A Clinical Study on Vernal Conjunctivitis
 
 

     Prof Udachankar M.D(hom)
Principal,
A. M. Shaikh Homoeopathic Medical College
Nehru Nagar, Belgaum-590 010
Phone:0831- 2470353 Fax : +91-831-2473127
Mobile: 9448131803


      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.

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.