CASE REPORT ON AYURVEDIC MANAGEMENT OF SHUSHKAKSHIPAKA WITH SPECIAL REFERENCE TO DRY EYE DISEASE

*Dr. Sukanya K. and Dr. Sujathamma K.

ABSTRACT

Dry Eye Disease (DED) is a multifactorial ocular surface disorder characterized by tear film instability, hyperosmolarity, inflammation, and neurosensory abnormalities. This case report highlights the Ayurvedic management of Mixed Dry Eye Disease, diagnosed as Shushkakshipaka in Ayurveda, which aligns with Vata-Pitta predominant ocular pathology. A 50-year-old male presented with symptoms of dryness, grittiness, photophobia, and intermittent blurred vision, confirmed through reduced Schirmer’s and TBUT values and mild meibomian gland dysfunction. The treatment protocol integrated Ayurvedic therapies: Seka with medicated milk for reducing inflammation, Vartma Pratisaranato relieve meibomian gland plugging, Snehapana with Jeevanthyadi Ghrita, Virechana using Trivrit Lehya, and Tarpana to nourish ocular tissues. Post-treatment evaluations revealed significant clinical improvement: Schirmer’s increased to 25 mm and TBUT to 20s, alongside resolution of ocular symptoms and surface abnormalities. This case demonstrates the therapeutic potential of a structured Ayurvedic regimen in treating both aqueous-deficient and evaporative forms of DED. It also underscores the value of individualized, dosha-based interventions supported by modern diagnostics. The integration of lifestyle modifications further enhanced long-term outcomes. This report suggests Ayurveda can provide a holistic and effective approach to chronic ocular surface disorders.

Keywords: Shushkakshipaka, Dry eye disease, Meibography, Tarpana.