Keratoconus (केराटोकोनस) is a disorder of the eye which results in progressive thinning of the cornea. This may result in blurry vision, double vision, nearsightedness, irregular astigmatism, and light sensitivity leading to poor quality-of-life. Usually, both eyes are affected. In more severe cases a scarring or a circle may be seen within the cornea. Keratoconus affects about 1 in 2,000 people. It occurs most commonly in late childhood to early adulthood. While it occurs in all populations it may be more frequent in certain ethnic groups such as those of Asian descent. Having seen the risks and criticality of keratoconus, Siddha Spirituality of Swami Hardas Life System appeals to our valuable readers to go through the article for well-being.
Keratoconus Meaning (केराटोकोनस का अर्थ)
The word is from the Greek kéras meaning cornea and the Latin cōnus meaning cone.
Keratoconus Symptoms (केराटोकोनस के लक्षण)
At the early stages, the symptoms of keratoconus may be no different from those of any other refractive defect of the eye. As the disease progresses, vision deteriorates, sometimes rapidly due to irregular astigmatism. Visual acuity becomes impaired at all distances, and night vision is often poor.
Some develop photophobia, eye strain from squinting in order to read, or itching in the eye, but there is normally little or no sensation of pain. It may cause luminous objects to appear as cylindrical pipes with the same intensity at all points.
The classic symptom of keratoconus is the perception of multiple “ghost” images, known as monocular polyopia, such as a point of light on a dark background. Instead of seeing just one point, a person with keratoconus sees many images of the point, spread out in a chaotic pattern.
People also commonly notice streaking and flaring distortion around light sources. Some even notice the images moving relative to one another in time with their heartbeat. The predominant optical aberration of the eye in keratoconus is coma.
The visual distortion experienced by the person comes from two sources, one being the irregular deformation of the surface of the cornea, and the other being scarring that occurs on its exposed high points. These factors act to form regions on the cornea that map an image to different locations on the retina.
Keratoconus Genetics (केराटोकोनस की आनुवंशिकी)
Six genes have been found to be associated with the condition. These genes include:
- IMMP2L, and
Keratoconus Pathophysiology (केराटोकोनस की पैथोफिजियोलॉजी)
Several sources suggest that keratoconus likely arises from a number of different factors:
- Environmental or cellular
- Any of which may form the trigger for the onset of the disease.
The disease normally develops by the progressive dissolution of Bowman’s layer, which lies between the corneal epithelium and stroma. As the two come into contact, cellular and structural changes in the cornea adversely affect its integrity and lead to the bulging and scarring characteristic of the disorder. Within any individual keratoconic cornea, regions of degenerative thinning coexisting with regions undergoing wound healing may be found.
A number of studies have indicated keratoconic corneas show signs of increased activity by proteases, a class of enzymes that break some of the collagen cross-linkages in the stroma, with a simultaneously reduced expression of protease inhibitors.
Whatever the pathogenetic process, the damage caused by activity within the cornea likely results in a reduction in its thickness and biomechanical strength.
While keratoconus is considered a noninflammatory disorder, one study shows wearing rigid contact lenses by people leads to overexpression of proinflammatory cytokines, such as IL-6, TNF-alpha, ICAM-1, and VCAM-1 in the tear fluid.
A number of studies suggest vigorous eye rubbing contributes to the progression of keratoconus, and people should be discouraged from the practice. Keratoconus differs from ectasia which is caused by LASIK eye surgery. Post-LASIK Ectasia has been associated with the excessive removal of the eye’s stromal bed tissue during surgery.
Keratoconus Diagnosis (केराटोकोनस का निदान)
The presence of any history of ocular disease or injury which might affect vision, and the presence of any family history of ocular disease. An eye chart, such as a standard Snellen chart of progressively smaller letters, is then used to determine the person’s visual acuity.
An eye examination may proceed to the measurement of the localized curvature of the cornea with a manual keratometer, with the detection of irregular astigmatism suggesting a possibility of keratoconus. Severe cases can exceed the instrument’s measuring ability. A further indication can be provided by retinoscopy, in which a light beam is focused on the person’s retina and the reflection, or reflex. Keratoconus is amongst the ophthalmic conditions that exhibit a scissor reflex action of two bands moving toward and away from each other like the blades of a pair of scissors.
Ophthalmologist or optometrist will search for other characteristic findings of the disease by means of a slit-lamp examination of the cornea. An advanced case is usually readily apparent to the examiner and can provide for an unambiguous diagnosis prior to more specialized testing.
Other clinical signs of keratoconus will normally have presented themselves long before Munson’s sign becomes apparent, and so this finding, though a classic sign of the disease, tends not to be of primary diagnostic importance.
Keratoconus Stages (केराटोकोनस के चरण)
Once keratoconus has been diagnosed, its degree may be classified by several metrics:
- Steepness of greatest curvature from ‘mild’ (< 45 D), ‘advanced’ (up to 52 D) or ‘severe’ (> 52 D);
- Morphology of the cone: ‘nipple’ (small: 5 mm and near-central), ‘oval’ (larger, below-center and often sagging), or ‘globus’ (more than 75% of cornea affected);
- Corneal thickness from mild (> 506 μm) to advanced (< 446 μm).
Increasing the use of corneal topography has led to a decline in the use of these terms.
Keratoconus Treatment (केराटोकोनस का उपचार)
In the early stages of keratoconus, glasses or soft contact lenses can suffice to correct for mild astigmatism. As the condition progresses, these may no longer provide the person with a satisfactory degree of visual acuity, and most practitioners will move to manage the condition with rigid contact lenses, known as rigid, gas-permeable, (RGP) lenses. RGP lenses provide a good level of vision correction but do not arrest the progression of the condition.
Rigid contact lenses improve vision by means of tear fluid filling the gap between the irregular corneal surface and the smooth regular inner surface of the lens, thereby creating the effect of a smoother cornea.
Many specialized types of contact lenses have been developed for keratoconus, and affected people may seek out both doctors specialized in conditions of the cornea, and contact lens fitters. The irregular cone presents a challenge and the fitter will endeavor to produce a lens with the optimal contact, stability, and steepness. Some trial-and-error fitting may prove necessary.
Hybrid lenses (हाइब्रिड लेंस)
Contact lenses for keratoconus have been the ‘hard’ or RGP variety. Although manufacturers have also produced specialized ‘soft’ or hydrophilic lenses and, most recently, silicone hydrogel lenses. A soft lens has a tendency to conform to the conical shape of the cornea, thus diminishing its effect. To counter this, hybrid lenses have been developed which are hard in the center and encompassed by a soft skirt. However, soft or earlier generation hybrid lenses did not prove effective for every person.
The fourth generation of hybrid lens technology has improved, giving more people an option that combines the comfort of a soft lens with the visual acuity of an RGP lens.
Scleral lenses (स्केरल लेंस)
These lenses are sometimes prescribed for cases of advanced or very irregular keratoconus. These lenses cover a greater proportion of the surface of the eye and hence can offer improved stability. Easier handling can find favor with people with reduced dexterity, such as the elderly.
Some people find good vision correction and comfort with a “piggyback” lens combination, in which RGP lenses are worn over soft lenses, both providing a degree of vision correction. One form of the piggyback lens makes use of a soft lens with a countersunk central area to accept the rigid lens. Fitting a piggyback lens combination requires experience on the part of the lens fitter and tolerance on the part of the person with keratoconus.
Keratoconus Surgery (केराटोकोनस की सर्जरी)
Corneal transplant (कॉर्निया प्रत्यारोपण)
Keratoconus is the most common grounds for conducting a penetrating keratoplasty, generally accounting for around a quarter of such procedures. The corneal transplant surgeon trephines a lenticule of corneal tissue and then grafts the donor cornea to the existing eye tissue, usually using a combination of running and individual sutures.
The cornea does not have a direct blood supply, so the donor tissue is not required to be blood type matched. Eye banks check the donor corneas for any disease or cellular irregularities.
The acute recovery period can take four to six weeks, and full postoperative vision stabilization often takes a year or more, but most transplants are very stable in the long term.
The procedure of epikeratophakia for keratoconus requires a greater level of skill on the part of the surgeon and is less frequently performed than a penetrating keratoplasty, as the outcome is generally less favorable.
Corneal ring implants (कॉर्नियल रिंग प्रत्यारोपण)
A possible surgical alternative to a corneal transplant is the insertion of intrastromal corneal ring segments. A small incision is made in the periphery of the cornea and two thin arcs of polymethyl methacrylate are slid between the layers of the stroma on either side of the pupil before the incision is closed by a suture. The segments push out against the curvature of the cornea, flattening the peak of the cone and returning it to a more natural shape. The procedure offers the benefit of being reversible and even potentially exchangeable as it involves no removal of eye tissue.
Corneal collagen cross-linking is a developing treatment that aims to strengthen the cornea. In 2016, however, the FDA approved cross-linking surgery as a treatment for keratoconus and recommended that a registry system should be set-up to evaluate the long-term treatment effect. The Save Sight Keratoconus Registry is an international database of keratoconus patients which is tracking outcomes of cross-linking in patients with keratoconus.
Ayurveda treatment for Keratoconus (केराटोकोनस के लिए आयुर्वेद उपचार)
According to Ayurveda, the keratoconus symptoms can be minimized with Nethradhara, Nasya, Tharpana, Virechana, and Shirodhara.
Netra Basti (नेत्र बस्ती)
This therapy is the best keratoconus treatment in Ayurveda, which is used for reducing eye strain and stress. A dough dam is built up around the eye and a warm medicated ghee is slowly poured into the dam, bringing peace and nourishment to the eyes.
It helps to expel the contaminations from the eyes and influences it to clear and enhances vision. This keratoconus treatment in Ayurveda incorporates the release of herbal medications to concentrate over the eyes in the body in a consistent stream.
Netra Trapana (नेत्र त्रपण)
Major keratoconus treatment for keratoconus in Ayurveda used as a preventive and corrective treatment. Gram flour is pasted around both the eyes and drugs are poured onto it such that the drug does not spill from the batter which is set around the eyes.
It is also the best keratoconus treatment in Ayurveda. This method expects you to rests on the back, which may initially start with Abhyangam and includes pouring of around 2 liters lukewarm oil persistently as a stream on to the brow in a wavering way.
Homeopathy treatment for Keratoconus (केराटोकोनस के लिए होम्योपैथी उपचार)
Some medicines for the homeopathic treatment for keratoconus are:
- Calcarea Iodata
- Euphrasia Officinalis
- Pulsatilla Nigricans.
These medicines have no side effects, and also contributes to halting the progression of the keratoconus.
Natural remedies for Keratoconus (केराटोकोनस के लिए प्राकृतिक उपचार)
Omega 3 fatty acids (ओमेगा 3 फैटी एसिड)
These are beneficial fatty acids for the health of the eyes. You should consume foods that are rich in Omega 3 fatty acids, such as salmon, sardines, herring, and tuna.
Strengthening (मजबूत बनाना)
This condition results in an eye’s inability to bend and focus light clearly on the retina or it results in refractive visual errors.
Palming (हथेली में छिपाना)
The sensitivity to light and the blurred vision are often accompanying the early stages of keratoconus. An eye exercise known as palming can help you to get relief from astigmatism by reducing eye strain. To do this type of exercise, you should sit or lie in a comfortable position and then place your right and left palm over your right and left eye. You should relax and you should be sure that there is no seeping light and you should breathe deeply 5 – 10 minutes.
Sunglasses with UV protection (यूवी संरक्षण के साथ धूप का चश्मा)
Overexposure to sunlight can cause or worsen the keratoconus. When you are going outside, then you should protect your eyes with sunglasses which block 99–100% of the UV rays. You can ask your pharmacist or doctor to recommend protective eyewear.
Avoid rubbing your eyes (अपनी आंखों को रगड़ने से बचें)
When you are rubbing your eyes, then it can damage the corneal tissue and it can worsen the keratoconus. If you have persistently itchy eyes, then you should use non–medicated artificial tears or saline eye drops instead of rubbing them.
Avoid microwaves (माइक्रोवेव से बचें)
Leakage from the microwave ovens is a direct cause for cataracts so you need to avoid peeking into the oven door window while you are cooking.
Take Vitamin D supplements (विटामिन डी की खुराक लें)
It is recommended taking 2000 – 4000 IU of Vitamin D because this can slow the progression of keratoconus. There are many cases when patients are taking much more than the recommended dosage of this supplement so you need to talk with your doctor about the best dosage before you try using it because it may cause you some side effects.
Dietary choices (आहार विकल्प)
If you suffer from keratoconus, you need to talk with your doctor about the diet plan.
The best sources of beta carotene are papaya, spinach, and carrots. The best sources of selenium are tuna, eggs, and Brazil nuts. Foods that are rich in lutein are yellow corn, kale, and spinach. You can choose from a variety of nuts and seeds, such as almonds and sunflower seeds if you want to get the Vitamin E. The best sources of Vitamin C are bananas, apples, spinach, and oranges.
It is a known fact that the dietary modifications are not the treatment or cure for the keratoconus and you need to follow your doctor’s recommendations for the treatment.
It can provide benefits to your vision and also it will improve the production of other vitamins which can benefit the rest of your body, such as Vitamin B3 and Vitamin B6. This vitamin can help your body’s cells to produce energy from the intake of carbohydrates, fats, and protein. You should consume foods that have riboflavin as their components, such as cuttlefish, fish (such as salmon, squird and trout), pork, cottage cheese, milk, pasta (egg noodles), mushrooms and spinach.
Drink more Milk (अधिक दूध पिएं)
It is a known fact that the diet which is low in calcium and other nutrients can lead to keratoconus or it can worsen its symptoms. This is a reason why you should drink two to three glasses of milk on a daily basis. In this way, you will meet your daily calcium requirement.
Also, you can talk with your doctor if you can take 500–1000 mg of calcium supplements on a daily basis. Also, you should consume foods that have calcium in it, such as soybeans, kale, spinach, yogurt, and cheese.
Manage your Allergies (अपनी एलर्जी का प्रबंधन करें)
You should try to manage any allergies you have even if they do not directly affect your eyes. Also, the skin and food allergies can cause eye inflammation and they can be related to keratoconus so you need to avoid those irritants.
Exercise every day (प्रति दिन व्यायाम करें)
Keratoconus and Siddha remedies (केराटोकोनस और सिद्ध उपचार)
1. Siddha preventive measures for Keratoconus (केराटोकोनस के लिए सिद्ध निवारक उपाय)
Everybody must practice Siddha preventive measures, whether a person is affected with keratoconus or not, but preventive measures are the primary steps for switching on to any other Siddha remedies, and hence they are important. It helps in one’s capability, effectiveness, and productivity, decision making power, intellectualism, and removing minor health problems. There are three types of preventive measures:
- Earthing – performed for earthing the negativity of our body
- Field Cleaning – cleans energy field (Aura) of our body
- Siddha Brain Exercise/Energizing – energizes our brain for proper functionality
Everybody’s tendency is to get attracted to the word ‘free‘, however, don’t neglect even these Siddha preventive measures are free. Avail the benefits by practicing them sincerely, and regularly. For the ease of understanding what Siddha preventive measures are, please watch a video for a live demonstration.
2. Siddha Shaktidata Yog (सिद्ध शक्तीदाता योग)
This unique Siddha Shaktidata Yog of Siddha Spirituality can solve the problems related to keratoconus with free Siddha remedies. There is no compulsion of training of ‘Swami Hardas Life System’ methods. This not only gives benefits to self but also it can be used for other affected persons, whether a person is in the same house, distantly available in the same city, same nation or might be in any corner of the world, however, both the procedures have been explained here.
3. Siddha Kalyan Sadhana (सिद्ध कल्याण साधना)
Recite this Sadhana with a Sankalp “My problems of keratoconus are solved as early as possible and I should gain health” (केराटोकोनस की मेरी समस्या जल्द से जल्द हल हो और मुझे स्वास्थ्य हासिल हो ). Any person irrespective of caste, creed, religion, faith, sex, and age can recite this Sadhana for free, which should be repeated at least twice in a day. To know more, please click on this link.
4. CCPE products (CCPE उत्पाद)
These products work on the concepts of ‘Conceptual Creative Positive Energy’ (CCPE) within the provisions of the ‘CCPE Life System’ and the theory of Quantum Technology to a certain extent. However, the products get activated only whenever touched by a human and then they become capable of solving the problem and achieving health. However, please use these products for keratoconus as mentioned below:
CCPE Extractor: The CCPE Extractor should be gently moved over the Agya Chakra in a circular motion at least for 30 to 60 seconds, thereafter, follow the same process on both eyes for another 30 to 60 seconds, which finishes within almost 1 – 2 minutes and removes negative energy.
CCPE Booster: Keep one Booster over the Agya Chakra and another one each over both eyes for 3 – 6 minutes. You may need to have 3 Boosters, which establishes positive energy.
5. A daily routine for Keratoconus (केराटोकोनस के लिए एक दैनिक दिनचर्या)
In general, a daily routine may look like this:
- Consume Sattvik diet
- Do aerobic exercise, swimming, and walking regularly
- Apply UAM method of Swami Hardas Life System minimum 5 times a day
- Apply free Siddha remedies minimum 3 times a day, as explained above
- Perform Ananda meditation, or Ananda Sadhana daily
- Perform Swayamsiddha Agnihotra daily, if feasible
- In case, if someone wishes to learn advanced methods of Swami Hardas Life System, undergo unique training
Ensure to sprinkle in some fun during the day: Don’t forget to relax and laugh in between. Laughing is a great way to boost your immune system and help you.
Along with all the above activities, apply above explained free Siddha energy remedies minimum 3 times a day, the more is good. Just try the methods of Siddha Spirituality of Swami Hardas Life System. I am confident that you will surely find improvements within 15 days.
Training of Swami Hardas Life System (स्वामी हरदास लाइफ सिस्टम का प्रशिक्षण)
Any problem with regard to health, peace, and progress can be solved independently without money and medicines by undergoing training of Swami Hardas Life System. Any person irrespective of religion, caste, creed, faith, sex, and age can undergo this unique training.
In view of the above, I am confident that you have learned about keratoconus, meaning, symptoms, diagnosis, genetics, pathophysiology, treatment, Ayurveda, Homeopathy, Natural remedies, and also learned Siddha remedies for free. Now, you have become self-sufficient, hence its right time to use your acquired knowledge for solving problems as per the provision available in Siddha Spirituality of Swami Hardas Life System.
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