Abhishek Banavane

ACUTE PRIMARY DACRYOCYSTITIS   it is an acute suppurative inflammation of Lacrimal sac, commonly observed as a complication of chronic dacryocystitis (some times occur spontaneously )  Causative agents : Strepto cocCus haemolyticus, pneumo cocus and staphylo coccus aureus.  Patholoy:-The sac get full with frank pus, infection also spreads to periphery and causing pericystitis, finally lacrimal abscess forms, that bursts on the skin and cause Lacrimal fistula, as soon as pus drained out the inflammation subsides.  Symptoms : Severe pain, hot sensation over the sac area, fever and watering of eye.  Signs :1) Marked swelling, tenderness, hot and redness over the sac area  (2) oedema of eyelids  (3) No regurgitation of sac contents through punctum  (4) chemosis of conjunctiva  (5) Enlargement of sub maxillary lymphgtands  (6) Formation of Lacrimal abscess, that may burst and cause lacrimal fistuta  (7) Pati...

WATERING OF EYE (NETRA SRAVAS) (EPIPHORA LACRIMATION)  a) Epiphora : -Means watering of eyes due to obstruction to out flow of tears through lacrimal apparatus into inferior meatus of 'nose b) Lacrimation means watering of eyes to excessive secretion of tears. Causes of epiphora  1) Stenosis of the punctum, particularly the lower punctum either Congenitally or Acquired 2) Evertion of the lower punctum due to laxity of orbicularis occuli muscle as in old age, facial paralysis and ectropion. 3) Obstruction in Lacrimal canaliculi due to calculus or infection by Fungus etc. 4) obstruction in the sac due to tumour of the sac or following removal of the sac. 5) Obstruction in the nasoLacrimal duct due to chronic dacryo cystitis, nasal polyp, maxillary antrum tumour which is pressing on the duct. Causes 1) Reflex causes : (a) Due to sensory stimulation of the structures of the eye ball. eg :corneal foreign body, corneal ulcer, Keratitis, exposure to dust, smoke or i...

Types of Netra Srava The vitiated doshas by vitiating Ashruvaha srotas causes painless Netra Srava through kaneenika sandhi. It is also known as Netra Nadi. Netra Srava are of four types Kapha or Shlesma Srava Pitta Srava Rakta Srava Pooja Srava or Sannipataja Srava (No Vataja Srava) Note: Vagabhata in Astanga Sangrah has mentioned Jala Srava by the vitiation of vata so he explained jala Srava instead of pittaja Srava. Kaphaja Srava   :-  Painless, whitish, sticky and solid eye discharge Rakthanu Srava :-  Semi solid, bulk, hot and blood stained eye discharge Pooya Srava        :- Pus discharge comes due to suppuration of twak, Mansa and rakta Pitta Srava          :- a) Yellowish or bluish, Hot, watery eye discharge (Vagabhata mentioned Jala Srava instead of pitta Srava)                                       ...