Case report on Corneal ulcer management – An Emergency approach in Ayurveda

Abstract

Corneal ulcer is defined as discontinuation of normal epithelial surface of cornea associated with necrosis of the surrounding corneal tissue. The two main factors responsible for this are damaged corneal epithelium and infection of the eroded area. As the corneal ulcer is vision threatening, it always demands urgent treatment approach. In Ayurveda this condition could be considered as Kshathasukla which has been mentioned elaborately in Ashtangahrudaya Uttarastana in the context of Krishnagataroga. Kshathasukla is a Pitha pradhana vyadhi caused due to an injury. The prognosis of the disease vary with respect to the number of Patalas involved. The treatment have been illustrated with Raktamoksha and Virechana in order to address the predominant Pitha and Raktha involved in the pathogenesis. The case presented here is successfully managed with repeated Raktamokshana, Virechana along with local procedure like Seka. After 14 days of treatment patient got complete relief from symptoms. No side effects was observed during the course of treatment and even in follow up period.