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A Clinical study on “Vernal Conjunctivitis” is presented by Prof Dr.M.A. Udachankar, Principal, A.M.Shaik Homoeopathic Medical College, Belgaum. Samples of 400 patients between the age groups 3 to 40 years were studied in the outpatient department. Dr.Udachankar is a eminent Physician, Academician and Research Scholar had presented many scientific papers in various seminars.
The
concept of miasms as fundamental causes of the disease and a proper understanding
of this concept and a psoric manifestation in particular has made the
study of “Spring Catarrh” easy to understand and manage successfully.
The clinical study was carried out to know
· Effective understanding of miasmatic background of the disease.
· Effectiveness of Homoeopathic remedies in management of acute
exacerbation.
· Effectiveness of constitutional therapy in treating spring catarrh.
Miasmatic Correlation
Mainly Psoric: Vernal conjuctivitis presents with mainly all acute manifestations
with no structural changes. In the clinical study made on this has proved
beyond doubt that,
“ Vernal Catarrh” is only a psoric in miasmatic background.
The main presenting features of these patients were as follows.
· The eye ball is seldom affected
· Always presents with itching and burning
· Intolerance to light, sunlight.
· Conjunctival troubles are often psoric
· Constant desire to rub the eyes.
· Inflammations with no structural changes.
Remedy selection
The remedies considered were ACONITE, BELL, EUPHRASIA HEPAR, GLON, RHUS-TOX,
as acute remedies.
While considering the totality presented by the majority of the patients
the following remedies were ruled out.
Aconite: Indicated when complaints are after exposure to dry cold wind,
eye lids are swollen with inability to open actively on passive separation
warm watery discharge trickles down cheeks which excoriates.
Bell: Acute redness of the eyes injected fiery look with no discharge
or very scanty in nature. There is intense photophobia. Pain <cold
>warmth.
Hepar Sulph.: The discharges are in the form of droplets of pus at the
roots of cilia and intense hypersensitivity and < cold > warmth.
Glon.: Redness of the eyes on exposure to sun light < heat > cold.
flushed face, throbbing pains and throbbing headache.
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Rhus tox: Swelling of lids with Serous
discharge from the eyes. < cold , rainy season > warmth rules out
this remedy.
Euphrasia: Among all the drugs this suited the condition and majority
of the patients had these indications- Redness of the eyes, photophobia,
Sand like sensation in the eyes. Photophobia, Intense desire to rub the
eyes, burning of the eyes. No other structural damage to the eyes of any
nature.
Euphrasia has proved to be most effective drug to almost 92% of the cases
to relieve their acute manifestations.
Observation and Results
It has been a common problem of dusty and any developing areas. Miasmatically
it is mainly a psoric condition because the eye ball is seldom affected
always presents with itching and burning, intolerance to light and sunlight,
conjunctival troubles are always psoric with a constant desire to rub
the eyes with no structural changes.
Conclusion:
A. 94% of cases are of 5 yrs to 20 yrs.
B. 92% of the cases were boys.
C. 90% of the cases have responded to a set of drugs.
D. Drugs – commonly used Euphrasia, Glonoine, Bell. Calc-carb, Calc-iod.
Impression:
With a proper and scientific understanding of the psoric background catarrhal
conjunctivitis which is a recurrent and non-responsive condition can be
managed successfully by homoeopathic medication. Majority of the patients
came with similar kind of history. All the patients were on local steroid
eye drops and which were giving temporary relief. These steroid drops
were withdrawn totally by tapering the doses and all the patients are
steroid eye drop free after 2 weeks time and never required them again
which clearly proved the effectiveness of our drugs in such a non-responsive
condition.
Euphrasia has almost emerged as GENUS EPIDEMICUS in the said clinical
study.
| Vernal Conjunctivitis The commonest condition of the eyes is conjunctivitis of which allergic conjunctivitis is the one, which has been a matter of concern of all fields of medical sciences with limited response to the treatment. Homoeopathy considers the individual and not the disease. The concept of miasms as fundamental causes of the disease and a proper understanding of this concept and a psoric manifestation in particular has made the study of “Spring Catarrh” easy to understand and manage successfully. Vernal conjunctivitis is usually severe and occurs in both eyes. Children often get it at the same time each year, such as spring or summer. It is characterised by giant papillae (projections) and follicles (shafts through which hair grows) on the inner upper eyelid. This is often described as ‘cobble stoning’ or ‘cobblestones’, because of the way the eye looks when the lid is examined. There is also a stringy, persistent discharge of mucus from the eye. This condition frequently occurs along with hay fever, atopic dermatitis or asthma. Most commonly, it starts in late childhood and is more common in boys than girls. However, by the time people reach their 20s, males and females are affected equally. It rarely occurs after the age of 30. Vernal conjunctivitis is a self-limiting disease that comes and goes, often occurring over a period of about 5 to 10 years. It is more common in countries that have tropical and temperate weather, and is rare in cold climates. Although single allergens can be responsible for causing it, vernal conjunctivitis is more frequently associated with sensitivity to multiple allergens. Clinical symptoms As with other allergic or type I hypersensitivity disorders, itching is the most important and most common symptom. Other commonly reported symptoms are photophobia, foreign body sensation, tearing, and blepharospasm. |
