Management of Ptosis (Vartma Sankocha) - A Case study

Vartmasankocha is a lid disorder wherein patient is unable to open the eyelids which is explained under 80 nanatmajavatajavikara. It can be compared toneurogenictype of acquired ptosis involving entire 3rdcranial nerve at any point in its path or rarely due to affection of branch supplying levator muscle. Isolated ptosis without other signs of oculomotor may result from diseases of supra-nuclear pathways. Treatment includes conservative management and surgical correction. Conservative management includes administration of 0.5 apraclonidine eye drops to allow for any spontaneous recovery and for the deficit to stabilize. The surgical correction includes resection of levator muscle which again cannot be performed in manifested strabismus. Crutch spectacles may be used in the presence of levator paralysis which causes discomfort to the patient.In this case 60yr old male patient with history of drooping of right upper eyelid amp intolerance to light since 112 year developed these compliants after hit of an insect to right upper eyelid. On tab Neostigmine from last one year but didnrsquot get much relief. Then visited our hospital for further treatment.Vatashamanachikitsa has been employed Mukhabyanga with Kshirabalataila followed by Marsha Nasya with Karpasastyaditaila and dhumapana along with shamanachikitsafor 7 days. After 7 days of treatment therersquos marked improvement in above said signs and symptoms.