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

Introduction

Drooping of eyelids, due to pathological reasons is called ptosis which happens because of trauma, age, or various medical disorders. This condition is called unilateral ptosis when it affects one eye and bilateral ptosis when it affects both eyes. It may come and go or it might be permanent. It can be present at birth, where it’s known as congenital ptosis, or it can be developed later in life, which is known as acquired ptosis.

Depending on the severity of the condition, droopy upper eyelids can block or greatly reduce vision depending on how much it obstructs the pupil. In most cases, the condition will resolve, either naturally or through medical intervention.

Signes et symptômes

One or both upper eyelids sag. In some cases, this can affect the vision.

Dry eyes or watery eyes

Tired look on face

Ache around eyes

Causes

It can be congenital due to defective development of levator muscles or the condition can be acquired.

As a result of a nerve injury or a temporary stye.

Eyelid tumours, cysts, or swelling.

Complication of LASIK or cataract surgery.

Serious conditions like stroke, brain tumour, or cancer.

Neuro-muscular diseases like myasthenia gravis

Botox injections.

Horner’s syndrome.

Physiopathologie

Ptosis is the result of dysfunction of one or both upper eyelid elevator muscles. These elevator muscles are the levator palpebrae superioris and the Mueller muscle.

The levator palpebrae superioris is a striated muscle innervated by the superior division of the oculomotor nerve (cranial nerve III). This muscle is about 40 mm long and originates from the lesser wing of the sphenoid. It continues anteriorly, and at the Whitnall ligament, it travels inferiorly as an aponeurosis. The aponeurosis is 14-20 mm long and inserts into the anterior aspect of the tarsal plate. It also sends attachments to the skin, forming the upper eyelid crease. The levator muscle and aponeurosis is the major elevator of the upper eyelid.

The Mueller muscle, a sympathetically innervated smooth muscle, originates from the undersurface of the levator superioris. Approximately 12 mm long, it inserts superiorly on the tarsal border and elevates the upper eyelid by approximately 2 mm.

Diagnostic

Examen physique

Medical history

Eye examination using a slit lamp

Tensilon test

Traitements

The treatment for droopy eyelid depends on the underlying cause and the severity.

Plastic surgery is the only option in senile and congenital ptosis.

Underlying medical conditions, if any, should be managed for the cure of associated ptosis.

Glasses that can hold the eyelid up, called a ptosis crutch, are another option. This treatment is often most effective when the droopy eyelid is only temporary. Surgery for ptosis includes the tightening of the levator muscle. This will lift the eyelid up into the desired position.

Another alternative is a “sling” operation, in which the forehead muscles are used to elevate the eyelids.

Ptosis crutch – A nonsurgical option that involves adding an attachment to the frames of the glasses. This attachment, or crutch, prevents drooping by holding the eyelid in place.

There are two types of ptosis crutches: adjustable and reinforced. Adjustable crutches are attached to one side of the frames, while reinforced crutches are attached to both sides of the frames.

Pronostic

Eyelid drooping is not a fatal or harmful condition to the general health. However, if vision is affected, treatment is needed.

The long-term outlook will depend on the cause of the droopy eyelid. Most of the time, the condition is just a cosmetic issue.

However droopy eyelids can sometimes be a sign of a serious disease, proper diagnosis is recommended.

Complications

Severe ptosis can cause amblyopia (lazy eye) or astigmatism. It is important to treat at a younger age, if left untreated, it could affect vision development.

Maladies et Ayurveda

        Vaatahatavarthma

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

Not specifically mentioned

Samprapti

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

Lakshana

        Not able to open eyes because of droopy eyelids

Divisions

Non mentionné

Pronostic

Asaadhya – No treatment/Incurable

Chikithsa

Samana

Sodhana

Médicaments couramment utilisés

        Ksheerabala(101aavarthy)

        Thriphala choorna+/-ghee

Dhanadanayanadi Kashayam

Dhanwantharam Kashayam

Drakshadi Kashayam

Jeevanthyadi ghrutam

Marques disponibles

AVS Kottakal

AVP Coimbatore

SNA oushadhasala

Vaidyaratnam oushadhasala

Remèdes maison

There is no effective home remedy for ptosis.

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

Régime alimentaire

  • À éviter

Any hard item, tough to bite or chew.

Les repas lourds et les aliments difficiles à digérer provoquent des indigestions.

Junk foods- cause a disturbance in digestion and reduces the bioavailability of the medicine

Boissons gazeuses - rendent l'estomac plus acide et perturbent la digestion

Aliments réfrigérés et congelés - provoquent une digestion faible et paresseuse en affaiblissant Agni (le feu digestif).

Milk and milk products – increase Kapha and cause respiratory problems

Caillé - provoque le vidaaha et, par conséquent, de nombreuses autres maladies

  • A ajouter

Des repas légers et des aliments faciles à digérer

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.

Maintenir une alimentation et un sommeil réguliers.

Avoid stress.

Avoid holding or forcing urges like urine, faeces, cough, sneeze, etc.

Avoid sleeping late night and day sleep.

postures de Yoga

  • IN PERSONS WITH SEVERE INFLAMMATORY DISEASES AND EYE DISEASES, EXERCISE IS NOT RECOMMENDED

Le yoga permet de maintenir l'harmonie à l'intérieur du corps et avec le système environnant.

Nadisudhi pranayama

Suryanamaskara

Bhujangasana

Tous les exercices et les efforts physiques doivent être décidés et effectués uniquement sous la supervision d'un expert médical.

Articles de recherche

https://pubmed.ncbi.nlm.nih.gov/12925861/

Ces déclarations n'ont pas été évaluées par la Food and Drug Administration des États-Unis. Ce produit n'est pas destiné à diagnostiquer, traiter, guérir ou prévenir une quelconque maladie. Veuillez consulter votre médecin généraliste avant de prendre ce produit.

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