Ayurvedic Treatment for Ptosis or drooping of eyelids follows the Vata pacifying treatments in Ayurveda. Drooping of eyelids, due to pathological reasons is called ptosis which happens because of trauma, age, or various medical disorders. The disease is known as unilateral ptosis when it affects one eye only and bilateral ptosis when it affects both eyes. It may appear once and go, or it can be permanent. It can be present at birth, where it is known as congenital ptosis, or it can be developed later in life, which is known as acquired ptosis.
According to the severity of the condition, droopy upper eyelids can affect vision as much as it obstructs the pupil. In most people, the condition will resolve, either naturally or after treatment.
Signs & symptoms of Ptosis
One or both upper eyelids sag. Problems of vision in some cases.
Dry eyes or watery eyes
The tired look on the face
Ache around eyes
Causes of Ptosis
It can be congenital due to defective development of levator muscles or the condition can be acquired.
After a nerve injury or a stye.
Eyelid tumours, cysts, or swelling.
The complication of LASIK or cataract surgery.
Serious conditions like stroke, brain tumour, or cancer.
Neuro-muscular diseases like myasthenia gravis
Botox injections.
Horner’s syndrome.
Pathophysiology of Ptosis
Ptosis is the result of dysfunction of one or both upper eyelid elevator muscles. These muscles that function in the holding up of eyelids are the levator palpebrae superioris and the Mueller muscle.
The levator palpebrae superioris is a striated muscle. It gets innervated by the upper division of the oculomotor nerve (cranial nerve III). This muscle is about 40 mm long and originates from the lesser wing of the sphenoid. It continues anteriorly, and at the Whitnall ligament, it travels inferiorly as an aponeurosis. The aponeurosis is 14-20 mm long and inserts into the anterior aspect of the tarsal plate. It also sends attachments to the skin, which helps the formation of the crease in the upper eyelid. The Mueller muscle, a smooth muscle, originates from the bottom surface of the levator superioris. Around 12 mm long, it is inserted superiorly on the tarsal border and elevates the upper eyelid.
Diagnosis of Ptosis
Physical examination
Medical history
Eye examination using a slit lamp
Tensilon test
Treatments of Ptosis
The treatment for droopy eyelid depends on the underlying cause and the severity.
Plastic surgery is the only option in senile and congenital ptosis.
Underlying medical conditions, if any, should be managed for the cure of associated ptosis.
Ptosis crutch is the glasses that can hold the eyelid up, by adding an attachment to the frames of the glasses. This attachment, or crutch, prevents drooping by holding the eyelid in place. This treatment shows the most effect in temporary cases. Ptosis crutch is a nonsurgical method.
There are two types of ptosis crutches: adjustable and reinforced. Adjustable ones are attached to one side of the frames, while reinforced ones are attached to both.
Surgery is the tightening of the levator muscle. It will lift the eyelid up and it can be placed in the desired position.
Sling operation – the forehead muscles are used to elevate the eyelids.
Prognosis of Ptosis
Eyelid drooping is not a fatal or harmful condition to general health. However, if vision is affected, treatment is needed.
The long-term prognosis depends on the cause of the droopy eyelid. In many cases, it is only a cosmetic issue.
However droopy eyelids can sometimes be a sign of a serious disease, and a proper diagnosis is always recommended.
Complications of Ptosis
Severe ptosis can cause amblyopia (lazy eye) or astigmatism. It is important to treat at a younger age, if left untreated, it could affect vision development.
Ayurvedic Concept of Ptosis
Vaatahatavarthma
Ayurvedic Nidana of Ptosis
Causative factors for eye diseases vitiate mostly Pitta dosha in the body namely,
- Ushnabhitaptasya jalapraveshaath – entering into a waterbody or taking bath in cold water after exposure to heat/sun
- Doorekshanaath – Looking at distant objects
- Swapnaviparyaya – Unhealthy & irregular sleeping habits
- Prasaktasamrodhanasokakopa – excess or suppressed weeping & anger
- Klesabhigata – Physical exertion, or trauma
- Atimaithuna – Excess coitus
- Atinishevana of Sukta etc. – taking beverages of acidic nature, horse gram, and black gram
- Vegavinigraha -Voluntary suppression of any natural urges like cough, sneeze, urine, flatulence or faeces
- Swedarajodhoomanishevana – Excess sweating, exposure to dust & smoke
- Chardervighaataad – Suppression of vomiting
- Vamanaatiyoga – Excessive vomiting
- Baashpagrahaat – Suppression of tears
- Sookshmanireekshana – looking at small things
Ayurvedic Purvaaroopa of Ptosis
Not specifically mentioned
Ayurvedic Samprapti of Ptosis
Causative factors cause vitiation of doshas which travel through siras (circulatory system) and reach the eyes causing the disease.
Ayurvedic Lakshana of Ptosis
Not able to open eyes because of droopy eyelids
Ayurvedic Divisions of Ptosis
Not mentioned
Ayurvedic Prognosis of Ptosis
Asaadhya – No treatment/Incurable
Ayurvedic Treatment (Chikithsa) of Ptosis
Samana
Sodhana
Commonly used Ayurvedic medicines for Ptosis
Ksheerabala(101 aavarthy)
Triphala Choorna
Dhanwantharam Kashayam
Yogaraja Guggulu
Jeevanthyadi ghrutam
Balaguluchyadi Tailam
Balahatadi Tailam
Triphaladi Tailam
Asanamanjishtadi Tailam
Brands available
AVS Kottakal
AVP Coimbatore
SNA oushadhasala
Vaidyaratnam oushadhasala
Home remedies for Ptosis
There is no effective home remedy for ptosis.
But the following preventive measures can be helpful in the protection of eye from diseases:
- Ensure enough intake of anti-oxidants and vitamins
- Control any allergic reactions
- Wear UV-blocking sunglasses while going out
- Keep the eyes and eye wares hygienic
- Avoid scratching or rubbing of eyes
- Use artificial tears to prevent dryness
Diet for Ptosis
- To be avoided
Any hard item, tough to bite or chew.
Heavy meals and difficult to digest foods – cause indigestion.
Junk foods- cause a disturbance in digestion and reduces the bioavailability of the medicine
Carbonated drinks – makes the stomach more acidic and disturbed digestion
Refrigerated and frozen foods – causes weak and sluggish digestion by weakening Agni (digestive fire)
Milk and milk products – increase Kapha and cause respiratory problems
Curd – causes vidaaha and thereby many other diseases
- To be added
Light meals and easily digestible foods
Green gram, soups, honey, fruits and vegetables, cow’s ghee.
Freshly cooked and warm food processed with cumin seeds, ginger, black pepper, ajwain, etc
Behavior:
Protect yourself from too much heat or cold.
Avoid head bath and tongue scraping.
Better to avoid exposure to excessive sunlight, wind, rain, or dust.
Maintain a regular food and sleep schedule.
Avoid stress.
Avoid holding or forcing urges like urine, faeces, cough, sneeze, etc.
Avoid sleeping late night and day sleep.
Yoga for Ptosis
- IN PERSONS WITH SEVERE INFLAMMATORY DISEASES AND EYE DISEASES, EXERCISE IS NOT RECOMMENDED
Yoga can maintain harmony within the body and with the surrounding system.
Nadisudhi pranayama
Suryanamaskara
Bhujangasana
All the exercises and physical exertions must be decided and done under the supervision of a medical expert only.
Research articles on Ptosis
https://pubmed.ncbi.nlm.nih.gov/12925861/
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