Introduction: Retinal detachment (RD) is when the neurosensory retina (NSR) separates from the retinal pigment epithelium (RPE). Sometimes it may be associated with a macular hole. The symptom of diminished vision seen in both conditions may be compared with Kacha in Ayurveda. Case: The case of an 8-year-old boy who presented to the OPD of Sreedhareeyam Ayurvedic Eye Hospital with the blurring of vision and who was diagnosed with retinal detachment and the macular hole is presented here. Intervention: The patient underwent two courses of inpatient management, which included Ayurvedic oral medicines, and external therapies for the eyes (Kriyakalpa) and head. Results: Signs of improvement in visual acuity, fundus photography, and optical coherence tomography (OCT) were observed at the end of both treatments. Conclusion: The main aim of management was to preserve and give a better quality of vision for the patient. The results indicate the potential of Ayurvedic treatments to manage and maintain vision in RD and macular hole.