Paper Details

Superficial Punctate Keratitis (SPK) is a chronic and bilateral condition of the corneal epithelium, typically manifests with acute exacerbations and remissions. The etiology remains uncertain, despite the possibility of viral etiology was suspected. Topical steroid eye drop administration is useful in aborting an acute phase. But steroid induced cataract, glaucoma are complications developed after long term use of steroid eye drops. Considering signs and symptoms of SPK, ayurvedic literary review was done & it can be correlated with Savrana Shukla Vyadhi described in Ayurveda. Savrana shukla is a disease in which corneal lesion or ulceration is the chief symptom along with Photophobia, Lacrimation and FB sensation. So considering symptoms Parishek with Triphala, Yashtimadhu, Shigru churna quath and Nasya with Panchendriya vardhan Tailam 6/6 drops in each nostrils treatment was given daily for 2 months and follow up for one year. Shigrubeeja taila Anjanam was given for 7 days as an Apunarbhava chikitsa. This treatment was used successfully for prolonged period with minimal ocular surface irritation. The purpose of this case study was to highlight the importance of diagnosing the problem clinically and also to report efficacy of this treatment. Two patients presented with blurred vision and FB sensation in both the eyes since two months. Slit lamp microscopic examination revealed multiple and punctate corneal epithelial lesions. The lesions resolved gradually by this treatment and with the follow up of one year. This treatment was effective in controlling punctate corneal epithelial lesions without discernible ocular side effects of steroidal eye drops.

Superficial Punctate Keratitis, Parishek, Shigru beej tailam Ajanam