Keratoconus- Ayurvedic Treatment, Diet, Exercises, Research Papers, Yoga & Pranayama

Introduction

The cornea is the transparent front part of the eye through which we see. In normal condition, the cornea is a round surface which holds the curvature for proper focusing which is essential for vision. But in some case, the cornea becomes weak in structure and the pressure inside the eye makes the cornea bulge outward like a cone. This condition is called keratoconus.

Signs & symptoms

  • A sudden change of vision in just one eye.
  • Double vision when looking with just one eye.
  • Distorted vision in the beginning, not blurred. After a long time, distant objects do become blurred.
  • Halos around bright lights.
  • Astigmatism
  • Blurred Vision
  • Difficulty Seeing in Dim Light
  • Distorted Vision
  • Double vision
  • Glare
  • Near-sightedness
  • Ring of Discoloration on the Front of the Eye
  • Sensitivity to light

Causes

The exact cause of keratoconus is unknown.

Some studies have found that keratoconus runs in families.

Pathophysiology

Keratoconus usually begins in childhood or teenage, before the age of 30. The changes in the shape of the cornea occur slowly, usually over several years.

Keratoconus changes to vision in two ways:

  • As the shape of the cornea changes from a ball to a cone, the smooth surface becomes slightly wavy. This condition is known as irregular astigmatism.
  • As the front of the cornea expands, the eye becomes more near-sighted. That is, only nearby objects can be seen clearly. Far away objects will look like a blur.

Diagnosis

Measurement of curvature of the cornea using instruments like keratometer, which shines a pattern of light into the cornea. The shape of the reflection of the pattern tells the doctor how the eye is curved.Corneal topography makes three-dimensional “maps” of the cornea.

Treatments

  • New eyeglasses, and then contact lenses to correct vision changes

New eyeglasses will be able to make the vision clear in mild cases of keratoconus. In the long run, it will be needed to use contact lenses. Rigid lenses are used most frequently in keratoconus patients.

  • Corneal transplantation will be needed in severe cases.

Prognosis

The condition will progress at a moderate pace for ten to twenty years and stops in a person late 30’s or 40’s. Most of the patients find relief by the usage of glasses/contact lenses. About 10% will need a corneal transplant for a complete cure.

Complications

Distorted vision, although not complete blindness

The inability of the eye to focus without eyeglasses or contact lenses.

Keratoconus can be dangerous if laser vision correction surgery — LASIK or PRK is performed on the eye.

Anyone with even a mild tendency of keratoconus should not have laser vision correction surgery.

Disease & Ayurveda

Keratoconus – Timira(Vaatikam)

Nidana

Causes for vitiating thridoshas

Diet &behaviour which are bad for eyes

Purvaaroopa

Avyaktam       – Vision becomes not clear

Samprapti

Due to the causes, doshas predominantly Pitta reaches the head, then the eyes and cause eye diseases.

Lakshana

Vyaaviddhadrishti      – Straight line appears curved

Chala-Aavila-Arunabhadrishti           – Moving/blurred/reddish tinted vision

Muhu: Prasannam cha eekshate         – Blinking vision

Jaalanikesaanmasakaan          – Abnormal vision of net, hair, mosquito etc.

Rasmin cha                             – Appearance of rays of light in front of eyes

Divisions

Not mentioned

Prognosis

Yaapya

Sadhya in some cases in very early stages

Chikithsa

Samana

Lepa (application of paste),

Seka (pouring over the eyes).

Sodhana

Repeated Sneha (unction),

Asra-visrāvaṇa (bloodletting), – Jaloukavacharana(Leech therapy)

Reka (purgation),

Nasya (nasal medication),

Añjana (collyrium),

Mūrdha-Basti (retention of oil on the head),

Basti Kriyā (enema),

Tarpaṇa (retention of ghee in the eye),

Commonly used medicines

Thriphalachoorna

Thrivrutathaiala

Thraiphalaghruta

Jeevantyadi ghrutam

Brands available

AVS Kottakal

Vaidyaratnam Oushadhasala

AVP Coimbatore

Oushadhi

Home remedies

There is no effective home remedy for keratoconus.

But the following preventive measures can be helpful in the protection of cornea:

  • Ensure enough intake of anti-oxidants and vitamins
  • Control any allergic reactions
  • Wear UV-blocking sunglasses while going out
  • Keep the eyes and eye wares hygienic
  • Avoid scratching or rubbing of eyes
  • Use artificial tears to prevent dryness

Diet

  • To be avoided

Any hard item, tough to bite or chew.

Heavy meals and difficult to digest foods – cause indigestion.

Junk foods- cause a disturbance in digestion and reduces the bioavailability of the medicine

Carbonated drinks – makes the stomach more acidic and disturbed digestion

Refrigerated and frozen foods – causes weak and sluggish digestion by weakening Agni (digestive fire)

Milk and milk products – increase Kapha and cause respiratory problems

Curd – causes vidaaha and thereby many other diseases

  • To be added

Light meals and easily digestible foods

Green gram, soups, honey, fruits and vegetables, cow’s ghee.

Freshly cooked and warm food processed with cumin seeds, ginger, black pepper, ajwain, etc

Behavior:

Protect yourself from too much heat or cold.

Avoid head bath and tongue scraping.

Better to avoid exposure to excessive sunlight, wind, rain, or dust.

Maintain a regular food and sleep schedule.

Avoid stress.

Avoid holding or forcing urges like urine, faeces, cough, sneeze, etc.

Avoid sleeping late night and day sleep.

Yoga

  • IN PERSONS WITH SEVERE INFLAMMATORY DISEASES AND EYE DISEASES, EXERCISE IS NOT RECOMMENDED

Yoga can maintain harmony within the body and with the surrounding system.

Nadisudhi pranayama

Suryanamaskara

Bhujangasana

Simple exercises for lungs and heart health

All the exercises and physical exertions must be decided and done under the supervision of a medical expert only.

Research articles

file:///C:/Users/saraswathy/Downloads/612-1-1777-1-10-20180917.pdf

https://www.researchgate.net/publication/324828780_Clinical_aspects_of_diseases_of_cornea_in_Ayurveda_Clinical_Aspect_of_Diseases_of_Cornea_in_Ayurveda

http://www.iamj.in/posts/2019/images/upload/666_670.pdf

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s