Vd.Pravin Bhat

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Ophthalmic complications in systemic diseases

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OCULAR MANIFESTATIONS in SYSTEMIC DISEASES:

OCULAR MANIFESTATIONS in SYSTEMIC DISEASES Presented by Vd.Pravin M. Bhat M.S. (Scholar) Guide & H.O.D Dr.S.M.Panzade Dept. Of Shalakyatantra Govt. Ayurved College & Hospital Nanded (M.S.)

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Aims & Objectives:

Aims & Objectives To study the eye manifestations ( Lakshana ) in systemic diseases. To understand the Dosha – Dushya Pradhanya in eye. To study the Hetu & Samprapti of eye diseases.

INTRODUCTION:

INTRODUCTION The eyes are frequently involved in diseases affecting the rest of the body Ocular manifestations in certain multisystem disorders may offer a diagnostic clue Sometime the eye involvement may be subtle enough to avoid detection unless the clinicians knows to look for it

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Anatomy of Eye

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Doshapradhanya in Netramandal : 1.Pakshmamandal Vayu Mahabhuta , Vata Dosha 2.Vartmamandal Vyanavayu & Pranavayu 3.Shuklamandal Predominance of Kaphadosha Anubandhi Pitta Dosha 4.Krishnamandal Vata Dosha 5.Drishtimandal All 3 Doshas Equally Involved Netra Sharir Rachana

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6.IntraOcular Fluids Aap Mahabhuta KaphaDosha Predominance 7. Drishtikacham Aap Mahabhuta KaphaDosha Predominance 8.Iris Vayu Mahabhuta VataDosha 9.Choroid Agni Mahabhuta - PittaDosa 10.Drishtipatal All 5 Mahabhuta & 3 Doshas Alochaka Pitta Receives & Analyses the Indriyartha Netra Sharir Rachana

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Each & every part of eyeball has its own predominant Mahabhoota & Dosha .So diseases of one part is restricted to that part only. Parts of eye Mahabhuta Doshapradhanya Muscular part Prithvi Kapha Vascular Part Agni Pitta Black Part Vayu Vata White Part Jala Kapha Lacrymal Passage Akash Vata PALAM BHRUVO AGNITATO RAKTAM VATAT KRISHNAM SITAM JALAT | AKASHAT ASHRUMARGASCHA JAYANTE NETRABUDBUDAM || -SUSHRUTA Netra Sharir Rachana

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Eyes are most important among the 5 dnyanendriya . So its function can be considered as function of dnyanendriya

Netraroga Nidan (Etiological factors of eye diseases):

Netraroga Nidan (Etiological factors of eye diseases) Vitiation of Pitta is the leading etiological factor in the development of eye diseases Hetu Aharaj Viharaj Manasik Sarvadehik Vyadhi Treatment factors,etc

Hetu & Samprapti:

Hetu & Samprapti It is seen that 70-80 % of systemic diseases have their own ocular manifestations.Because eye is highly sensitive structure. An ocular disease develops along with a systemic disease, when the two diseases are having common Nidana . e.g. Timira & Prameha

Samprapti of Netraroga:

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Sarvaroga Nidanokta Hetavah Sarvadehik doshadushtikar Achakshushya Hetu Hetu Sarvadehik Doshadushti Netrasthit Doshadushti Sarvadehik Vyadhi Netraroga SIRABHIRURDWAM PRASRUTA NETRAVAYAVAMASHRITA || Ashtang Hridayam

Samprapti:

Samprapti Ushna,Tikshna , Sara , Snigdha & Drava guna of pitta are increased. Properties of Raktadhatu deranged.The density viscosity are decreased.The vessels are dilated & become more permeable. The vitiated Dosha always have an affinity towards that area of the eye, where there is predominance of that particular Dosha by nature.

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Vitiated Vata affects Krishnamandal drishtimandal . Vitiated Pitta affects Vascular Parts. Vitiated Kapha affects Intraocular Fluids, Shuklamandal .

Examinations of eye:

Examinations of eye Systemic examination Examination of an eye Ashtavidha Dashavidha ROGAKRANT SHARIRASYA STHANANYASHTO NIRIKSHAYET | NADIMUTRAMALAJIVHASHABDASPARSH DRIKA KRUTI || Yogaratnakar Ashtavidha Pariksha gives information about the Dosha , Prakriti & Systemic diseases of patient.

Examination of eye:

Examination of eye Dashavidha Pariksha : DUSHYAM DESHAM BALAM KALAM ANALAM PRAKRITIM VAYAH | SATVAM SATMYAM TATHA AHARAM AVASTHNSCHA PRITHAGVIDHA || - Charaka Prakriti & its relation with eye: Vataprakriti Shyava Netra Pittaprakriti Pingala Netra Kaphaprakriti Shukla Netra

Ocular Manifestations in systemic Diseases:

Ocular Manifestations in systemic Diseases DISEASE SYMPTOM ON EYE DOSHA DUSHYA 1 JWARA( Purvarupa ) NAYANPLAVA PITTA MAMSA 2 GRAHANI TIMIRA VATA MAMSA 3 PANDU AKSHIKUTU SHOTHA KAPHA RAKTA, MAMSA 4 KAMALA HARIDRA NETRATA PITTA RAKTA 5 RAKTAPITTA AKSHIGATA RAKTASRAVA PITTA RAKTA 6 RAJAYAKSHMA SHUKLE-AKSHNO KAPHA MAMSA 7 KRIMI SHYAVA NETRATA KAPHA RAKTA, MAMSA 8 SHITAPITTA RAKTALOCHANATA PITTA RAKTA

Ocular Manifestations in systemic Diseases:

Ocular Manifestations in systemic Diseases DISEASE SYMPTOM ON EYE DOSHA DUSHYA 9 APANA VAYU AVARODHA DRISHTIVADHA VATA MAJJA 10 JARASHOSHA AKSHISHUSHKATA,MALACHHAVI VATA MAMASA, MAJJA 11 MAHASHWASA VIBHRANTALOCHANA VATA 12 ANNAVAHA SROTAS VIDDHA ANDHYA 13 MAJJAKSHAYA TIMIRADARSHANAM VATA MAJJA 14 ARSHA( Purvarupa ) NETRASHOPHA 15 KSHAYAJA KASA SHRIMADDASHANNETRATA TRIDOSHA SHUKRA 16 URDHWASHWASA URDHWADRISHTIVIBHRANTAKSHA VATA

Ocular Manifestations in systemic Diseases:

Ocular Manifestations in systemic Diseases DISEASE SYMPTOM ON EYE DOSHA DUSHYA 17 CHHINNA SHWASA VIPLUTAKSHA RAKTAIKLOCHANA VATA RAKTA 18 TAMAKASHWASA UCHHRITAKSHA KAPHA VATA RASA,RAKTA 19 SWARABHEDA KRISHNA NAYANA VATA RAKTA 20 TRISHNA RAKTEKSHNATWAM PITTA RASA 21 UNMAD DRISHTI ADHIRATA VATA 22 APASMARA( Asadhya ) PRACHALITA BHRIVAM TRIDOSHA 23 VATAVYADHI AKSHIHUNDANA VATA MAMSA 24 APATANAKA VARTMASTAMBHA VATA MAMSA 25 ARDITA NETRADINAM CHA VAIKRITAM VATA MAMSA 26 JRIMBHA NNIRODHAJA UDAVARTA AKSHIROGA VATA 27 NIDRARODHAJ UDAVARTA AKSHIJADYA VATA KAPHA

DISCUSSION:

DISCUSSION Eye is one of the vital organ & almost 70-80% systemic diseases are responsible for the generation of eye pathology. Most of the time we cannot get results only by local treatment of some eye diseases. At that time we consider about Sarvadehik samprapti (Systemic cause). E.g.--- Chalazion ( Hetu – constipation, supression of natural urges,DM,High Myopia)

DISCUSSION:

DISCUSSION Detail history of patient is necessary. Because we can do treatment with the help of knowledge of Hetu & Dosha,Dushya . While doing local treatment we have to think about Dosha & in case of Sarvadehik chikitsa we should think about Agni & Hetu .

CONCLUSION:

CONCLUSION While treating Netra Vyadhis along with Sthanik Chikitsa (Local treatment) systemic examination is also necessary & vice versa. A detail history focusing on Hetus , Dosha-Dushya & Samprapti is mandatory for successful treatment of eye diseases. Netra Sharir & its Dosha-Dushya relation should also be taken into consideration. This study emphasizes on utmost importance of eye as a Diagnostic Tool .

Bibliography:

Bibliography Caraka Samhita Sushruta samhita Ashtang Hridayam Madhav Nidan Yogaratnakar Textbook of ophthalmology in Ayurveda By Dr.P.K.Shanthakumari (Kerala). Lakshankosha By Vd.D.P.Gadgil ( Tilak Maharashtra Vidyapeeth,Pune )

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THANK YOU Thank You…!

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