Ayurvedic Management of Unilateral Vernal Keratoconjunctivitis: A Case Report

Authors

  • Sreekala Nelliakattu Parameswaran
  • Amala Varghese
  • Narayanan Nelliyakattu
  • Sreekanth Paramesaran Nelliyakattu
  • Sumesh Soman
  • Krishnendu Sukumaran

DOI:

https://doi.org/10.70066/jahm.v13i9.1780

Keywords:

Abhishyanda, Vernal Keratoconjunctivitis, Kriyakalpa, spring catarrh, case report

Abstract

Background: Vernal keratoconjunctivitis (VKC) is a chronic allergic ocular disease of childhood, especially in hot and dry climates. In Ayurveda, VKC is discussed in relation to Kaphaja Abhishyanda, a disorder characterized by the aggravation of Kapha and Pitta Dosha resulting in inflammation, congestion, and excessive ocular secretion. Case: A 13-year-old girl presented with unilateral VKC (left eye) with recurrent symptoms despite prior topical corticosteroid use. Baseline findings included conjunctival congestion and superficial corneal vascularization; left-eye visual acuity (LE VA) was LogMAR 1.30. Interventions/Outcomes: A multimodal Ayurvedic regimen was delivered in three inpatient courses over 15 months, consisting of internal formulations, topical eye drops, and ophthalmic procedures. Symptoms of redness, itching, and photophobia improved; corneal vascularization regressed; LE VA LogMAR 1.30→0.47. The patient remained steroid-free at 6-month follow-up. No adverse events were recorded. Conclusion: This case signifies that Ayurvedic interventions can address VKC symptoms along with minimizing corticosteroid dependency. Further clinical trials are necessary to establish Ayurvedic treatments as standard therapy for allergic conjunctivitis.

Author Biographies

Sreekala Nelliakattu Parameswaran

Deputy Chief Physician, Sreedhareeyam Ayurvedic Eye Hospital and Research Centre, Sreedhareeyam Ayurvedic Research and Development Institute, Nelliakkattumana, Kizhakombu PO, Koothattukulam-686662. Ernakulam, Kerala, India.

Amala Varghese

Research Officer, Sreedhareeyam Ayurvedic Research and Development Institute, Nelliakkattumana, Kizhakombu PO, Koothattukulam-686662. Ernakulam, Kerala, India.

Narayanan Nelliyakattu

Chief Physican, Sreedhareeyam Ayurvedic Eye Hospital and Research Centre, Sreedhareeyam Ayurvedic Research and Development Institute, Nelliakkattumana, Kizhakombu PO, Koothattukulam-686662. Ernakulam, Kerala, India.

Sreekanth Paramesaran Nelliyakattu

Chief Medical Officer, Sreedhareeyam Ayurvedic Eye Hospital and Research Centre, Sreedhareeyam Ayurvedic Research and Development Institute, Nelliakkattumana, Kizhakombu PO, Koothattukulam-686662. Ernakulam, Kerala, India.

Sumesh Soman

Research Coordinator, Sreedhareeyam Ayurvedic Research and Development Institute, Nelliakkattumana, Kizhakombu PO, Koothattukulam-686662. Ernakulam, Kerala, India.

Krishnendu Sukumaran

Research Coordinator, Sreedhareeyam Ayurvedic Research and Development Institute, Nelliakkattumana, Kizhakombu PO, Koothattukulam-686662. Ernakulam, Kerala, India.

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Additional Files

Published

2025-10-23

How to Cite

Parameswaran, S. N. ., Varghese, A. ., Nelliyakattu, N., Nelliyakattu, S. P., Soman, S. ., & Sukumaran, K. . (2025). Ayurvedic Management of Unilateral Vernal Keratoconjunctivitis: A Case Report. Journal of Ayurveda and Holistic Medicine (JAHM), 13(9), 107-115. https://doi.org/10.70066/jahm.v13i9.1780

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