A Critical review on Vernal Keratoconjunctivitis and its Ayurvedic Approach
Vernal keratoconjunctivitis is a variety of exogenous allergic conjunctivitis, which is a very troublesome ocular disease of childhood and in the adolescent age group . The child suffers from intense itching, grittiness, discharge, redness, lacrimation, photophobia, and so on, thereby, decreasing his learning hours. The troublesome features are aggravated in the spring season so called as spring catarrh and the diseases incidence is more common in dry and hot climate,and rarely persists after adolescence. Mast cell stabilizers, topical Nonsteroidal anti-inflammatory drugs (NSAIDs), and steroids are the available treatment options that too with symptomatic relief and potential side effects, which limits the long-term use of these medicines.
Thus, there is an increasing demand to understand the disease in view of Ayurveda and to establish the management through Ayurvedic system of medicine.On reviewing the clinical presentation from all the classical text, it is found that Vernal Keratoconjunctivitis /Spring Catarrh resemble to Kaphaja Abhishyanda . The spring catarrh nomenclature of the disease is indicative of seasonal (Vasanta Ritu) incidence, and as per the Ayurvedic principles, it is the Kapha Prakopa period of the year. Childhood age group is the Kapha dominating period of life and the clinical features of the disease simulate those of Kaphaja Abhishyanda.
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Khurana AK. 4th ed. New Delhi: New Age International Pvt. Ltd; 2007. Comprehensive Ophthalmology; p. 74.
Ibid,Comprehensive Opthalmology. :75.
Kanski JJ. 4th ed. New Delhi: Butterworth / Heinmann; 2000. Clinical Ophthalmology; p. 135.
Khurana AK. 4th ed. New Delhi: New Age International Pvt. Ltd; 2007. Comprehensive Ophthalmology; p. 76.
Ibid. pp. 76–100.
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Sharma Gunjana, Dhiman KS. A Clinical Study on the effect of Triyushandi anjana in the management of Kaphaja Abhishyanda (Spring Catarrh), MS Shalakya thesis, HPU. 2003
Singh Shailendra, Dhiman KS. A comparative study on the effect of Triyushandi anjana & Sodium Chromoglycate 2% eye drops on Kaphaja Abhishyanda w.s.r.Spring Catarrh, MS Shalakya thesis, HPU.2006
Yadavaji T. Varanasi: Choukhambha Sanskrita Sansthan; 2002. CharakSamhita Chakrapani Commentary; p. 105
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