Abstract

ACQUIRED OCULOMOTOR PALSY: A CASE STUDY

Archana V. K.* and S. Sunil Kumar

Abstract

Acquired Oculomotor nerve palsy (OMP) is an ocular pathology resulting from damage to third cranial nerve which is frequently seen in old age group and in those with prominent or long-standing atherosclerotic risk factors, such as diabetes or hypertension. Though the disease entity can’t be correlated entirely with any Ayurvedic disease entity, treatment can be adopted according to the pathogenesis and involved doshas. A 44 year old male patient, diagnosed with Neurogenic Ptosis and ophthalmoplegia due to acquired Third nerve palsy was treated at Shalakyatantra Inpatient Department of Govt. Ayurveda College, Trivandrum. The patient presented with pain over left eye & Left side of forehead with drooping of left upper lid and double vision since 2 months. He was treated according to the line of management of Nimesha, Ardita and Vatabhishyanda. The treatment included internal medications like Chandraprabha vati, Punarnavadi Kashaya and external medications like Bidalaka, Shirovasti, Shashtika pindasweda etc. The treatment was intended to bring Srotoshodhana, Doshanulomana and Dhatuposhana. There was complete relief of symptoms after treatment for 45 days.

Keywords: Acquired Oculomotor nerve palsy, Ardita, Bidalaka, Neurogenic Ptosis, ophthalmoplegia, Shashtika pindasweda.