PRESBYOPIA

• Presbyopia (eyesight of old age) is not an error of refraction but a condition of physiological insufficiency of accommodation leading to a progressive fall in near vision
• After the age of 40, the lens becomes more rigid. Because the lens can’t change shape as easily as it once did, it is more difficult to read at close range. This normal condition is called presbyopia

A decrease in the accommodative power of a crystalline lens with increasing age, leading to Presbyopia, occurs due to:

• Age-related changes in the lens
• Age-related decline in ciliary muscle power

Causes of premature presbyopia are:

• Uncorrected hypermetropia
• Premature sclerosis of the crystalline lens

General debility causing presenile weakness of the ciliary muscle

Chronic simple glaucoma

Symptoms

• Difficulty in near vision.
• Asthenopic symptoms due to fatigue of the ciliary muscle
• Intermittent diplopia
• Pre existing myopia may temporarily compensate presbyopia, leading to better near vision(second sight)

• Retinoscopy -Near vision spectacles in the form of a weakest convex lens

• Optical treatment- convex glasses for near work
• Surgical treatment 

Ayurvedic Treatment

Internal medicines

• Pachanamrutha kashaya – initially to correct agni
• Vaiswanara choorna – initially to correct agni
• Shatpala ghrita
• Triphala Gritha mixed +Triphala choorna + honey
• Aswagandharishtha
• Sapthamrutha lauha

Procedures

• Virechana – Avipathi choorna
• Mukhalepa - Triphala+ Yashti choorna
• Seka - Triphala kashaya
• Siro lepa – Triphala + yashti+Lodra
• Jaloukavacharana – Forehead / eyelid
• Nasya - Ksheerabala avarthi , Jeevanthyadi gritha ,Dhanwantara taila
• Sirodhara/ Siropichu - ksheerabala Taila
• Anjana -Pasupatha varti , Chandanadi
• Tarpana - Jeevaneeya Gritha
• Putapaka – Jeevaneeya putapaka