Effect of Seka in the Management of Seborrhoeic blepharitis – A case study

Abstract

Seborrhoeic blepharitis is an anterior blepharitis characterized by accumulation of white scales on lid margin and lashes. On removing these scales underlying surface is found to be hyperaemic and greasy no ulcers lid margin will be thickened and the lashes fall out easily. It is of common occurrence more than 1million cases per year irrespective of age factor. It is usually associated with seborrhoea of scalp dandruff. In this glands of Zeis secrete abnormal excessive neutral lipids which are split by Corynebacterium acne into irritating free fatty acids. Treatment includes improvement of general health and balanced diet. Local measures include removal of scales with the help of lukewarm solution of 3 soda bicarb or baby shampoo and frequent application of antibiotic and steroid eye ointment to the lid margin. Associated seborrhoea of the scalp should be treated. This condition can be correlated to Krimigranthi mentioned under sandhigata netraroga. Krimigranthi is characterized by itching in lid margin and krimi utpatti if not treated properly. Krimigranthi treatment involves swedana bhedana pratisarana rasakriya and lekhana.In this study a 19 year old female patient visited our OPD complaining of itching of eyelids falling of eyelashes with scales over lid margin since 2 months. She was treated with topical and oral antibiotic medicine for which she did not got relived. We treated with seka of triphala and yasthimadhu kashaya Ophthacare eye drops tid and capsule Netramruta tid orally for 15days. Patient got marked relief.