An Ayurvedic Perspective in the Management of Adhimantha (Glaucoma): A Case Report

Abstract

Adhimantha is a severe Sarvagata Netra Roga described in Ayurvedic classics, characterized by intense churning pain in the eye, progressive diminished of vision, headache, and eventual blindness if not managed timely¹–⁴. The condition is considered a complication of untreated Abhishyanda and shows close clinical correlation with glaucoma, a progressive optic neuropathy leading to irreversible visual field defects. Adhimantha is predominantly a Vata-pradhana Tridoshaja disorder involving Rasa, Mamsa, and Majja Dhatu, resulting in degeneration of optic nerve structures. A 29-year-old female patient diagnosed with glaucoma presented with bilateral progressive diminished of vision, periorbital swelling, headache, and ocular itching for two years despite using topical anti-glaucoma medication. Based on Ayurvedic evaluation, the condition was diagnosed as Adhimantha. The patient was managed with an integrated Ayurvedic approach including Panchtikta Kshir Basti, Marsha Nasya, Tarpana, Shiropichu, Anjana, Aschyotana, and appropriate oral Shamana Aushadhi. After completion of treatment, improvement in visual acuity, reduction in symptoms, and mild increase in retinal nerve fiber layer thickness were observed, indicating stabilization of disease progression. The therapeutic effect can be attributed to pacification of aggravated Vata Dosha, removal of Srotorodha, nourishment of Majja Dhatu, and Chakshushya Rasayana action of the therapies employed⁵–⁷. This case highlights the potential role of Ayurveda in preventing further optic nerve damage and improving quality of life in patients with Adhimantha (glaucoma)