A Comparative clinical study to evaluate The Efficacy Of Vrisha Ghrita And Anantadi Ghrita Aschotana And Pana in the Management Of Dwitiya Patalagata Timira (Presbyopia)

SUMMARY OF SYNOPSIS WORK

1.TITLE OF DESSERTATION-  : COMPARATIVE CLINICAL STUDY TO EVALUATE THE EFFICACY OF VRISHA GHRITA AND ANANTADI GHRITA ASCHOTANA AND PANA IN THE MANAGEMENT OF DWITIYA PATALA GATA TIMIRA (PRESBYOPIA

 2.STUDENT NAME-

DR. BHARGAVI JOSHI

PRELIMINARY M S (AYU) SCHOLAR

DEPARTMENT OF SHALAKYA TANTRA

SRI DHARMASTHALA MANJUNATHESHWARA

COLLEGE OF AYURVEDA AND HOSPITAL, HASSAN

 3.GUIDE NAME-

Dr. GURURAJ ANIL BHAT  MS (Ayu)

ASSISTANT PROFESSOR

DEPARTMENT OF SHALAKYA TANTRA

SRI DHARMASTHALA MANJUNATHESHWARA

COLLEGE OF AYURVEDA AND HOSPITAL, HASSAN

5. AIM OF STUDY- TO EVALUATE THE EFFICACY OF VRISHA GHRITA AND ANANTADI GHRITA ASCHOTANA AND PANA IN THE MANAGEMENT OF DWITIYA PATALA GATA TIMIRA (PRESBYOPIA)

 6.OBJECTIVE OF STUDY-

·         To evaluate the efficacy of Vrisha Ghrita Aschotana and pana in the management of Dwitiya patalagata Timira w.s.r to Presbyopia

·         To evaluate the efficacy of Anantadi Ghrita Aschotana and pana in the management of Dwitiya patalagata Timira w.s.r to Presbyopia

To compare the efficacy of Vrisha Ghrita and Anantadi Ghrita Aschotana and Pana in the management of Dwitiya patalagata Timira w.s.r to Presbyopia

7.METHODOLOGY-

 I. STUDY PERIOD-30 DAYS

 II. SOURCE OF DATA:

40 Patients will be selected from Out-patient department and In-patient Department of Shalakya Tantra, Sri Dharmasthala Manjunatheshwara college of Ayurveda and Hospital, Hassan.

III. DIAGNOSTIC CRITERIA:

1. Clinical features of Dwitiya Patalagata Timira or Presbyopia

2. Visual Acuity test with the help of Snellen’s Near vision Chart for the near vision

I. SUBJECTIVE PARAMETER

1. Samipastha Avyakta Darshana

2. Netrayaasa

3. Netrasrava

4. Shirashoola

OBJECTIVE PARAMETER

1. Near vision reading

2. Manual refraction

II. INCLUSION CRITERIA:

1)      Participants of either gender having  the age of above 30 and below 70 years.

2)Patients presenting with the symptoms of Dwitiya Patalagata Timira / Presbyopia

 III. EXCLUSION CRITERIA:

 1) Patients who are Diabetic, ID +ve and HbsAg +ve, and any other systemic disorders.

2. Patients with other Ocular Pathologies like Cataract, Corneal Opacity, optic atrophy, diabetic retinopathy, hypertensive retinopathy, papilledema, and any other refractive errors.

VII.PROCEDURE METHODOLOGY:

Purva karma-Detail procedure  of Aschotana is explained to participant and Consent is taken for the procedure.Vrisha Ghrita/Anantadi Ghrita is taken in Gokarnika and made lukewarm by keeping in the hot water bath and kept ready.

Pradhana karma – The patient will be made to lie down in the supine position in a room devoid of wind and light. Eyes will be opened with the left hand and the medicated drops will be held in the right hand just two Angula  above the Kaninika Sandhi (inner canthus). 10 bindu of prescribed Ghrita is put into each eye. After that the eyes should be wiped with soft cloth. The patient is advised to take 30ml of the prescribed Ghrita internally in two divided doses, that is, 15ml twice a day before food.

Paschat karma- Patient is advised to follow pathya diet and to avoid dust, breeze and smoke.

Follow up:  Patient is advised to follow-up on 45th day from day of study.

VIII.ASSESSMENT CRITERIA

·         Will be done on grading scale and assessed on the basis of improvement.

·         Assessed with subjective and objective parameters of Dwitiya Patalagata Timira before and after the treatment with appropriate statistical method.

8. REFERENCE:

1. Malhotra S, Vashist P, Kalaivani M, Rath RS, Gupta N, Gupta SK, Prasad M, Sathiyamoorthy R. Prevalence of presbyopia, spectacles coverage and barriers for unmet need among adult population of rural Jhajjar, Haryana. J Family Med Prim Care. 2022 Jan;11(1):287-293. doi: 10.4103/jfmpc.jfmpc_1148_21. Epub 2022 Jan 31. PMID: 35309602; PMCID: PMC8930150.

2. K. Niteshwar & Dr. R. Vidyanath, Sahasrayogam (3/5) Text with English Translation ,2nd edition, Chowkamba Sanskrit Series Office, 2008. p.68

3. Chikitsa Manjari, Dr. Sreeman Namboothiri, Edition 9, January 2010 Published By Vidyarambham Publishers, ISBN 81-85315-41-8, Page no. 466