Ayurvedic management of Non-Sjögren's Dry Eye (Shushkakshipaka) as a preparation for cataract surgery—a case report - Scorecard - MDSpire
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Management of Non-Sjögren's Dry Eye (Shushkakshipaka) in Preparation for Cataract Surgery: A Case Study

  • By

  • Sushma Naranappa Salethoor

  • Anil Radhakrishnan

  • Shyamasundaran Kulangara

  • Ramya Shruthi Janardhanan

  • Rammanohar Puthiyedath

  • Reshma NS

  • September 14, 2026

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Clinical Scorecard: Management of Non-Sjögren's Dry Eye (Shushkakshipaka) in Preparation for Cataract Surgery: A Case Study

At a Glance

CategoryDetail
ConditionNon-Sjögren's Aqueous Deficient Dry Eye (Non-Sjögren's ADDE)
Key MechanismsLacrimal dysfunction and ocular surface inflammation due to inadequate tear production.
Target PopulationOlder adults undergoing cataract surgery with pre-existing dry eye symptoms.
Care SettingOphthalmology and Ayurvedic treatment facilities.

Key Highlights

  • Patient experienced moderate-to-severe Non-Sjögren's ADDE and cataracts.
  • Initial treatment included artificial tears and omega-3 fatty acid supplements.
  • Ayurvedic treatment involved systemic and local ocular management over two months.
  • Significant improvement in ocular parameters allowed for cataract surgery eligibility.
  • Further investigation is warranted for severe, non-responsive dry eye cases.

Guideline-Based Recommendations

Diagnosis

  • Assess severity of dry eye symptoms before cataract surgery.
  • Utilize Schirmer's test and tear break-up time for diagnosis.

Management

  • Implement aggressive treatment for dry eye to prevent complications.
  • Consider Ayurvedic strategies alongside conventional treatments.

Monitoring & Follow-up

  • Regular follow-up to assess ocular surface integrity and treatment efficacy.

Risks

  • Severe dry eye may lead to complications such as corneal ulcers.

Patient & Prescribing Data

Older adults with Non-Sjögren's ADDE and cataracts.

Combination of conventional and Ayurvedic treatments showed improved outcomes.

Clinical Best Practices

  • Prioritize ocular surface optimization before cataract surgery.
  • Incorporate dietary and lifestyle modifications in treatment plans.

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