Panchkarma Approach in the Management of Traumatic Optic Neuropathy (TON) : A Case Report.

Abstract

Traumatic Optic Neuropathy (TON) is a challenging condition resulting from cranial or orbital trauma, often leading to significant visual impairment. Early therapeutic intervention is vital to prevent permanent damage to the optic nerve. This case report presents the Ayurvedic management of TON, correlated with Abhighatajanya Vataprakopaj Drishtinash, a condition described in classical texts where trauma leads to Vata aggravation and vision loss.

The treatment was based on Yuktivyapashray Chikitsa, integrating Shaman (palliative) and Shodhan (purificatory) approaches to pacify Vata Dosha and support neural recovery.The use of Chakshushya Basti was aimed at restoring normal function of optic nerve by virtue of its action on Apana and Vyana Vata, reducing stress, and improving corneal and optic nerve integrity. Additionally, Netratarpan with Jeevantyadi Ghrita was employed to nourish ocular tissues, leveraging its lipophilic nature for better absorption and tissue contact.

Subjective improvement in vision was observed, and objective progress was monitored through regular assessment of distant vision and visual acuity. The outcomes indicate that Ayurvedic interventions, when initiated early, can support neural healing and prevent further degeneration in TON. This case emphasizes the potential of Ayurveda in managing neuro-ophthalmic conditions. However, further clinical research with larger sample sizes is needed to validate these findings and establish standardized protocols for Ayurvedic management of TON.