As we continue checking patients, its being concluded, these cases has to treated on systemic and shiro gata doshas first. simultaneously for eyes, we have to check avastha. If patient has angle closeure, we have to do sang nirharan. For which Yag PI (laser), is one technique. Along with it we have to added advantage of ayurveda modes of treatments like kriyakalpa for eyes to relax and rejuvenate the eyes. This concept of relaxation and rejuvenation is not available in allopathy.
In cases of Open angle glaucoma, we have to take care of IOP, to look for blocked channels in head area, or lack of nutrition to body channels, which are the major factor for increasing IOP. So according to Ayurveda we focus to open the channels and provide nutrition to body, which in turn regularises flow of the fluids in body channels, especially with referance to eyes.
In OPD, when patients approach with already having 2 or 3 or 4 anti glaucoma drug therapies. They complain of even after following allopathy treatment their IOP and substantial eye related problems are recurring or not getting cured. With Ayurveda treatment, these patients get symptomatic relief on initial therapy, and later they improve their vision due to relived stress on the eyes, opened body channels, nutrition reaches to end organ. Even many cases show improvement to such extent that their allopathic Anti glaucoma drops reduce, due to sustained and controlled IOP through out. So its a blend of treatment which is being addressed.
We have to monitor these patients for
- According to ayurveda - we have to analyse Nadi, Prakruti, Facial symmetry, Nasal and ear related changes, Marma points, affected doshas in head and body, drushti, avastha,
- Vision and other baseline parameters
- IOP - Intra ocular pressure
- Anterior chamber angle - Angle between Iris root and Cornea.
- Pupil changes - reaction to light, equality, changes on accomodation etc
- Fundus Changes - inside of the eye
- Optic nerve - Cup and disc ratio, other changes on disc and its margins
- OCT - Optical Coherance Tomography - for better understanding of changes taking place and measure every change.
- Perimetry - Visual field analysis - to analyse vision of the patient, its depth of loss.
- Fundus Photograph - to record the 2D image of inside of the eye.
So, to conclude, this article in short will give referance to people, on how we take care of the glaucomatous eyes, in Ayurveda.
