Presbyopia (Ayurvedic Perspective & Management)

 

Presbyopia (Ayurvedic Perspective & Management)

Introduction

Presbyopia is an age-related condition where the eye gradually loses its ability to focus on near objects. It typically begins after the age of 40 and progresses over time. This condition occurs due to the gradual hardening of the eye’s lens, leading to reduced flexibility and accommodation.

Causes & Pathophysiology

In Ayurveda, presbyopia can be correlated with Drishti dosha caused by age-related vitiation of Vata dosha. As one ages, Vata increases naturally, leading to dryness, reduced nourishment, and stiffness in bodily tissues, including the crystalline lens and ciliary muscles of the eye.

Symptoms

• Difficulty in reading small print
• Need for brighter lighting while reading
• Eye strain and headaches
• Blurred vision at normal reading distance

Ayurvedic Management

1. Ahara (Dietary Recommendations)

• Ghee & Oils – Cow ghee, Triphala ghrita, and medicated oils help nourish the eye tissues.
• Vitamin A-Rich Foods – Carrots, spinach, amla, and pumpkins improve eye health.
• Almonds, Walnuts, and Seeds – Provide essential fatty acids that support ocular functions.

2. Vihara (Lifestyle Modifications)

• Regular Eye Exercises – Trataka (gazing meditation) to strengthen eye muscles.
• Adequate Rest – Proper sleep helps in eye rejuvenation.
• Avoid Excessive Strain – Reduce screen exposure and practice 20-20-20 rule (every 20 minutes, look 20 feet away for 20 seconds).

3. Chikitsa (Therapeutic Approaches)

• Tarpana Karma – Medicated ghee retention therapy (e.g., Triphala ghrita, Jeevantyadi ghrita) to nourish and strengthen the eyes.
• Netra Anjana – Application of herbal collyrium like Sauveeranjana or Rasanjana for clarity of vision.
• Nasya Therapy – Administration of medicated oils like Anu taila or Shadbindu taila to improve ocular health.
• Shirodhara & Shirobasti – These help in reducing eye strain and pacifying aggravated Vata.

4. Herbal Remedies

• Triphala Kashaya – Used both internally and as an eye wash for vision clarity.
• Amalaki (Indian Gooseberry) – A rich source of Vitamin C that strengthens eye tissues.
• Yashtimadhu (Licorice) – Nourishes the optic nerve and improves eye strength.
• Punarnava – Helps in reducing dryness and maintaining proper eye hydration.

Modern Management & Ayurveda Integration

While modern treatment involves prescription reading glasses or bifocals, Ayurveda emphasizes preventive and rejuvenative therapies to slow down degeneration and improve eye health naturally. A combination of Ayurvedic therapies with modern ophthalmic care can provide better long-term benefits.