European Journal of Biomedical and Pharmaceutical Sciences

AYURVEDIC MANAGEMENT OF SASHALYAJA NAYANABHIGHATA I.E., CORNEAL INJURY DUE TO FOREIGN BODY: A SPECIAL CASE REPORT

Dr. Vachana S. D.*, Dr. Apoorva and Dr. Sujathamma K.

ABSTRACT

Ayurveda has a vivid and special attention regarding “Nayanabhigata(eye injury)” with its lakshanas(signs and symptoms) and chikitsa(treatment). The supreme authority, Acharya Sushruta has explained in detail as a separate entity owing to its importance and emergency care. Even though the eye is well protected by coverings like lids, margins of the orbit, nose and a cushion of fat behind, injuries are not uncommon. Corneal foreign body is an object either superficially adherent or deeply embedded in the cornea. The removal of foreign body is a common procedure performed in emergency care. If corneal foreign body is not removed in a timely manner, they can cause prolonged pain and lead to many serious complications such as infection, ocular necrosis and finally leading to blindness. A 65 year old male patient approached to our OPD with the history of pain, foreign body sensation, watering of eyes and redness since 3 days. On Slit lamp Bio microscopy a patch of thin layer of wooden piece was adhered to the corneal surface in the left eye. Owing to the History, Signs and Symptoms the case was diagnosed as corneal foreign body, and the wooden piece patch was removed carefully with the help of an ear bud. After removal, immediately Netra prakshalana(eye wash) was done using triphala kashaya and has advised Mahatriphaladi ghrita aschyotana every hourly in the dose of 2 drops. After treatment all the symptoms got subsided with the healed corneal epithelium along with normal vision.

Keywords: Nayanabhighata, Corneal foreign body, Netra prakshalana, Ashchyotana.