Homœopathic Links 2021; 34(03): 235-240
DOI: 10.1055/s-0041-1736385
Case Report

Phlyctenular Conjunctivitis Treated with Homoeopathy: A Case Report

1   Department of Homoeopathy, Sathye Eye Research Institute for Alternative Medicines, Pune, Maharashtra, India
› Author Affiliations

Abstract

Phlyctenular conjunctivitis (PC) is characterised by formation of a whitish nodule on bulbar conjunctiva near or at the limbus with a localised conjunctival congestion. It is considered as an allergic reaction to endogenous bacterial protein. Conventional treatment includes use of topical steroids in simple PC, but if there is some degree of secondary infection or corneal involvement then combined steroid-antibiotics are used though there are high chances of recurrence. Homoeopathic literature has medicines listed for PC. The case reported was a female aged 60 years suffering from PC in right eye since 5 days and had no relief from local conventional treatment. She had complaints of redness, foreign body sensation and whitish discharge from the eye. Phlycten was at 6 o'clock position below the limbus with much conjunctival congestion around it and in the lower fornix. Homoeopathic Hepar sulphuris 30C resolved nodule within a week but the patient had itching of eye at the inner canthus, especially in the morning. Homoeopathic Natrum muriaticum 30C helped to resolve conjunctival congestion in the fornix and itching of eye within a week. Both medicines were prescribed on the basis of local signs and symptoms. There was no recurrence in the last 5 months. This case report with ocular photographs during follow-up provides documentary evidence about effectiveness of homoeopathy in PC.

Source of Support

Nil.




Publication History

Article published online:
31 December 2021

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  • References

  • 1 Sihota R, Tandon R. Eds. Parson's Diseases of the Eye. 20th edition.. New Delhi: Elsevier India Pvt. Ltd.; 1984: 173
  • 2 Norton AB. Ophthalmic Diseases and Therapeutics. 3rd edition.. New Delhi: B. Jain Publishers (P) Ltd.; 1987: 211-224
  • 3 Dhanda RP, Kalevar V. A Textbook of Clinical Ophthalmology. India: Vikas Publishing House Pvt. Ltd.; 1987: 163-164
  • 4 Cridland AB. Eczematous kerato-conjunctivitis. Br J Ophthalmol 1918; 2: 193-215
  • 5 Duke ES. Conjunctival diseases. In: Duke Elder S. ed. System of Ophthalmology. 1st edition.. London: Henry Kempton; 1965: 461-475
  • 6 Phlyctenular Keratoconjunctivitis. American Academy of Ophthalmology. EyeWiki. https://eyewiki.aao.org/Phlyctenular_Keratoconjunctivitis [Last updated on March 9, 2020]
  • 7 Tabarra KF. Phlyctenulosis. In: Roy FH, Fraunfelder FW, Fraunfelder FT. eds. Current Ocular Therapy. Philadelphia: Elsevier; 2008: 388-389
  • 8 Manchanda RK. Antibiotic resistance: homoeopathic perspective. Indian J Res Homoeopathy 2015; 9: 219-222
  • 9 Moffat JL. Homoeopathic Therapeutics in Ophthalmology. New Delhi: B. Jain Publishers Pvt. Ltd.; 1995: 133-144
  • 10 WHO. International statistical classification of diseases and related health problems, 10th revision. Vol 3, 2016 http://medinfo2.psu.ac.th/medrec/icd9icd10/ICD-10-WHO%202016%20final%20draft_Volume3.pdf
  • 11 Murphy R. Homoeopathic Medical Repertory. 1st Indian edition.. New Delhi: Indian Books & Periodical Syndicate; 1994: 524
  • 12 Rutten L. Data collection: treat every variable as a treasure. Homeopathy 2015; 104 (03) 190-196
  • 13 van Haselen RA. Homeopathic clinical case reports: development of a supplement (HOM-CASE) to the CARE clinical case reporting guideline. Complement Ther Med 2016; 25: 78-85
  • 14 Dhawale ML. Principles and Practice of Homoeopathy, Part I, 3rd edition. Mumbai: Institute of Clinical Research Publications; 2000: 281