Introduction: Central Retinal venous occlusion has two main types including ischemic and nonischemic. Ischemic CRVO has symptoms such as massive engorgement, tortuosity of retinal veins, massive retinal haemorrhages (‘splashed-tomato’ appearance), disc oedema and hyperaemia, macular area is full of haemorrhages may be seen in some cases. In the management of CRVO, various modulators of hemorrheological factors—including anticoagulants, thrombolytics, and hemodilution—have been explored; however, none have demonstrated proven clinical benefit to date. Here, we present a case of 52 years old male patient, diagnosed with CRVO who underwent Ayurvedic treatment and showed remarkable improvement. Case Report: A 52-year-old male patient, presented to our institution’s Shalakya OPD with complaint of right eye sudden painless loss of vision. Patient was diagnosed with hypertension and CRVO. He had received treatment including topical eye drops and suggested for anti VEGF injection elsewhere, but there has been no improvement in vision. Hence, he opted for Ayurvedic management with the hope of vision improvement. Before treatment, baseline investigation OCT macula as shown in figure no 5 should be done. He underwent Chakshyushya Basti followed by Mahatiktata Ghrita Nasya, Netra Tarpana, Jalaukavacharan, Viddhakarma. Oral medications such as Vasaguduchyadi Kashay, Ushirasav, Mahatiktaka Ghrita Abhyantar Pana for one month along with antihypertensive medicine were given throughout treatment. Result: His visual acuity improved significantly from counting fingers 2 Feet to 6/36 in the right eye and 6/12 to 6/9 in the Left Eye. In fundoscopic findings with direct ophthalmoscope, Massive Retinal Haemorrhages were decreased, and active haemorrhages were arrested after one month of treatment. Conclusion: Thus it can be concluded that Chakshushya Basti with other therapies were found to be effective along with internal medicines in treating signs and symptoms of Central Retinal Venous Occlusion. This case serves as preliminary evidence for the successful management of CRVO through Ayurvedic therapies, emphasizing the need for further research and clinical studies involving larger patient groups to validate and establish these treatments in clinical practice.