called acute angle-closure glaucoma—occurs when drainage pathways become rapidly blocked, leading to a sudden rise in IOP accompanied by intense pain, blurred vision, and potential irreversible vision loss within hours or days. Prompt diagnosis and intervention are essential to prevent optic nerve damage. Homoeopathy provides an individualized therapeutic approach that targets both acute manifestations and the patient’s constitutional predisposition, aiming to restore ocular and systemic equilibrium.

Objectives: This review seeks to present a comprehensive understanding of acute congestive glaucoma and examine the role of homoeopathic medicines in its management. It aims to inform practitioners and patients about the therapeutic scope, clinical indications, and potential benefits of key homoeopathic remedies in addressing both acute and chronic aspects of the disease.

Methodology: The review integrates data from standard ophthalmological sources, peer-reviewed clinical literature, and homoeopathic practice guidelines. Indications and therapeutic profiles of frequently used homoeopathic remedies were compiled from authoritative materia medica, repertorial references, and documented case reports on acute congestive glaucoma. Emphasis was placed on remedy selection based on symptom similarity, miasmatic background, and clinical verification.

Conclusion: Homoeopathic medicines may play a significant complementary role in the management of acute congestive glaucoma by relieving acute pain, supporting aqueous humour regulation, and addressing the underlying constitutional susceptibility. Early diagnosis, comprehensive ophthalmic evaluation, and individualized remedy selection by qualified homoeopaths are crucial for achieving optimal therapeutic outcomes and preventing recurrence.