Ayurvedic Perspective of Episcleritis with Reference to Sirajala

Abstract

Episcleritis is a common, benign, and self-limiting inflammatory condition affecting the episclera, the vascular connective tissue between the conjunctiva and sclera. It typically presents with acute onset redness and mild ocular discomfort, without significant pain or visual impairment. In Ayurvedic texts, this condition aligns with Sirajala, classified under Suklagata Netra Roga, which is characterized by a network of rigid, blood-filled veins in the eye. This study documents a case of a 36-year-old male college professor who presented with redness and mild discomfort in the right eye for three days. He reported no photophobia, discharge, trauma, or systemic illnesses. Clinical evaluation led to the diagnosis of diffuse episcleritis (Sirajala). An Ayurvedic treatment regimen was initiated, consisting of internal medications such as Avipathi Choornam and Patoladi Kashayam, along with external therapies including Yashti Kashayam eye wash, Durva Ghritam eye drops, and Mukkadi Choornam application. Treatment lasted one week, followed by a one-month observational follow-up. The patient experienced significant improvement, with a marked reduction in redness, ocular discomfort, and episcleral vessel engorgement. No adverse effects were reported, and no recurrence was observed during the follow-up. The patient's visual acuity remained 6/6 bilaterally throughout. The treatment approach focused on balancing Pitta and Rakta doshas, employing formulations known for anti-inflammatory, antioxidant, and immunomodulatory properties. The complete resolution of symptoms within a week, with no recurrence or complications, supports the therapeutic potential of Ayurveda in ocular inflammatory conditions when appropriately diagnosed and managed.