PARS PLANITIS SYMPTOMS, CAUSES, DIAGNOSIS & AYURVEDIC TREATMENT
ABSTRACT
Pars planitis, an idiopathic chronic intermediate uveitis that accounts for 5–26.7% of paediatric uveitis, is the most prevalent in children and adolescents. There is no underlying illness or accompanying infection with this disease. Although pars planitis patients rarely experience symptoms, they could mention floaters or impaired vision. There is typically no pain or photophobia. However, retinal detachment or an abrupt vitreous haemorrhage can occasionally cause people to suddenly lose their vision. This article includes information regarding patients with pars planitis and covers the assessment and management of the condition.
INTRODUCTION
A persistent intermediate uveitis called pars planitis occurs when no underlying systemic illness or concomitant infection can be identified. The phrase “intermediate uveitis” refers to an inflammatory condition that affects the eye’s vitreous as its main site of inflammation. The anterior vitreous, the vitreous base that sits on top of the pars plana and peripheral retina, may be inflamed. It is distinguished by whitish exudates on the inferior pars plana (snowbanking) and vitreal inflammatory aggregates (snowballs). Pars planitis, hyalitis, and posterior cyclitis are all symptoms of intermediate uveitis.
CAUSES
- An autoimmune or inflammatory condition that affects different bodily areas, such as sarcoidosis, ankylosing spondylitis, or Crohn’s illness
- Negative effects of many medicines
- An illness or infection like cat scratch disease, herpes zoster, syphilis, toxoplasmosis, or TB
- Damage to the eye
- Operating on the eyes
- Some cancers that affect the eyes, like lymphoma
SYMPTOMS
Pars planitis symptoms can range from minor in the early stages of the illness to more severe as it worsens. The signs consist of
- Distorted vision
- Possibly obstructive dark floaters in the area of vision
- Ocular swelling Loss of vision
- Cataracts
- Glaucoma
- Retinal detachment (when the condition gets worse)
- Diminished eye vision
- (Floaters) Dark, floating specks in the field of view
- Sensitivity to light
- Eye discomfort
- Having a reddened eye
MANAGEMENT
- If the regional or periocular steroid is ineffective, oral prednisolone will be administered.
- Laser photocoagulation or cryotherapy for the peripheral retina
- PPV, or pars plana vitrectomy
- Steroid-free immunosuppressive drugs were taken into consideration
COMPLICATIONS
If uveitis treatment is delayed, it may result in a number of consequences, including
- Loss of vision for life
- Retinal separation
- Injury to the optic nerve
- Cataracts
- Glaucoma
- A scar on the retina
- Macular edema (retinal swell)
RISK FACTORS
People who have particular gene alterations are more susceptible to developing uveitis. Uveitis is also brought on by smoking cigarettes.
AYURVEDIC VIEW
These clinical traits are related to the Pittaja and Raktaja Adhimantha of Sarvagata Netra Rogas in Ayurveda. Pars planitis symptoms, according to Pittaja and Raktaja Adhimantha, include discomfort, photophobia, redness, lacrimation, and blurriness. Pittajaadhimantha, which is brought on by a vitiated Pitta Dosha, is characterised by burning sensations, congestion, discharge, and inflammation combined with headaches. Raktaja Adhimantha is Pittaja Adhimantha in a more exaggerated form. Ciliary congestion, severe congestion, pain when touched, prickling pain, and discomfort when touched are among the symptoms.
MANAGEMENT
- Virechan (purgation therapy)
- Viddhakarma (bloodletting therapy)
- Anjana (a paste that is applied to the inner eyelids)
- Alepa (a paste of drugs applied to the wounds or swellings)
- Nasya (medicated nasal drops)
- Seka (closed eye irrigation)
HERBS USED IN PARS PLANITIS
- Giloy (Tinospora cordifolia)
- Bakuchi (Psoralea corylifolia)
- Turmeric (Curcuma longa)
HERBAL REMEDIES FOR PARS PLANITIS BY PLANET AYURVEDA
A pharmaceutical firm called Planet Ayurveda produces a variety of natural medications. Planet Ayurveda is expanding and will soon be available everywhere. These are only natural products, and they work well. Preservatives or adulterants are not added. The business offers all of the approved products without any negative side effects. A committed herbal enterprise that also offers its advantages to regular people is called Planet Ayurveda. Here is a list of some of the medications provided by Planet Ayurveda.
PRODUCT LIST
- Kaishore Guggul
- Curcumin Capsules
- Jivantayadi Ghrit
- Angel Eye Vitale
- Jasnoor Eye Drops
PRODUCT DESCRIPTION
1. KAISHORE GUGGUL
This is the manufacture of Planet Ayurveda with ingredients like Amalaki (Emblica officinalis), Bibhitaki (Terminalia chebula), Haritaki (Terminalia billerica), Commiphora mukul (Guggul), Guduchi (Tinospora cordifolia), and many more. It helps the body purify the blood. It also helps to balance the uric acid. It has anti-inflammatory properties. It is helpful in healing wounds and ulcers. It is also beneficial for constipation, indigestion, gouty arthritis attacks ranging from mild to severe, and diabetic carbuncles, among other ailments. Kaishore guggul is also useful for eye ailments.
Dosage: With lukewarm water and 1-2 pills twice or three times each day.
2. CURCUMIN CAPSULES
It contains only Haridra (Circuma longa). It shows positive results in uveitis. Also, it is helpful for other eye ailments like corneal wounds, dry eye, conjunctivitis, pterygium, glaucoma, etc. Curcumin also possesses antioxidant, anti-inflammatory, anti-mutagenic, anti-microbial, and anti-cancer properties.
Dosage:After each meal, take 1-2 capsules with a glass of water.
3. JIVANTYADI GHRIT
The ghrita is the product of Planet Ayurveda, which includes ingredients like Jivanti (Leptadenia reticulata), cow’s milk, cow’s ghee, Kakoli (Lillium polyphyllum), and many others. The remedy for the trickiest eye-related issues is jeevantyadi ghrit. Jivantyadi ghrita is a medicinal kind of ghrita that functions as a great eye toner, improves eyesight and function, and increases visual clarity. Degenerative eye diseases are postponed by it.
Dosage:3 to 6 grams combined with mishri, or as directed by a doctor.
4. ANGEL EYE VITALE
This is the formulation of Planet Ayurveda, which includes extracts of Amla (Emblics officinalis), Gotukola, and Bhringraj (Eclipta alba). It is very helpful for eye strain.
Application technique:After thorough cleansing, gently massage the eye cream into the delicate area beneath the eyes. Use it twice each day. suitable for every type of skin.
5. JASNOOR EYE DROPS
This is the formulation of Planet Ayurveda, which includes Neem (Azadirachta indica), Shobhanjana (Moringa oleifera), Bhringaraja (Eclipta alba), and many others. These eye drops are beneficial for supporting eye health and also curing different eye ailments.
Dosage:1-2 drops should be placed in each eye 3–4 times a day, or as instructed by your Ayurveda specialist.
CONCLUSION
In the United States and around the world, uncontrolled uveitis is one of the main causes of visual loss. Preserving vision, avoiding serious vision-related morbidity, and avoiding iatrogenic side effects from local and systemic medications are the main targets of uveitis treatment. Finally, the underlying systemic condition must always be taken into account while treating a patient with uveitis.
Dr. Vikram Chauhan
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