scholarly journals AKSHADI TAILA NASYA AND VIDDHAKARMA IN THE MANAGEMENT OF PRATH-AMAPATALAGATATIMIRA - A PILOT STUDY

2021 ◽  
Vol 9 (8) ◽  
pp. 1704-1710
Author(s):  
Priyanka Patil ◽  
Nutan R Radaye ◽  
Govind Lihinar

The eye is the prime sense organ among all sense organs, thus the word Drushti indicates the function of vision. Sushruta has described 12 Drishtigat rogas in Uttartantra. The anatomical consideration of Patalas & symptoms of the vitiated Doshas situated in these Patalas reveals that the word Timira which is described as an ocular pathol- ogy in Ayurveda is nothing but errors of refraction. Myopia, a form of refractive error where the distant vision is compromised, embraces a large section of the present-day population. In today's world, the pace of life has become fast, irregular and stressful, due to which the visual acuity gets impeded, which can be correlated with Timira de- scribed in Ayurvedic classics. Prathama Patalagata Timira is explained by all Acharyasas a Sadhya Drishtigata Roga. When vitiated Doshas reaches the Pratham Patala of the eye, the patients have blurred vision; this stage is characterized by Avyaktasdarshana (Sushruta) & Animitta Avyakata Rupa Darshana (Vagbhata). Vagbhata has described Nasya as a treatment modality for Urdhwajatrugata Vikaras Sushruta has described Viddhakarma as a treatment modality for Timira in Sutrasthana. Akshadi Taila Nasya Yoga is explained in Ashtang Hrudaya. In the present trial, 30 patients of Prathama Patalagata Timira were selected and Nasya of Akshadi Taila was done along with Viddhakarma. Keywords: Timira, Nasya, Akshadi Taila, Simple myopia, Viddhakarma

Author(s):  
Jayshree J Malwe ◽  
Vd. Mohan B. Yeole ◽  
Vd. Govind D. Tundalwar

Myopia the  commonest  refractive  error  includes  a  large  section  of  present  day  population.  myopia along  with  other refractive  errors  accounts  for 7 % of  the  causes  of  blindness  in  India. It is  highly  significant  problem.  Myopia is  dioptric  condition  of  the  eye  in which  incident  parallel rays  come  to a  focus  anterior  to  the  light  sensitive part  of  the  Retina.  When  accommodation is  at  rest.  Myopia  is  the  commonest eye  defect  affecting  the  young  eyes and  also called  near  or  short  sightedness[1].  Clinical  factors  related  to vision  disturbance  are  seeing in  Drishtigatrogas and  one  among  these  roga  is  Timira . Blurred  Vision  is mentioned  as  symptom in  12   Drishtigat Vikaras.  Timira is  such  an  eye disease  which  starts  from  Avyaktya darshana and  end  in  complete  loss  of  vision. No  separate  etiological  factors  at the  eye  are  to  be considered  for  Timira . Acharya Sushruta  has described  Timira as  Ghora  roga . that  produce visual  disturbance  due  to  accumulation of  doshas in  various  patalas of the  eye[2].  Due to  changing  life  style  and  excessive use  of  computer,  TV,  mobile  screen  worsen visual  acuity and  produce  various  Netra Rogas  and people  use  mostly  modern  medicine, but  in  Ayurveda with  the  help  many therapies  like  padabhyanga . Padabhyanga is  good  for  eye.  Vagabhata identities 4  major  nerves  in the  feet  that  connect  to  the  eyes.  These  transmit the  effect of  the  medicine  applied  over the  feet  in  the  form  of  massage  [3]  .  Hence  every person  should need  make  use  of   padabhyanga . Major  causes  of  blindness,  for  prevalence disease  like  Timira . Hence  the  study is  made  to  explain  effect  of  padábhyanga to  increase  and  maintain  the visual   acuity.


2021 ◽  
pp. 1-7
Author(s):  
Salam Chettian Kandi ◽  
Hayat Ahmad Khan

<b><i>Introduction:</i></b> Uncorrected refractive errors and amblyopia pose a major problem affecting schoolchildren. We had previously observed that many schoolchildren in the Hatta region presented to the ophthalmology clinic with uncorrected refractive errors and amblyopia, which led us to undertake this research. As per the WHO, the term “visual impairment” can be “low vision” or “blindness.” Based on the presenting vision, “low vision” is defined for children who have vision of &#x3c;6/18 to 3/60 or having visual field loss to &#x3c;20° in the better-seeing eye. Children defined to have “blindness” have presenting vision of &#x3c;3/60 or corresponding visual field of &#x3c;10°. <b><i>Purpose:</i></b> To estimate the magnitude of uncorrected refractive errors and amblyopia among the schoolchildren aged 6–19 years and to assess the efficacy of school-based refractive error screening programs in the Hatta region of the United Arab Emirates. <b><i>Methods:</i></b> An epidemiological, cross-sectional, descriptive study was conducted on the entire student population studying in the government schools of the region. Those who failed the Snellen visual acuity chart test and those who were wearing spectacles were evaluated comprehensively by the researcher in the Department of Ophthalmology of the Hatta Hospital. Data were entered in the Refractive Error Study in School Children (RESC) eye examination form recommended by the WHO, and were later transferred to Excel sheets and analyzed by SPSS. <b><i>Results:</i></b> 1,591 students were screened and evaluated from the end of 2016 to mid-2017. About 21.37% (<i>n</i> = 340) had impaired vision with 20.9% (<i>n</i> = 333) refractive errors, of which 58% were uncorrected. Among the refractive error group, 19% (64 subjects) had amblyopia (4% of total students). The incidence of low vision was 9.5% and blindness was 0.38%. Low vision was found to be 9.5% and blindness 0.38%, taking in to account presenting visual acuity rather than best-corrected visual acuity for defining low vision and blindness. <b><i>Conclusion:</i></b> A significant number of students were detected to have uncorrected refractive errors among the vision impaired group (59%, <i>n</i> = 197) despite a school-based vision screening program in place. Seventy-eight percent of the amblyopia cases (<i>n</i> = 50) were found to be in the 11–19 years age group. Noncompliance with optical corrections was the reason for the high number of cases. A rigorous vision screening program and refractive services, complimented with awareness among parents and teachers, are recommended.


2019 ◽  
Vol 12 (12) ◽  
pp. e233128
Author(s):  
Prateek Agarwal ◽  
Samuel Edward Navon ◽  
Neha Mithal

A 38-year-old patient presented to us with complaints of blurred vision and photophobia in the left eye with an uncorrected visual acuity of 20/400, improving to 20/60 with pinhole. The patient underwent phakic iris-claw lens surgery 15 years ago for high myopia. On examination, there was anterior chamber rigid phakic iris-claw lens along with complicated cataract. We planned for sutureless self-sealing 6.5 mm sclerocorneal tunnel for explantation of rigid phakic iris-claw lens along with cataract extraction with irrigating vectis. There was postoperative reduction in astigmatism due to incision planned on steep axis, and visual acuity improved to 20/30 uncorrected. This technique provides significant advantages from the previously described techniques in terms of decreased postop astigmatism, no need for sutures, no issues of chamber instability and iris trauma and without the need for phacoemulsification.


2021 ◽  
pp. 195-200

Background: Micro-esotropia is a small-angle esodeviation typically less than nine prism diopters. Patients with this ocular condition often develop amblyopia due to the presence of a constant unilateral strabismus and an anisometropic refractive error in the deviated eye. Current treatment methods for strabismic and refractive amblyopia include spectacle correction, patching, and vision therapy (VT). Case Summary: A 9-year-old Asian female presented with a constant left primary micro-esotropia with unsteady eccentric fixation, contributing to mild amblyopia and frequent suppression in the left eye. She also had a hyperopic anisometropic refractive error. Combination treatment of in-office VT with short-term patching therapy (two hours per day) was administered, with the goal of improving her binocularity, fixation, and visual acuity. Conclusions: Amblyopia results from binocular dysfunction, therefore monocular patching therapy alone will not improve the underlying issue. VT is necessary to actively treat binocularity and subsequently improve visual acuity, while short-term patching can be used in combination to effectively target monocular accommodation and fixation.


1986 ◽  
Vol 124 (6) ◽  
pp. 994-1003 ◽  
Author(s):  
ROBERT D. SPERDUTO ◽  
RITA HILLER ◽  
MARVIN J. PODGOR ◽  
PAUL PALMBERG ◽  
FREDERICK L FERRIS ◽  
...  

2004 ◽  
Vol 138 (1) ◽  
pp. 70-78 ◽  
Author(s):  
Evelyn A. Paysse ◽  
M.Bowes Hamill ◽  
Mohamed A.W. Hussein ◽  
Douglas D. Koch

2013 ◽  
Vol 5 (1) ◽  
pp. 38-44 ◽  
Author(s):  
K Sapkota ◽  
A Pirouzian ◽  
NS Matta

Introduction: Refractive error is a common cause of amblyopia. Objective: To determine prevalence of amblyopia and the pattern and the types of refractive error in children with amblyopia in a tertiary eye hospital of Nepal. Materials and methods: A retrospective chart review of children diagnosed with amblyopia in the Nepal Eye Hospital (NEH) from July 2006 to June 2011 was conducted. Children of age 13+ or who had any ocular pathology were excluded. Cycloplegic refraction and an ophthalmological examination was performed for all children. The pattern of refractive error and the association between types of refractive error and types of amblyopia were determined. Results: Amblyopia was found in 0.7 % (440) of 62,633 children examined in NEH during this period. All the amblyopic eyes of the subjects had refractive error. Fifty-six percent (248) of the patients were male and the mean age was 7.74 ± 2.97 years. Anisometropia was the most common cause of amblyopia (p < 0.001). One third (29 %) of the subjects had bilateral amblyopia due to high ametropia. Forty percent of eyes had severe amblyopia with visual acuity of 20/120 or worse. About twothirds (59.2 %) of the eyes had astigmatism. Conclusion: The prevalence of amblyopia in the Nepal Eye Hospital is 0.7%. Anisometropia is the most common cause of amblyopia. Astigmatism is the most common types of refractive error in amblyopic eyes. Nepal J Ophthalmol 2013; 5(9):38-44 DOI: http://dx.doi.org/10.3126/nepjoph.v5i1.7820


2001 ◽  
Vol 78 (SUPPLEMENT) ◽  
pp. 102
Author(s):  
Tonya Watson ◽  
Nancy Coletta

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