ayurveda analysis of nutritional deficiency of eye

1. By Dr.Manjusree R P, SDM College of
24-Jul-2012
Ayurveda & Hospital, Hassan
1

2. By Dr.Manjusree R P, SDM College of Ayurveda
24-Jul-2012
& Hospital, Hassan
NUTRITIONAL DEFICIENCY
DISORDERS OF EYE
2

3. TOPICS OF INTEREST
 Definition of Nutrient & its Types
24-Jul-2012
 Ayurveda view of Nutritional Deficiencies
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
 Contemporary View of Nutritional
Deficiencies related to eye
 Prevention of Nutritional Deficiencies
3

4. DEFINITION OF NUTRIENT
A nutrient is a chemical that
24-Jul-2012
an organism needs to live and
grow.
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
OR
A substance used in an
organism's metabolism which
must be taken in from its
environment. 4

5. •Build and
24-Jul-2012
repair tissues
Functions
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
•Regulate body
of processes
Nutrients •As energy
5

6. Classification of Nutrients
24-Jul-2012
Type I Type II
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
Organic Inorganic
Non
Essential
Essential
Carbohydrates,
Proteins, Fats,
Vitamins Minerals,
Produced 6in
Water, the body
Oxygen

7. By Dr.Manjusree R P, SDM College of
24-Jul-2012
Ayurveda & Hospital, Hassan
7
Secondary
Deficiency
Types of Nutrient deficiency
Deficiency
Primary

8. By Dr.Manjusree R P, SDM College of
24-Jul-2012
Ayurveda & Hospital, Hassan
8

9. No direct Classical References
on Individual types of Nutrients
24-Jul-2012
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
कु पोषणजन्य नेत्र व्याधि- Coined Term
Concept of आहार, अधि & िातु
पोषणं can be taken
9

10. SPECIAL IMPORTANCE FOR NETRA
24-Jul-2012
 Most Important among Sense Organs
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
 oneamong – अष्ट स्थान परीक्ष
रोगाक्रान्त शरीरस्य स्थानान्यष्टौ धनरीक्षयेत्
नाडी मूत्रं मलं धजह्ां शब्द शब्द स्पशश दृगाकृ धत
(यो र)
Earlier Days – an important diagnostic tool – 10
when modern diagnostic methods were unavailable

11. By Dr.Manjusree R P, SDM College of
24-Jul-2012
Ayurveda & Hospital, Hassan
रसज
11
भा्
तृतीय मासं
तेजो भूत
नेत्रोत्पधि
आत्मज
भा्

12. सामान्य नेत्र ध््रणं
Located
नेत्र
24-Jul-2012
in धशरस् कफ स्थानं
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
नेत्रं धपिनं स्थानं
(दृक् स्पशश च धपिस्य...)
दशशनं ्ात धपि
(प्रसाद दशशन...धपिं)
(अक्षाणां पाट्ेन च,अनुग्रहणत्यध्कृ त अधनलः)
तपशक कफ (अधक्ष तपशणात् तपशकः)
12
रस, रक्त िातु (प्रीणनं जी्नं…)

13. RELATION BETWEEN आहार, िातु पोषणं
& NUTRIENTS
आहारं संभ्म् ्स्तुः
24-Jul-2012
= You are what you eat
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
13

14. (योग रत्नाकरं धनत्य प्र्ृधि प्रकार 123)
By Dr.Manjusree R P, SDM College of
24-Jul-2012
Ayurveda & Hospital, Hassan
14

15. महेश्वर = लोधहताक्ष = ब्रह्म = सृधि i.e. देह
अधि, i.e. आहार
सृधि अन्नं cause for
पचनं Individual
24-Jul-2012
himself is the
development of
cause for अन्नं body
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
metabolism of
the food. Proper
पचन leads to भुक्ता रस
स््ास््य
ध्ष्णु = धस्तधथ i.e. देह
धस्तधथ आहार रस cause
for maintain the body 15

16. तत्र ये पृथक् घृत क्षीर तैल मांस रस सात्मयाः
24-Jul-2012
स्श रससात्मयाश्चा ते बल्न्तः
(अ. हृ. शा 1/ 123)
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
पुनरे क रस सात्मयाश्चा एते प्रायेण अल्प बल....भ्धन्त
(अ. हृ. शा 1/ 123)
16

17. धिग्ि, कफ रक्तं करोधत, ्ात अनुलोमनं
अस्र अमल अधि्िशक,
24-Jul-2012
धिग्ि,
ध्शोिन,
कषाय ल्ण संघातनाशक
क्लेद
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
षड्
शोषण स्रा्यत्यधक्ष
रसः (physiological)
ध्ष नाशन
धतक्त कटु क्लेद ध्शोषण,
दीपन,
क्लेदोपशोषण मिुर स्रोतांधस ध््ृणोधत
17
चक्षुष्य, अधक्षप्रसादनं, इधन्ियबल्िशन, जी्नं

18. आहार
ध्धि
ध्िानं
24-Jul-2012
चक्षुष्य
िात््ाधि
बल समयक् आहार
से्न
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
िातु
पोषण
स्रोतो
शुधधः
भा् जठराधि
बल
समयक्
प्राण
व्यानसमान 18
प्र्ृधि

19. BASIC PROCESS OF DHAATU POSHANA
तन्मना उधचत काले षड् रसान्न से्नं
24-Jul-2012
कोिे प्राण अधनलाहृतं
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
समानेन संदधक्षत जठराधिना पाकं करोधत
ु
रस िातु धनमाशणं
ध्क्षेपोधचत कमशणः व्यानेन रसिातुर्हह स्शतः 19
देहे सदा युगपत् अजस्रं ध्धक्षप्यते3 / 55, 56, 68)
(अ. हृ. शा

20. POSHANA OF NETRA
व्यानेन रस िातुः ऊर्ध्शजत्रुगत धसरा
ध्धक्षप्यते
24-Jul-2012
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
ततः नेत्र गत धसरा प्राप्यधत
अनन्तरं नेत्रं प्राप्यधत
तेन नेत्रं पोषयधत
20

22. धक्षप्यमाणः ख ्ैगुण्यात् रस सज्जधत यत्र सः
तधस्मन् ध्कारं कु रुते खे ्षशधम् तोयतः
24-Jul-2012
(अ. हृ. शा 3/ 69)
GENERAL SAMPRAAPTI
नेत्र रोग
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
संप्राधि
SPECIFIC SAMPRAAPTI
धसरानुसाररधभदोषैर्ह्गुणैरूर्ध्शमागतैः
जायन्ते नेत्रभागेषु रोगाः परमदारुणः
22
(सु. सू. उि 1/ 123)

23. संप्राधि घटक
अल्प
आहार स्रोतोरोि
24-Jul-2012
्ात
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
अधिमान्य
्ैगुण्य
23
[Nutrient Deficiency Disorder]

24. Classification of कु पोषणजन्य नेत्र व्याधि
Based on धनदानम्
24-Jul-2012
जन्म बल स््ाभाध्कं
प्र्ृिं दोषबलप्र्ृिं
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
दोष
दौहृद
्ैषमयजन्यं
रसकृ त अपचारजन्य
नेत्र रोग Physiological
(गर्हभणी)
दुष्टः क्षीरजन्य कु पोषणजन्य 24
नेत्र रोगा नेत्र रोग

25. CLASSIFICATION OF कु पोषणजन्य नेत्र व्याधि
BASED ON स््भा्ं
स््तन्त्र
परतन्त्र व्याधि
24-Jul-2012
व्याधि
• अधिमन्यं & स्रोतोरोिं
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
• अल्पाहारं • धम्याहारजन्य
• जन्मबल • अमल, ध्दाधह, ध्ष्टंधभ आहार
प्र्ृिं • अधतमात्र आहारजन्य
• अधतमात्रा धतक्त, कषाय,
• स््ाभाध्कं मिुरान्न से्नं, मय से्नं
• ध्हारजन्य
• ्मनाधत योगं, अन्य मनो 25
भुञ्जानः

26. स््ाभाध्क नेत्र रोग
 आतश्ादशशनं
आस्य संस्र्नं ..........
ध्शेषेण…….चक्षुरोग्लाशधनः....गभे पयाशगते रूपाधण भ्धन्त
24-Jul-2012
When a नारी conceives (च. सं. शा 4/ 16)
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
गभश takes रस िातु from mother for its nourishment &
development
रस िातु क्षय in गर्हभणी
(रसे रौक्ष्यं श्रम: शोषो ग्लाधन शब्दासधहष्णुता)
(अ हृ सू)
ग्लाधन
26
ध्शेषेण चक्षुषोग्लाशधन

27. By Dr.Manjusree R P, SDM College of
24-Jul-2012
Ayurveda & Hospital, Hassan
27
जन्मबल प्र्ृि
नेत्र रोग

28. MAATU AHAARA AS THE ONE OF THE MAIN
FACTOR FOR DEVELOPMENT OF गभश/नेत्र
बीजत्मकै ः महाभूतैः सूक्ष्मैः सत््ानुगैश्च सः
24-Jul-2012
मातुश्च आहार रसजैः क्रमात् कु क्षौ ध््िशते
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
अ हृ शा 1-2
required for
नेत्र is an अ्य् of गभश
 Hence,
28
is essential

29. रसकृ त जन्मबल प्र्ृि नेत्र रोग
सामान्य लक्षणम्
 ्ातलैश्च भ्ेत् गभशः कु ब्जा आन्र्धय जड ्ामनः
24-Jul-2012
(अ. हृ. शा 1/ 48)
्ातल आहार से्न by गर्हभणी
(धतक्तोष्ण कषाय अल्प रूक्ष प्रधमत भोजनैः)
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
(अ. हृ. धन 1/ 48)
अधि ्ैषमय
िातु क्षय
असमयक् नेत्रोत्पधि
29
अन्ित

30. रसकृ त जन्मबल प्र्ृि नेत्र रोग
ध्शेष लक्षणम्
24-Jul-2012
्ाराह मांस
रक्ताक्षं
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
धनत्यं
मत्स्य मांस धचरधनमेषं
धनत्यं स्तब्दाक्षं ्ा
रक्तधपधिनं
अमलधनत्यं 30
अधक्षरोधगणं ्ा

31. दौहृद अपचारजन्य जन्मबल प्र्ृि नेत्र रोग
सामान्य संप्राधि
 दौहृद ध्माननात् धह ्ायुः प्रकु धपतो अन्तः शरीरं अनुचरन्
24-Jul-2012
गभशस्य ध्नाशं ्ैरूप्यं ्ा कु याशत् (अ सं शा 2/19)
दौहृद ध्नमनं
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
्ात कोपं
इधन्िय उपघातं
ध्शेष लक्षणम्
 दौहृद ध्माननात्......ध्कृ ताक्षं अनक्षं ्ा नारी सुतं जनयधत
(सु सं शा 3/18)
ध्कृ ताक्षं or अनक्षं
31

32. गर्हभणी पररचयाश प्रािान्यं
प्रथम, धितीय, तृतीय मासे
24-Jul-2012
सामान्यात् मिुर शीत िव्यं धहतम्
चक्षुरेधन्ियोत्पधि
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
ध्शेषस्तु गर्हभणी प्रथम धितीय तृतीय मासेषु मिुर शीत िव्य
प्रायमाहारं उपसे्ेत सु सं शा 10/4
ध्शेषात् तृतीय मास
चक्षुरेधन्ियोत्पधि क्षीर + सर्हप + मिु
प्रािान्यतमं
तृतीये मासे क्षीरं मिु सर्हपभ्यामुपसंसृज्य च सं शा 8/32
32

33. By Dr.Manjusree R P, SDM College of
24-Jul-2012
Ayurveda & Hospital, Hassan
33
दुष्टः क्षीरजन्य
नेत्र रोगा

34. Production of नेत्र रोग in क्षीरप
 In क्षीरप, only source of िातु पोषण is स्तन्य
 Proper स्तन्य संपत् essential for स््ास््य नेत्र
24-Jul-2012
 क्षीर दुधष्ट produces नेत्र रोग
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
Classification of क्षीर दुधष्ट
 Difference of Opinion present between आचायश
Most Significant
 ्ात दुष्ट स्तन्य पान जन्य नेत्र रोग
 क्षार स्तन्य पान जन्य नेत्र रोग 34

35. सामान्य संप्राधि OF दुष्टस्तन्य क्षीर पानजन्य व्याधि
धम्या आहार of िात्री
24-Jul-2012
क्षीर दुधष्ट
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
दुष्ट क्षीर पान causes अधि ्ैषमय in Child
स्रोतोरोि and hence िातु पोषणक्षयं
35
नेत्ररोग

36. ध्शेष लक्षणम्
्ात दुष्ट स्तन्य पान जन्य नेत्र रोग
24-Jul-2012
 ….्ातध्काररणाम् कतृश ्ातोपसृश्रष्टम् क्षीरं
ु
्ात दुष्ट स्तन्य पान
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
अधि ्ैषमयं
िातु क्षयं
्ात ध्कारं
36
धतधमरं , One among नानात्मज ्ात ध्कार

37. क्षार स्तन्य पान जन्य नेत्र रोग
चक्षूरोगाश्च...जायते क्षार दुग्िके (हा सं तृ 54/7)
24-Jul-2012
क्षार स्तन्य पान
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
अधि ्ैषमय
धपि रक्त प्रकोप
चक्षु रोग 37

38. कु पोषणजन्य नेत्र रोग
24-Jul-2012 Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
CLASSIFICATION
आहारजन्य ध्हारजन्य
कु पोषण नेत्र रोग कु पोषण नेत्र रोग
38
38

39. By Dr.Manjusree R P, SDM College of
24-Jul-2012
Ayurveda & Hospital, Hassan
39
आहारजन्य कोपोषण नेत्र रोग

40. ALPA AHARA JANYA DOSHA
भोजनं हीन मात्रं तु न बलोपचायौजसे
24-Jul-2012
स्ेषां ्ातरोगाणां हेतुतां च प्रचक्षते
(अ. हृ. सू 8/ 3)
अल्प आहारं
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
अधि ्ैषमयं
िातु क्षयं
40
रोगा्स्था (्ाधतक रोग)

41. COMPLICATION OF PROLONGED ALPAAHAARA
आहारं पचधत धशखी दोषान् आहार ्र्हजतः पचधत
24-Jul-2012
दोषक्षये च िातून् पचधत च िातुक्षये प्राणान्
(यो र धनत्य 104)
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
41

42. MITHYA AHARA JANYA DOSHA
 धम्य आहारा अल्पमात्रा & अकस्मात्– Chances of
24-Jul-2012
diseases in less
 धम्य आहार अधतमात्रा & धनत्य – Chances of disease
in more
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
 ध्दाधह आहारं (Mainly Causes धपि प्रकोप)
 यतो अमल ध्पाककत््ं ता्द् ध्दाधहत््ादे् अस्योक्तं
(अरुणदि)
 ध्ष्टंधभ आहारं (Mainly Causes ्ात प्रकोप)
 ध्ष्टंभीनी रूक्षाकद गुण युक्ता च
(अरुणदि)
 ध्रुध आहारं 42
 षाण्य आन्र्धय ्ीसशप दकोदराणं…..
(च. सं. सू 2/ 123)

43. SAMPRAAPTI
ध्दाधह आहारं , ध्ष्टंधभ आहारं & ध्रुध आहारं
24-Jul-2012
अधि ्ैषमयं
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
धत्रदोष, रक्त प्रकोप
रोगा्स्था
चक्षुव्याशधिः (ध्शेषण धतधमरं )
े 43

44. ध्शेष नेत्ररोगकर आहार
शुक्तारानालामल कु लत्थ माष धनषे्णं…..
24-Jul-2012
Shuktam
रक्तधपिकफ़ोत्क्लकद शुक्तं ्ातानुलोमनम् ।
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
(अ. हृ. सू 5/ 81)
Aranala
िान्यामलं भेकद तीक्ष्णॊष्णं धपिकृ त् स्पशशशीतलम् ।
Amla rasa (अ. हृ. सू 5/ 84)
अमलोऽधिदीिीकृ त् धिग्िो हृध: पाचनरोचन: ।
उष्ण्ीयो धहमस्पशश: प्रीणनो भेदनो लघु: ।।
करोधत कफधपिास्त्रं मूढ्ातानुलोमनम् ।
सोऽत्यभ्यस्तस्तनो: कु याशत् शैधथल्यं धतधमरं भ्रमम् 44
(अ. हृ. सू 10/ 11)

45. Kulattha
उष्णा: कु लत्था: पाके ऽमला: शुक्राश्म श्वास पीनसान् ।
24-Jul-2012
कासाशश: कफ्ातांश्च घ्नधन्त धपिास्त्रदा: परम् ॥
(अ. हृ. सू 6/ 18)
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
Masa
माष: धिग्िो बलश्लेष्मलधपिकर: सर: ।
(अ. हृ. सू 6/ 20)
45

46. अधतमात्रा जन्य नेत्र रोग
संतपशयधत………इधन्िय स्रोतसां लेपो……..
(च. सं. सू 23/ 7)
24-Jul-2012
अधतमात्र असमयक् अधि
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
अन्नपानं पचनं ्ैषमयं
नेत्र्ह स्रोतो
स्रोतो रोिं
प्राधि आम
िातु क्षयं
46
नेत्र ध्कारं

47. अचक्षुष्यं, धतधमरकरं , तनो शैधथल्यं
ध्ष्टंधभ अमल इधन्ियबलनाशनं
24-Jul-2012
स्रोतोरोिं अधक्षपाकं
कषाय ल्ण
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
षड्
रसः
धतक्त कटु इधन्िय
िातुक्षय
अधनलव्याधि मिुर बल क्षय
47
मेद कफज रोग, अधिसाद

48. अधतमय पानाज नेत्र व्याधि
तीक्ष्णोष्ण रूक्ष सूक्ष्मामलं व्या्ाधय आशुकरं लघु
ध्काधष ध्शदं मयं ओजो अस्मात् ध्पयशयः
24-Jul-2012
(अ हृ धन 6/1)
अधतमय पानं धत्रदोष + रक्त प्रकोप
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
ओज क्षय अधि ्ैषमयं
चक्षुरेधन्िय व्याधि 48

49. अधत िूमपान जन्य नेत्र रोग
तीक्ष्णादयो ध्षे अप्युक्ता….(अ हृ धन 6/2)
24-Jul-2012
मय िूम
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
गुण गुण
ध्ष गुण
Especially seen with
िूमपान with ध्ष िव्य 49
like Tobacco

50. Hence, िूमाधत योग व्यापत् almost similar
to अधत मय व्यापत्
24-Jul-2012
EFFECT OF EXCESS िूमपान
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
रक्तधपि आन्र्धय बाधियश तृणमूर्च्ाश मद मोह कृ त्
िूमो अकाले अधतपीतो ्ा……(अ हृ सू 21/4)
अधतिूमपान अधत मयपान समान संप्राधि
50
आन्र्धय

51. ध्हारजन्य कु पोषण नेत्र व्याधि
्मनाधतयोगं – (As a नेत्ररोग धनदान mentioned by ्ङ्गसेन)
्मनाधतयोग
24-Jul-2012
िातु क्षय
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
्ात ्ृधध
इधन्िय पोषण ्ैषमय
नेत्र व्याधि 51

52. अन्यमनसो भुञ्जानः
अन्य मनसो भुञ्जानः अधि ्ैषमय
24-Jul-2012
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
आम उत्पधि असमयक पचन
स्रोतोरोि िातुक्षया
नेत्र रोग 52

53. By Dr.Manjusree R P, SDM College of
24-Jul-2012
Ayurveda & Hospital, Hassan
CONTEMPORARY
53
VIEW

54. SCENARIO…
Malnutrition as a cause of blindness
24-Jul-2012
has been and still is, much
underestimated. In many countries
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
it is the chief cause of blindness in
young children. The onset is
insidious and difficult to
diagnose and the later stages
proceed rapidly to irreversible
damage. 54
POSTGRAD. MED. J. (1964), 40, 711

55. Xeropthalmia
24-Jul-2012
Glaucoma
Cataract &
NUTRITIONAL
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
ARMD
DEFICIENCY
DISORDERS
OF EYE
Anemic Optic
Retinopathy Atrophy
55

56. By Dr.Manjusree R P, SDM College of
24-Jul-2012
Ayurveda & Hospital, Hassan
56
VITAMIN A

57. Introduction
 Also called as Retinol
24-Jul-2012
Two Forms of Retinol
 Retinaldehyde – required for normal vision
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
 Retinoic acid
Normal Requirement
 1800 IU/day
Dietary Source
57
 Liver, fish and eggs.

58. Functions of
Vitamin A
24-Jul-2012
Retinal - prosthetic group of
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
photosensitive pigments
Needed in Lysosomal
membrane stability
Plays a role in Keratinization, 58
Cornification, cell growth

59. Role of Vitamin A in Vision
11-cis-retinal
24-Jul-2012
ISOMERISATION REACTION
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
(11-cis-retinal all-"trans" form)
PHOTO-BLEACHING
(all-"trans" retinal dissociates from the opsin)
Nerve Impulse Generated and Transmitted
59

60. VITAMIN A DEFICIENCY
Prevalence
24-Jul-2012
 1st = PEM
 2nd = Vitamin A Deficiency
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
d
Commonest Single Cause of
Blindness in Children
Vitamin A Xeropthalmia
Deficiency
on Eye 60

61. By Dr.Manjusree R P, SDM College of
24-Jul-2012
Ayurveda & Hospital, Hassan
61
XEROPTHALMIA

62. DEFINITION
24-Jul-2012
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
Xerophthalmia is defined as a dry
thickened lusterless condition of the
eyeball resulting especially from a
severe deficiency of vitamin A.
62

63. WHO Classification of Xerophthalmia
XN :
Night Blindness
24-Jul-2012
X1A :
X1B : Bitot’s Spot
Conjunctival Xerosis
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
X2 :
Corneal Xerosis
X3A : (1/3rd) X3B : (2/3rd)
Corneal Ulceration Corneal Ulceration
XS : XFC : 63
Corneal scar Xerophthalmic Fundus

64. Patho-Physiology in Retina
Deficient reserves of Retinaldehyde
24-Jul-2012
Decreased recycling of Retinaldehyde to
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
form Rhodopsin
Slow dark adaptation
When severely increased
64
Night blindness

65. Patho-Physiology in Conjunctiva
24-Jul-2012
Loss of goblet cells
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
Conjunctival Xerosis
Yellow-gray foamy patches of keratinized
cells
Bitot’s Spots
65

66. Patho-Physiology in Cornea
Dryness of Cornea, Wrinkling and
Thickening
24-Jul-2012
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
Lusterless Cornea - Xerophthalmia
Punctuate epithelial erosions
Corneal ulceration
Keratomalacia 66

67. Complication of Xerophthalmia
24-Jul-2012
Corneal Keratinization
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
Corneal Residual Scarring
Anterior Staphyloma
Irreversible Blindness 67

68. COMPARISON
आयु्द मतं
े Contemporary view
अधतकाल अल्पाहार से्न Vitamin A deficiency
24-Jul-2012
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
दोष क्षय Night blindness
Xerosis,
िातु पाक Xerophthalmia,
Keratomalacia
Anterior staphyloma
68
इधन्िय नाशन

69. MANAGEMENT THROUGH AYURVEDA
24-Jul-2012
दोष involved ्ात, धपि, रक्त
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
Night
blindness नक्तान्र्धय
Xerosis
Xerophthalmia शुष्काधक्षपाक
Keratomalacia 69

70. Management Methodology
शमन धचककत्स – ्ात धपि शमन िव्य – अल्प दोष
24-Jul-2012
 Commonly Used Medicines
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
Drakshaadi ghrita, Vidaaryaadi ghrita,
Aswagandhaadi Ghrita,
Kooshmaanda Rasyana,
Triphala Ghrita etc
शोिन धचककत्स – ध्रे चन रक्तमोक्षण – बहु दोष
 Other treatment can be Done according to 70
yukti

71. By Dr.Manjusree R P, SDM College of
24-Jul-2012
Ayurveda & Hospital, Hassan
71
VITAMIN E

72. Introduction
 Is a group of 8 compounds that includes
tocopherols and tocotrienols
24-Jul-2012
Normal Daily Requirement
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
 15 mg per day
Dietary Source
 Wheat germ oil, sunflower oil, leafy vegetables
Normal Functions of Vitamin E
 Is an Anti-Oxidant
72
 Helps in Neurological function

73. VITAMIN E DEFICIENCY
Prevalence
24-Jul-2012
Vitamin E deficiency Rare
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
Vitamin E Squint
Deficiency Retinopathy
Early Onset
of Cataract
73

74. Patho-Physiology of Vitamin E
Deficiency in Retina
24-Jul-2012
Vitamin E deficiency
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
Axonal degeneration
(cause not known)
Degeneration of Optic Nerve Head
Retinopathy 74

75. Patho-Physiology of Vitamin E
Deficiency in Ocular Adnexa
Vitamin E deficiency
24-Jul-2012
Axonal degeneration
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
CN 4 / CN 6 / CN 3 defect
Reduced function of
affected muscle
75
Squint / Opthalmoplegia

76. Patho-Physiology of Vitamin E
Deficiency in Lens
Vitamin E deficiency
24-Jul-2012
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
Decreased anti-oxidation in lens
Accumulation of Large Protein
Molecule
76
Early cataract formation

77. By Dr.Manjusree R P, SDM College of
24-Jul-2012
Ayurveda & Hospital, Hassan
77
VITAMIN C

78. Introduction
Also called as L-Ascorbic acid or L-
Ascorbate
24-Jul-2012
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
Normal Daily Requirements
30 to 100 mg / day
Dietary Sources
Citrus fruits, green vegetables
(especially broccoli), tomatoes, and 78
potatoes

79. Helps in
24-Jul-2012
Collagen
formation
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
Normal
Functions
Connective
tissue
metabolism and
cross-linking79

80. VITAMIN C DEFICIENCY
24-Jul-2012
No Direct Deficiency Diseases
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
Vitamin C May Cause
Deficiency Early Onset
of Cataract 80

81. Other Ocular Diseases of Vitamin C deficiency
Conjunctival
24-Jul-2012
Glaucoma & Retinal Keratomalacia
Hemorraghe
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
Due to the Due to In
neuro- defective association
protective collagen with
effect formation Vitamin A
81

82. By Dr.Manjusree R P, SDM College of
24-Jul-2012
Ayurveda & Hospital, Hassan
82
CATARACT

83. DEFINITION OF CATARACT
A cataract is defined as an
24-Jul-2012
opacification of the crystalline
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
lens…..
83

84. Double Vision
By Dr.Manjusree R P, SDM College of
24-Jul-2012
Ayurveda & Hospital, Hassan
84
Glare
Halos
Cloudy vision

85. BIOCHEMICAL CHANGES
As age De-naturation of lens
24-Jul-2012
advances proteins
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
Leads to unfolding of
protein molecules
Decreased in
soluble protein
Aggregation of
proteins
Increase in Large 85
insoluble protein molecules

86. ROLE OF FREE RADICALS
24-Jul-2012
Free radicals
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
Produces Oxidation
Denaturation of proteins 86

87. ANTIOXIDANTS
 Studies have shown antioxidants have a
24-Jul-2012
significant role in preventing and are
also thought to slow the progression of
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
cataracts.
 Vitamins C, E are main among them
87

88. ANTI-OXIDANT EFFECT OF TRIPHALA
Triphala, exhibits antioxidant
24-Jul-2012
activity. The Polyphenolic
content in Triphala reduce
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
oxidative stress by converting
the reactive oxygen free radicals to
non-reactive products, thereby
exhibiting anti-oxidant property.
88
Phytother Res. 2005 Jul;19(7):582-6.

89. RESEARCH FINDINGS
24-Jul-2012
Dietary intake of Vitamin C
Protein, and supplements
Carotene, Niacin, for more than
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
Riboflavin, and 10 years
Thiamine
Dietary intake
of vitamins A,
C, E
89

90. By Dr.Manjusree R P, SDM College of
24-Jul-2012
Ayurveda & Hospital, Hassan
90
VITAMIN B
COMPLEX

91. Introduction
Vitamin B complex includes Vitamin
B1, B2, B3, B6 & B12
24-Jul-2012
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
Normal Dietary Intake
1.1 to 1.2 mg per day
Dietary Sources
Meat, liver, yeast, eggs, potatoes, milk,
Peanut, beans, cereals like corn & 91
millet

92. VITAMIN B COMPLEX DEFICIENCY
Prevalence
24-Jul-2012
 Primary Vitamin B Complex Deficiency
– RARE
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
 Secondary Deficiency – Common
Almost always more than one B complex
vitamin deficiency will be present
In eye, Deficiency Symptom Mainly
resulted from Vitamin B1 & B12
92

93. •Causes
•Alcohol Excess
Excess
24-Jul-2012
Vitamin B1
•Leads to
deficiency
•Wernicke’s Encephalopathy
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
Excess •Nutritional Optic
Vitamin Atrophy
B12 •Tobacco-Alcoholic
Deficiency Amblyopia 93

94. By Dr.Manjusree R P, SDM College of
24-Jul-2012
Ayurveda & Hospital, Hassan
94
ENCEPHALOPATHY
WERNICKE’S

95. WERNICKE’S ENCEPHALOPATHY
A neurological disorder caused by
24-Jul-2012
Thiamine deficiency typically from
terminal stages of Chronic Alcoholism
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
Characterized by triad of ‘GOA’
 G – Global confusion
 O – Opthalmoplegia
 A – Ataxia 95

96. Complication of Prolonged Vitamin B1 Deficiency
By Dr.Manjusree R P, SDM College of
24-Jul-2012
Ayurveda & Hospital, Hassan
96

97. By Dr.Manjusree R P, SDM College of
24-Jul-2012
Ayurveda & Hospital, Hassan
97

98. Basic Patho-Physiology
24-Jul-2012
Vitamin B Complex deficiency
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
Demyelination of nerves
(Cause Unknown)
Degeneration & Functional deficit
Delayed pattern of
Visual evoked potential 98

99. TOBACCO-ALCOHOL AMBLYOPIA
Identical Symptomatology and Pathological changes
in Chronic Alcoholism & Tobacco Addiction (Victor,
24-Jul-2012
Mancall and Dreyfus,1960).
Heavy Alcohol Intake/ Excess Smoking
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
Destruction of Vitamin B12 Absorption
Vitamin B12 Deficiency
Peripheral Neuropathy
99
Nutritional Optic Atrophy

100. आयु्ेद मतं Contemporary
Science
संप्राधि of अधत मयपान & Identical Symptomatology
24-Jul-2012
अधत िूमपान similar due and Pathological changes in
Chronic Alcoholism &
to तीक्ष्णाकद गुण
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
Tobacco Addiction
Hence ध्ष समाना
Creates अधि ्ैषमय Vit B12 absorption
Peripheral Neuronal
िातु क्षय & ओजो क्षय Degeneration
100
इधन्िय नाशनम् Nutritional Optic Atrophy

101. MANAGEMENT OF TOBACCO-ALCOHOL AMBLYOPIA
धचककत्सा तत््ं
तत्र शीतो ध्धिर्हहतः (अ हृ सू 21/5)
24-Jul-2012
 शीत ्ीयश, ध्ष शमन धचककत्सा & ओजो ्िशक
धचककत्सा
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
 Hence Use,
धतक्त रस प्रिान िव्य
(धतक्त is धपि शमन, ध्ष नाशक)
In घृत medium
(रस शुक्रौजसां धहतम्)
is ध्शेषेण ध्ष नाशक, धपि शमन & चक्षुष्य
101
 Ghrita

102. Practically,
24-Jul-2012
Tiktaka Ghrita,
Maha Tiktaka Ghrita
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
Patolaadi ghrita etc can be
given
102

103. EFFECT OF OTHER VITAMINS IN EYE
Role of Vitamins In ARMD
 Vitamins A, C & E + Zn
24-Jul-2012
 Reduce the risk of ARMD
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
& its associated visual loss.
(Am J Clin Nutr January 2007 vol. 85 no. 1 304S-307S)
Role of Vitamins In Glaucoma
 Vitamins E, C, B1, B12, & Mg
 Provides a neuro-protective effect.
103
(Altern Med Rev 2001; 6:141-66)

104. Still Under Research……
24-Jul-2012
Effectsof deficiencies of Vitamins
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
K & D on eye are only under
research
Few research findings claim that
vitamin D deficiency may cause
myopia 104

105. By Dr.Manjusree R P, SDM College of
24-Jul-2012
Ayurveda & Hospital, Hassan
105

106. By Dr.Manjusree R P, SDM College of
24-Jul-2012
Ayurveda & Hospital, Hassan
106
IRON

107. Introduction
 Iron plays and important role in forming
complexes with molecular oxygen in hemoglobin
24-Jul-2012
and myoglobin which helps in oxygen transport
Normal Daily Requirement
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
 8 mg / day
Dietary Sources
 Meat, soyabeans, cereals, leafy vegetables, milk
Functions
107
 For function and synthesis of Hemoglobin
 Production of certain neuro-transmitters

108. IRON DEFICIENCY
Prevalence
24-Jul-2012
Most common nutritional
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
deficiency in Children
Iron Anemic
Anemia Retinopathy
Deficiency
108

109. By Dr.Manjusree R P, SDM College of
RETINOPATHY
24-Jul-2012
Ayurveda & Hospital, Hassan
109
ANEMIC

110. Patho-Physiology of Anemic Retinopathy
Exact Patho-Physiology is not Known
24-Jul-2012
Increased Retinal
capillary
Permeability hypoxia
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
May be
Due to
Venous
Angiospasm stasis
110

111. Clinical Findings
POSTERIOR SEGMENT CHANGES
24-Jul-2012
Haemorrhages Cotton wool spots
Roth’s
spots Retinal oedema
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
Exudates Venous tortuosity
111

112. ZINC
• Causes Vitamin A deficiency Symptoms
24-Jul-2012
• Zinc deficiency interfere with vitamin A
metabolism in several ways:
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
 Decreasessynthesis of retinol binding
protein, which transports retinol to tissues.
 Decreases activity of enzyme Retinyl
Palmitate, which is necessary for release of
retinol from the liver.
 Znis needed for the enzyme that convert
112
retinol into retinal

113. By Dr.Manjusree R P, SDM College of
24-Jul-2012
Ayurveda & Hospital, Hassan
113
MODERN FOOD HABIT
NUTRITIONAL
DEFICIENCY
RELATED

114. EFFECT OF JUNK FOOD ON EYE
By Dr.Manjusree R P, SDM College of
24-Jul-2012
Ayurveda & Hospital, Hassan
114

115. JUNK FOOD
increased nutritionally
intake of poor-quality
24-Jul-2012
high-calorie foods
decreased
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
consumption
of fruits & increased
vegetables influence the adiposity
storage &
availability
of some
nutrients
Nutritional deficiencies in overweight and obesity
115
(Pediatr. Clin. North A. 2009 Oct; 56(5):1105-21.)

116. RESEARCHES HAVE SHOWN THAT……
Greater consumption of
24-Jul-2012
carbohydrates & soft drinks
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
was associated with retinal
arteriolar narrowing
&
venular widening. 116
Am J Clin Nutr May 2012 vol. 95 no. 5 1215-1222

117. POINT TO NOTE:
24-Jul-2012
In comparison with other organs
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
of the body the eye appears to
be remarkably well protected
against the adverse effects of
general under nutrition.
117
POSTGRAD. MED. J. (1964), 40, 711

118. By Dr.Manjusree R P, SDM College of
24-Jul-2012
Ayurveda & Hospital, Hassan
118
संरक्षणोपायं
नेत्र

119. स्शदा च धनषे्ेत स््स्थो अधप नयनधप्रयः
पुराण य् गोिूम शाली षधष्टक कोि्ान
24-Jul-2012
मुद्गादीन कफ धपिघ्नान भूरर सर्हपः पररप्लुतान
शाकं चै् ध्िं मांसं जाङ्गलं दाधडमं धसतं
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
सैन्ि्ं धत्रफलां िाक्षां ्ारी पाने च नाभसं
(अ हृ उि )
धतक्ताधन स्ाशधण लघूधन च
(यो र)
धत्रफलां मिु सर्हपभ्यां धनधश नेत्र बलाया च
(अ हृ सू)
119

120. ON ANALYSIS
धतक्त रस / मिुर रस
24-Jul-2012
लघु, धिग्ि गुण
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
शीत ्ीयश
मिुर ध्पाक
ध्शेषेण चक्षुष्य कमश
120

121. नयन
धप्रयः स््स्थो
24-Jul-2012
भूरर सर्हपः
पररप्लुतान् अधप
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
Special
Emphasis
कफ धपि स्शदा च
शमन धनषे्ेत
चक्षुष्य 121

122. By Dr.Manjusree R P, SDM College of
24-Jul-2012
Ayurveda & Hospital, Hassan
122

123. CONCLUSION
In present era, unwholesome diet is the
main cause leading to nutritional
24-Jul-2012
deficiency
Ayurveda & Hospital, Hassan
By Dr.Manjusree R P, SDM College of
Nutritional deficiencies leads to िातु क्षयं
Hence दीपन, पाचन, स्रोतो शोिन & िातु पोषण
is main line of management
िव्य
which are चक्षुष्य can be used to 123
improve the Eye Health

124. (्ृध चाणक्य)
By Dr.Manjusree R P, SDM College of
24-Jul-2012
Ayurveda & Hospital, Hassan
124
अन्नं
सुभाधषतं
जलं

125. By Dr.Manjusree R P, SDM College of
24-Jul-2012
THANK YOU
Ayurveda & Hospital, Hassan
125