MANAGEMENT OF VATAJA PRATHAMA PATALAGATA TIMIRA (MYOPIC ASTIGMATISM) WITH KRIYA KALPA: A CASE STUDY

Introduction: Timira is a Dr̥ṣṭigata Roga described in Ayurveda, characterised by Avyaktadarshana and gradual visual impairment. Based on classical Lakṣaṇas such as difficulty in distant vision without gross ocular pathology, the present case was diagnosed as Vataja Prathamapatalagata Timira, an early stage of Timira characterised by a functional disturbance of vision. This condition can be clinically correlated with myopic astigmatism in modern ophthalmology. For such early-stage Dr̥ṣṭigata Rogas, Ayurveda advocates Kriya Kalpa as the primary line of management. Methods: A 12-year-old male presenting with progressive diminution of distant vision was diagnosed with Vataja Prathamapatalagata Timira. The patient was treated with Kriya Kalpa treatments, including Marsha Nasya, Seka, Avaguntana, Netra Abhyanga, Tarpana and Akshi Bandhana, administered according to classical guidelines. Supportive eye exercises and lifestyle advice were also given. Visual acuity and ocular parameters were assessed before and after treatment. Results: The patient showed improvement in visual comfort, a reduction in eye strain, and an improvement in best-corrected visual acuity with stabilisation of refractive status. No adverse effects were noted. Discussion: The outcome indicates that Kriya Kalpa is a safe, effective, and supportive therapy for managing Vataja Prathamapatalagata Timira, helping achieve functional visual improvement and prevent disease progression.