The Concept of Neuro-ophthalmology in the Context of Ayurveda

Abstract

The academic specialization of neuro-ophthalmology combines the sciences of neurology and ophthalmology and frequently deals with complicated systemic disorders that appear in the visual system. Initially completing a residency in either neurology or ophthalmology, neuro-ophthalmologists then pursue a fellowship in a related specialty. A thorough medical history and physical examination are required and neuro-ophthalmologists frequently spend a lot of time with their patients because diagnostic tests can be normal in individuals with substantial neuro-ophthalmic disease¹. Common pathology referred to a neuro-ophthalmologist includes afferent visual system disorders (e.g. optic neuritis, optic neuropathy, papilledema, brain tumors or strokes) and efferent visual system disorders (e.g. anisocoria, diplopia, ophthalmoplegia, ptosis, nystagmus, and blepharospas, seizures of the eye or eye muscles, and hemifacial spasm). The North American Neuro-Ophthalmological Society (NANOS) ², which hosts an annual congress and disseminates the Journal of Neuro-Ophthalmology, is the biggest worldwide organization of neuro-ophthalmologists. Large university-based medical centers frequently employ neuro-ophthalmologists as faculty members. The neuro-ophthalmologist frequently serves as a liaison between the ophthalmology department and other departments at the medical Centre since patients frequently have co-existing disorders in other domains (rheumatology, endocrinology, cancer, cardiology, etc.)³. In Ayurveda concept of patala is very much required to understand the diseases of neuro ophthalmology. When vitiated dosha reaches at particular patala then particular symptom is seen. According to Susruta when vitiated doshas reaches in 1^st, 2^nd and 3^rd patala it is known as Timir, vitiated doshas reaches in 3^rd patala and ragata prapti occurs (pigmentation) it is known as Kacha. Vitiated doshas reaches in 4^th patala it is known as Linganasha.According to Vagbhata, vitiated doshas reaches in 1^st, 2^nd patala it is known as Timir. vitiated doshas reaches in 2^rd patala and ragata prapti occurs (pigmentation) it is known as Kacha vitiated doshas reaches in 4^th patala it is known as Linganasha⁴. In this Review article we try to find out the co relation between different diseases in neuro ophthalmology and different Dristi gata roga.