EUROPEAN JOURNAL OF
PHARMACEUTICAL AND MEDICAL RESEARCH

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An International Peer Reviewed Journal for Pharmaceutical, Medical & Biological Sciences

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Abstract

CONTACT LENSES INDUCED DRY EYE (SHUSHKAKSHIPAKA) AND IT’S AYURVEDIC MANAGEMENT.

Dr. Rajesh L. Gadhiya*

ABSTRACT

Contact lens wearers stop wearing their lenses (about 16 %) because of dryness, followed by blurry and changeable vision and about half of contact lens wearers have dryness due to hypoxic condition of cornea induced by the lenses themselves.[1] Two mechanisms have been proposed to explain this effect. First, the eyelid blinking over the unnatural surface created by the lens causes the tear film to change and evaporate. Second, wearing contact lenses decreases corneal sensation—thereby decreasing the stimulus to create tears and producing a relative aqueous deficiency on the surface of the eye through afferent reflex.[2] In Ayurvedic classics all signs & symptoms of Dry eye syndrome (DES) i.e. dryness, blurring of vision, foreign body sensation, stiffness etc. are explained under the heading of Shushkakshipaka i.e. Shushkata (Dryness) leading to Paka (inflammation) & vice versa.[3] We usually reach a diagnosis of dry eye with contact lenses after ruling out other causes of discomfort - edema, allergy or contact lens deposits, and then examining the eyelids, tear production rate, tear film breakup time and corneal or conjunctival staining for clues. DES is managed by artificial tears – Carboxy Methyl Cellulose (CMC), cyclosporine 0.05 %- treats inflammation, Omega 3-fatty acids – nutritional supplements. But preservatives used in these eye drops again causes dry eye.[4,5] whereas in Ayurvedic classics we find the treatment protocol for Shuskakshipaka with concept of Topical administration of drugs like Aschyotana, Parisheka, Anjana, Tarpana, Putapaka, & systemic Vata-Pittahara medication with medicated Ghrita[6], which not only substitutes tears but also helps to restores normal physiology of tears & treats underlying causes of dry eye as well. Here's with the hope to diminish patients' symptoms so they can continue wearing their lenses comfortably. Thus the holistic approach of Ayurveda has a lot to contribute in such vision endangering ocular problem.

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Google Scholar Indian Science Publications InfoBase Index (In Process) SOCOLAR, China Research Bible, Fuchu, Tokyo. JAPAN International Society for Research activity (ISRA) Scientific Indexing Services (SIS) Polish Scholarly Bibliography Global Impact Factor (GIF) (Under Process) Universal Impact Factor International Scientific Indexing (ISI), UAE Index Copernicus CAS (A Division of American Chemical Society) USA (Under Process) Directory of Open Access Journal (DOAJ, Sweden, in process) UDLedge Science Citation Index CiteFactor Directory Of Research Journal Indexing (DRJI) Indian citation Index (ICI) Journal Index (JI, Under Process) Directory of abstract indexing for Journals (DAIJ) Open Access Journals (Under Process) Impact Factor Services For International Journals (IFSIJ) Cosmos Impact Factor Jour Informatics (Under Process) Eurasian Scientific Journal Index (ESJI) International Innovative Journal Impact Factor (IIJIF) Science Library Index, Dubai, United Arab Emirates Pubmed Database [NLM ID: 101669306] (Under Process) IP Indexing (IP Value 2.40) Web of Science Group (Under Process) Directory of Research Journals Indexing Scholar Article Journal Index (SAJI) International Scientific Indexing ( ISI ) Scope Database Academia