Decreased Tear Production (Dry Eye)- Ayurvedic Treatment, Diet, Exercises,

Introduzione

Decreased tear production is called as dry eye because it feels the eyes becoming dried up. Tears give natural lubrication to eyes and they help flush the waste products out of the eyes. So dry eye might lead to a higher chance forgetting inflammatory conditions of the eyes as well.

Signs and symptoms of Decreased tear production (Dry eye)

Burning or stinging sensation in the eyes
Reddish discolouration of the eyes
Running eyes or watery eyes
Excess mucous that is stringy in nature inside and around the eyes
Eyes become light-sensitive and difficulty to drive during night time
A feeling that something is in the eye
Irritation during wearing the contact lenses

Causes of Decreased tear production (Dry eye)

Many environmental factors play a great role in the development of dry eyes as well as internal. Some of them include old age, allergic conditions of the eyes, rheumatoid arthritis, hormone imbalances, vitamin A deficiency and SLE.

Pathophysiology of Decreased tear production (Dry eye)

Though it can develop due to a variety of reasons, dry eyes include such mechanisms like the increased osmolarity of the tear film and the inflammation of areas like the ocular surface or the lacrimal gland pathologically. It can develop in two ways when analysed the pathophysiology, one with decreased tear production or secretion known as Aqueous-deficient dry eye and the other is due to increased evaporation of the tear known as the hyper evaporative dry eye.

Diagnosis of Decreased tear production (Dry eye)

Case history taking

Esame fisico

Slit lamp examination

Tear osmolarity test

The markers for the condition of dry eye include higher level of matrix metalloproteinase-9 and or with a decreased level of lactoferrin.

Treatments for Decreased tear production (Dry eye)

Medications to correct any associated organic condition like diabetes or thyroid dysfunction.

Anti-inflammatory medications to reduce eye lid inflammation

If cornea is inflamed, eye drops are used to correct that

Artificial tears in the form of drops or inserts

Medicines that stimulate tear production

Nasal sprays that increase tear production

In some rare cases eye drops are made from the ingredients collected from the patient’s blood

Prognosis of Decreased tear production (Dry eye)

Usually, dry eye responds well to medications, though it needs a long-term application of eye drops or other medications

Complications of Decreased tear production (Dry eye)

When not diagnosed and treated in the early stages, dry eye may lead to severe complications like inflammation of the eyes, abrasion or ulcer in the cornea and eventually loss of vision. The condition might affect day-to-day activity like reading, and lead to a poor quality of life.

Decreased tear production (Dry eye) and Ayurveda

Kricchronmeela

Sushkakshipaka

Dry eyes are understood as Vaata or Pitta dominanace in the eyes due to various reasons. They might increase Guna or qualities like Ruksha (dryness) or Ushna(hot) respectively in the eyes, that can lead to Dry Eyes. Tears or Asru is considered as the co-product of dhatus like Rasa, Medas and Majja.

Nidana-Ayurvedic causes

Any internal or environmental factors leading to the vitiation of Pitta or Vaata inside the eyes

Poorvarupa- Ayurvedic premonitory signs and symptoms

Non menzionato

Samprapti-Ayurvedic pathogenesis

Due to various nidana factors, the rukshaguna increased in the eyes lead to Vaata kopa in eyes. As the tears are similar with Kapha in quality, the vitiated Vaata dries up it and manifests dry eyes.

Lakshana – Ayurvedic signs and symptoms

Pain and difficulty to open lids while waking up

Gritty sensation inside the eye

Problem with moving the lids

Occhi acquosi

Pricking pain

Dryness, redness and inflammatory response

Visual disturbances

Sadhyasadhyata-Ayurvedic prognosis

Saadhya or Yaapya in chronic cases

Chikitsa-Ayurvedic treatment

Samana

Sirodhara

Sirovasti

Nasya(brumhana)

Netraascyotanam

Netra tarpanam

Sodhana

Virecanam

Vamanam

Commonly used Ayurvedic medicines

Jeevaneeyaganam ghrtam

Vasaanjanam

Himalaya-ophtha care

Sreedhareeyam – Sunetra

Kottakkal Netramritham

Rimedi casalinghi

Wash eyes with normal and clean water often

Diet and behaviour

Eat light warm food with heathy edible oils and ghee in moderate quantity

Include milk and milk products

Eat Indian gooseberry, carrots cabbages and other healthy vegetables and fruits

Avoid junk foods, tinned foods, and stale food items

Yoga and Pranayama

Anuloma villoma pranayama

Nadisuddhi pranayama

Trataka

Netra vyayama

Sookshma Sandhi vyayama

Vajrasana

Documenti di ricerca

https://www.researchgate.net/publication/332698211_AYURVEDIC_MANAGEMENT_OF_DRY_EYE-A_CASE_STUDY

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3157110/

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Scrittore:

Medico erborista-vaidya — Dr. Rajesh Nair
Consulente,
Medicina ayurvedica, India

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