Ayurvedic Aspect And Management Of Bitemporal Hemianopia
Abstract
The eye is a complicated and delicate structure that enables a human being to see the world. The human eye is a precise system that is composed of various components that must be optimally maintained so that a clear image is seen. The eye is filled with aqueous and vitreous humor which supply nutrients to the eye and provide its shape. As an external organ, the eyes are prone to get harm from light or injury. The neurology of vision is more complicated in how the sensory impulses are carried by nerve fibers. This is done through a complicated visual pathway. Any discontinuity in the visual pathway can result in blind and other vision-related problems. In the text below, we will discuss Bitemporal Hemianopia. We will also have a look at the management of the same in the contemporary medicinal system and traditional Indian medicinal system of Ayurveda. Let’s get started !!
Introduction
Hemianopia denotes the loss of half of the field vision. It is sometimes also called hemianopsia. Bitemporal hemianopia means a person cannot see the outer half from both eyes. It is usually due to lesions or compression of the optic chiasma. This compression can have a number of causes such as tumors. This usually results in loss of vision in the vertical half of the visual acuity on the lateral sides. Along with this, there can be other associated irritability and symptoms. The condition can be temporary or permanent depending on the cause. Now let’s have a look at the causes, symptoms, investigation, and management of Bitemporal Hemianopia.
Causes
Compression of the optic chiasm affects the visual impulses from both nasal retinas and results in no view of the temporal or peripheral sides. The common causes of this compression are given below.
- Tumors located at the mid chiasm
- Pituitary adenomas
- Craniopharyngiomas
- Meningiomas
- Aneurysm of the anterior communicating artery
Other causes include
- Stroke
- Dementia
- Alzheimer’s disease
- Lymphoma
- Multiple sclerosis
- Epilepsy
- Traumatic brain injury
- Cortical and subcortical lesions
Symptoms
The main symptom remains the loss of vision in the half-vertical field. The other symptoms that may accompany bitemporal hemianopia are given below
- Distorted vision
- Difficulty in understanding things that a person sees
- Decreased night vision
- Visual hallucinations
- Double vision
- Moving the head or body from the affected side
- Headache due to the eye strain
- Vision appears dim
Investigation
- Visual field examination
- Slit lamp examination
- X-Rays
- CT Scan
Management
Bitemporal hemianopia can be permanent or go away on its own.
- Wearing glasses that fix the distorted and double vision
- Vision restoration therapy
- Saccadic eye movement training
- Visual field expander aid
Ayurvedic Aspect and Management of Bitemporal Hemianopia
Ayurveda is an ancient-age medicinal and life science that is continuously serving mankind. Ayurveda focuses on dietary as well as lifestyle management. Ayurveda has three basic principles/body humor/doshas/energies. When these doshas stay within the normal limits are called the status ‘Health’ whereas vitiation of the same gives rise to a disease.
In various Ayurveda textbooks, akshi rogas (eye disorders) are mentioned. The anatomy and physiology of the same have also been mentioned in the books. Ayurvedic acharyas were so experienced in eye disorders that they have mentioned a number of eye disorders and have well-defined the anatomy and physiology of the eye.
Coming to Bitemporal Hemianopia, there is no direct correlation between this condition with any of the eye diseases mentioned in Ayurveda. But as per the causes and symptoms, we can well establish the correlation of the same with tridoshaja dushti. According to the compression theory behind the occurrence of the condition, it can be correlated with the kapha dosha aggravation that can result in the formation of a tumor that compresses the optic chiasm. When the nerve is compressed it results in nerve irritation that reflects the involvement of the vata dosha and the symptoms such as distorted, double, and loss of visual acuity reflects the involvement of the kapha dosha. Hence, the involvement of all three doshas has been considered.
Another concept that appears to be of good relation with bitemporal hemianopia is Tritya Patalgaya Timira which is mentioned under drishtigata rogas and affects the visual pathway. The symptoms are generally the same but the patient witnesses bilateral horizontal half-vision loss.
The management can be based on the timer chikitsa mentioned in the classical Ayurvedic texts. Chikitsa sutra of timer includes snehapana, akshi tarpan, nasya, and chakshushya basti. (Based on a case report)
- Snehapana with patoladi ghrita for seven consecutive days in increasing dosage
- Sarvanga abhyanga with ksheerabala oil is followed by basha Sweda for three days.
- Intake of trivet leha dosage 60 grams with hot water
- Samsarjana krama for 7 days
- Nasya with anu taila for 7 days
- Shirodhara with ksheerbala taila for 7 days
- Chashushya basti for 8 days
Tarpana with jeevantyadi ghrita for 7 days Bite
Ayurveda for Bitemporal Hemianopia
Internal medicines – saptamruta loha, triphala churna, vasaguluchyadi kashayam, etc are helpful in the management of bitemporal he Bite
Ayurveda for Bitemporal Hemianopia
Furthermore, we shall also discuss some more internal medications that effectively manage the condition of Bitemporal Hemianopia.
Herbal Remedies by Planet Ayurveda for Bitemporal Hemianopia
Planet Ayurveda is a leading GMP-certified Ayurvedic company. Planet Ayurveda’s motive is to spread Ayurveda around the globe. Planet Ayurveda is also a manufacturing unit of Ayurvedic medicines and products. Planet Ayurveda products are pure and trustworthy. They are made up of a pure and good variety of herbs. The formulations are available in various forms such as jams, capsules, tablets, and syrups. And patients can consume the medicines as per comfort. Furthermore, the products are gluten-free and halal-certified. The products are free of chemicals, artificial sweeteners, preservatives, fillers, binders, and colors. Planet Ayurveda presents its medicinal products that are effective in the management of Bitemporal Hemianopia.
Following are the products that manage Bitemporal Hemianopia
Product List
1. Angel Eye Vitale
2. Amalaki Rasayan
3. Jasnoor Eye Drops
4. Neurogenic Capsules
5. Saraswatarisht
6. Mahatriphala Ghrit
Product Description:
1. Angel Eye Vitale
Angel Eye Vitale is a perfect remedy by Planet Ayurveda for clear vision and health of the eye. It contains Amalaki (Emblica officinalis), Gotukola (Centella asiatica), Bhringaraj (Eclipta alba). Amalaki is a rasayana, that rejuvenates eye cells and nerve cells. Gotukola and Bhringraj are chakshushya thus also promoting the health of the eyes. Angel Eye Vitale is good for eye health and manages bitemporal hemianopia as well.
Dosage: 1 capsule twice daily with plain water after meals.
2. Amalaki Rasayan
Amalaki Rasayan is a product of Planet Ayurveda. Amalaki is described as rasayana in Ayurveda. Rasayana is basically an immune boosting or rejuvenating therapy in Ayurveda which also gives a number of other benefits. Rasayana helps in providing overall health benefits. Rasayana therapy replenishes vital bodily fluids and boosts oja. It results in a powerful immune system so that the body can fight the various disease-causing agents. Further rasayana prevents the effect of aging and therefore provides long life. It improves intellectual competence and intelligence as well. Amalaki Rasayan contains amla (Emblica officinalis). As it is a rasayana, hence it has eye health-promoting properties. Amalaki Rasayan promotes the health of the eye and clarifies vision. With its tridoshahar properties, it works efficiently in the management of Bitemporal Hemianopia.
Dosage: One capsule twice a day.
3. Jasnoor Eye Drops
Jasnoor Eye Drops is an ayurvedic eye drop for various eye disorders. It is made up of herbal plants such as neem (Azadirachta indica), tulsi (Ocimum sanctum), haritaki (Terminalia chebula), bibhitaki (Terminalia bellirica), Amalaki (Emblica officinalis), sheet Chandan (Santalum album) and others. All these have good results in eye disorders and balance all three doshas and clean the eye and promote healthy vision. Thus, Jasnoor Eye Drops is an effective remedy in the management of Bitemporal Hemianopia.
Dosage : 3 drops in each eye.
4. Neurogenic capsules
Neurogenic capsules are a product of Planet Ayurveda for vata and neurological disorders. It contains the herbs Brahmi (Bacopa monnieri) and ashwagandha (Withania somnifera). Bitemporal Hemianopia being a neurological disorder can be well managed by Nerogenie capsules. These are helpful in the management of other associated symptoms of Bitemporal Hemianopia with its vata pacifying properties.
Dosage: Two capsules twice a day.
5. Saraswatarisht
Saraswatarisht is a classical Ayurvedic formulation that is composed of Brahmi (Bacopa monnieri), saunf (Foeniculum vulgare), adrak (Zingiber officinale), vidarikand (Pueraria tuberosa), shot (Operculina turpethum), pippali (Piper longum), vacha (Acorus calamus), Shatavari (Asparagus racemosus), harad (Terminalia chebula), etc. All these herbs provide strength to the nervous system and remove the condition that causes irritation and hamper the functions of the optic chiasm. With its vata pacifying and nervous system strengthening properties, Saraswatarisht is very good in the management of Bitemporal Hemianopia.
Dosage: 2 tsp twice a day after meals with plain water.
6. Mahatriphala Ghrit
Mahatriphala ghrit is a classical formulation for eye disorders. It is a ghrita formulation that is composed of various herbs such as Amalaki (Emblica officinalis), bibhitaki (Terminalia bellirica), haritaki (Terminalia chebula), bhringraj (Eclipta alba), vasa (Adhatoda vasica), giloy (Tinospora cordifolia), nilofer (Nymphaea alba), mulethi (Glycyrrhiza glabra), etc. All these herbs are chakshushya which means they are good for the health of the eye. Mahatriphala ghrit pacifies all three doshas. Being an eye and vision promoter as well as tridosha har, Maha Triphala Ghrit is one of the perfect remedies for the management of Bitemporal Hemianopia.
Dosage: 1 tsp with warm water at bedtime.
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Conclusion
Bitemporal Hemianopia is the loss of half of the vision field vertically on the lateral sides of both eyes. This can result due to various causes such as an infection or compression of the optic chiasm. This results in a number of symptoms and the patient are generally irritated as one cannot see properly other symptoms such as double vision and distorted images hamper the concentration of the patient if one tries. This can be temporary and permanent. There is no perfect management available in the contemporary medicinal system but in Ayurveda, the condition can be well managed with the proper application of panchkarma and akshi tarpana. Some systemic medicine also helps a lot to treat the causative factor and corrects the condition of bitemporal hemianopia to the maximum.
