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Primary intervention with Ayurveda in a patient with periorbital oedema - a case report


  • Reshma R PG Scholar, Amrita School of Ayurveda
  • Shanti K Assistant Professor, Amrita School of Ayurveda



Vartma, Sopha, Eyelid, oedema, Ayurveda


Background. Periorbital oedema is very common in ophthalmology practice. The use of antibiotics and steroids are in the first line of management in infective and inflammatory conditions. Sopha, Svayathu and Sotha are few terms that Ayurveda use for oedematous spectrum of illness with its various classification similar to those of present-day medical knowledge. The initial care of uncomplicated cases can be effectively approached through Ayurveda.

Case Report.

A 64-year-old male patient visited Ayurveda Shalakya (Ophthalmology) O.P.D complaining of left eyelid oedema.

Clinical findings. Physical examination showed left upper and lower eyelid oedema, with erythema and warmth. The patient ocular motility was full without pain. There were no associated symptoms, including fever, pain, or burning sensation. Examination of lacrimal gland was unremarkable.

Diagnosis. Laboratory investigations were within normal limits and included complete blood count, erythrocyte sedimentation rate, and lipid and thyroid profile.

Treatment. Amruthotharam Kashayam, Shaddharana churnam and Avipathi churnam were given orally. Bidalaka / topical medicinal paste application and Netra seka / warm compress through eye irrigation were done for 4 days as primary intervention.

Outcome. Eyelid oedema and erythema resolved on the 4th day and the patient was discharged on the 6th day.

Conclusion. In infective periorbital oedema, topical broad spectrum antibiotics are prescribed conservatively followed by antibiotics specific to sensitivity, if needed. Some infections may at times require a multiple change of anti-biotics due to resistance. This can be circumvented if Ayurveda was listed under primary line of management in uncomplicated cases. Many inflammatory syndromes with periorbital oedema alone as a presenting complaint, can be essentially managed with simple interventions, mentioned here, as a starter. Therefore, in the wake of preventing superfluous antibiotic and anti-inflammatory drug usage and its consequences, the approach of ayurveda may serve as an excellent alternative initial care.


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