AYURVEDIC MANAGEMENT OF SHUSHKAKSHIPAKA W.S.R. TO DRY EYE SYNDROME – A SINGLE CASE STUDY

Abstract

Background: Dry Eye Syndrome, also known as Keratoconjunctivitis Sicca, is a multifactorial disorder of the ocular surface characterized by tear film instability, hyperosmolarity, and ocular discomfort. Modern management primarily relies on artificial tear substitutes, which offer only temporary symptomatic relief. Ayurveda describes a comparable condition, Shushkakshipaka, under Sarvagata Netraroga, marked by Gharsha (irritation), Avila Darshana (blurred vision), Daha (burning sensation), and Raktharaji (congestion), caused by Vata-Pitta-Rakta vitiation. Materials and Methods: A 30-year-old male patient presenting with blurring of vision, burning sensation, irritation, and redness of both eyes was diagnosed with Shushkakshipaka. The patient had a history of LASIK surgery and previous use of lubricating eye drops with minimal relief. The treatment regimen included Jivantyadi Ghrita Tarpana locally for 7 days, supported with oral administration of Saptamrita Lauha (250 mg twice daily with honey) and Muktapishti (125 mg twice daily with rose water) for 15 days. Symptomatic assessment and ocular evaluation (visual acuity and IOP) were performed before and after treatment. Results: After completion of therapy, significant improvement was observed in dryness, burning, redness, irritation, and blurred vision. Both near and distant visual acuity returned to normal, and IOP remained within normal limits. No adverse reactions were noted during or after treatment. Conclusion: The combined therapy of Jivantyadi Ghrita Tarpana, Saptamrita Lauha, and Muktapishti effectively relieved the symptoms of Shushkakshipaka by pacifying Vata-Pitta Dosha, nourishing ocular tissues, and restoring tear film stability. This case highlights the potential of Ayurvedic management as a safe and holistic alternative to conventional tear substitutes in Dry Eye Syndrome.