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

Introduction

Pterygium is a growth of the conjunctiva or mucous membrane that covers the white part of the eye over the cornea. The cornea is the clear front covering of the eye. This benign or noncancerous growth is often shaped like a wedge. A pterygium usually doesn’t cause problems or require treatment, but it can be removed if it interferes with the vision.

Signs & symptoms

A pterygium may appear with no or mild symptoms.

Common symptoms include:

Redness of the eye

Blurred vision,

Eye irritation

Burning sensation or itching in the area.

 If a pterygium covers the cornea, it can interfere with vision.

Feeling of a foreign body in the eye

Causes

The exact cause of pterygium isn’t known. One theory says that too much exposure to ultraviolet (UV) light can lead to these growths. People whose eyes are exposed to certain things on a regular basis have a higher risk of developing this condition. These include:

  • pollen
  • sand
  • smoke
  • wind

Pathophysiology

The pathophysiology of pterygium is characterized by elastotic degeneration of collagen and fibrovascular proliferation, with an overlying covering of epithelium. Histopathology of the abnormal collagen in the area of elastotic degeneration shows basophilia with haematoxylin and eosin stain. This tissue also stains with elastic tissue stains, but it is not true elastic tissue, in that it is not digested by elastase.

Diagnosis

Physical examination using a slit lamp

Visual acuity test

Corneal topography

Photo documentation

Treatments

A pterygium usually doesn’t require any treatment until vision is disturbed or causing severe discomfort.

Medications – Eye drops or eye ointments that contain corticosteroids to reduce inflammation.

Surgical removal of pterygium

Prognosis

The visual and cosmetic prognosis following pterygium excision is good. Those patients who develop recurrent pterygia can be retreated with repeat surgical excision and grafting, with conjunctival/limbal autografts or amniotic membrane transplants in selected patients.

Complications

Scarring on cornea

Loss of vision

Disease & Ayurveda

        Armam

Nidana

Causative factors for eye diseases vitiate mostly Pitta dosha in the body namely,

  • Ushnabhitaptasya jalapraveshaath – entering into waterbody or taking bath in cold water after exposure to heat/sun
  • Doorekshanaath – Looking at distant objects
  • Swapnaviparyaya – Unhealthy & irregular sleeping habits
  • Prasaktasamrodhanasokakopa – excess or suppressed weeping & anger
  • Klesabhigata – Physical exertion, or trauma
  • Atimaithuna – Excess coitus
  • Atinishevana of Sukta etc. – taking beverages of acidic nature, horse gram, and black gram
  • Vegavinigraha -Voluntary suppression of any natural urges like cough, sneeze, urine, flatulence or faeces
  • Swedarajodhoomanishevana – Excess sweating, exposure to dust & smoke
  • Chardervighaataad – Suppression of vomiting
  • Vamanaatiyoga – Excessive vomiting
  • Baashpagrahaat – Suppression of tears
  • Sookshmanireekshana – looking at small things

Purvaaroopa

 cloudy vision with slightly inflamed, watery and mucus filled eyes

heaviness, pricking pain, redness and unmanifested clinical features

Pain in the lids & feeling of worms inside

Impairment of visual sense like detecting colour, & eye movements

Samprapti

        Causative factors cause vitiation of doshas which travel through siras(circulatory system) and reach eyes causing the disease.

Lakshana

        Arma is characterised by a growth on Shukla, which can spread onto boundaries lke varthma or krishnamandala where it can cause disturbance in vision.

Divisions

        5 types

  1. Prastaryarma
  2. Shuklarma
  3. Lohitarma
  4. Adhimamsarma
  5. Snayuarma

Prognosis

Sastrasadhyam – Chedanasadhyam (to be excised to heal)

Chikithsa

Samana

Lepanam with Rookshana dravyas

Swedanam

Vimlapanam

Sodhana

Nasyam

Vamanam

Virechanam

Tarpanam-Putapakam

Anjanam(lekhananjanam)

Chedanam(surgical excision)

Then treatment of wound should be done

Commonly used medicines

        Thrphalachoorna+/-ghee

            Tiktakaghrutam

Drakshadi Kashayam

Kaisore Gulgulu

Brands available

AVS Kottakal

AVP Coimbatore

SNA oushadhasala

Vaidyaratnam oushadhasala

Home remedies

There is no effective home remedy for pterygium.

But the following preventive measures can be helpful in the protection of eye from diseases:

  • 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

https://pubmed.ncbi.nlm.nih.gov/29165417/

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5968422/

These statements have not been evaluated by the Food and Drug Administration, United States. This product is not intended to diagnose, treat, cure or prevent any disease. Please consult your GP before the intake.

Writer:
Dr. Rajesh Nair, the co-founder and chief consultant of Ayurvedaforall.Com, is a graduate of prestigious Vaidyaratnam Ayurveda College (affiliated with the University of Calicut), Kerala, India. Additionally, he holds a Postgraduate Diploma in Yoga Therapy from Annamalai University.

Dr. Nair offers consultation at two busy clinics in and around Haripad, Alleppey, Kerala, the southern state famous worldwide for authentic ayurvedic treatment and physicians. While offering consultation on all aspects of ayurvedic treatments Dr. Nair has a special interest in Panchkarma, Yoga, and Massage.

Through Ayurvedaforall Dr. Nair offers online consultation to patients worldwide and has served hundreds of patients over the last 20 years. In addition to his Ayurvedic practice, he is the chief editor of ayurveda-amai.org, the online portal of Ayurveda Medical Association of India, and the state committee member of Ayurveda Medical Association of India.

Dr. Nair is a regular speaker at Ayurveda-related conferences and has visited Germany to propagate Ayurveda. You can write directly to him-
rajesh@ayurvedaforall.com

Whatsapp – +91 9446918019, +91 8075810816

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