Abstract

AN EVIDENCE BASED CLINICAL STUDY OF TRAUMATIC PTOSIS AND ITS AYURVEDIC MANAGEMENT

*Dr. Pallavi Prashant Ambore, Dr. Vidya Patil, Dr. Rajendra Dhate

Abstract

Background: Ptosis, defined as drooping of upper eyelid, can be congenital or acquired. Traumatic ptosis is an acquired condition resulting from injury to the Levator palpebral superioris muscle, its aponeurosis, or associated neurogenic structures. It affects both functional vision and Facial appearance. Timely diagnosis and appropriate classification are essential for effective management and to prevent complications. It is correlate unmesh in ayurvedic concept, in which Vatadosha is perdominant. Objective: To evaluate the clinical profile, classify types of ptosis and access the outcomes of various management strategies with emphasis on early diagnosis and prevention of complications such as amblyopia etc. Material and Method: A 30 yr old female come to OPD with Right eye drooping of the upper eyelid Following blunt trauma before 5-6 years at home. Clinical evaluation included visual acuity testing, eyelid function measurements (MRD1 levator function) and ocular motility assessment. The ptosis was graded as mild with poor levator function. This case study shows the effect of Snehan, and Swedan treatment in mild traumatic ptosis. Result: The patient showed significant Improvement in eyelid position, Functional vision was restored and the patient reported satisfaction with the cosmetic outcome. No complications were observed during treatment and follow up over the 1and half month period. Conclusion: In present case study Snehan with Chandan Balalakshadi tail and swedan followed by panchendriyavardhan tail Marsh Nasya and oral medications Cap Palsineuron is used to treat the ptosis. It is concluded that symptoms of mild traumatic ptosis are reduced in this patient with no other complications. Ptosis is predominantly vataj vikar, so Snehan swedan followed by Nasya chikitsa has the main role in treatment and hence symptoms of the disease reduced.

Keywords: Ptosis, Marsh nasya, bruhan, unmesh, Vatahat Vatrma.