Cataract is the most common cause of vision loss in people over age 45 and is the principal cause of blindness in the world. In India there are 12 million blind people and 80.1% of these are blind due to cataract. The annual incidence of cataract blindness is about 3.8 million. ‘Age-related cataract’ also called as senile cataract is the commonest type of acquired cataract affecting equally persons of either sex usually above the age of 50 years. The condition is usually bilateral, but one eye is affected earlier than the other. Senile cataract is the most important cause of avoidable blindness. Till date an effective medical therapy for senile cataract has not been found out. The only treatment of choice is surgery.

Considering the signs and symptoms, senile immature cataract can be compared with kaphaja kacha in Ayurveda. In kaphaja kacha stage, person sees objects as though covered with white cloth, drishti turns white in colour, along with the symptoms of blurring of vision enumerated in the early stages of the timira. Ayurveda treatment for Kaphaja Timira and Kacha includes Snehapanam, Virechanam, Nasyam & Anjanam.

The study will be a single group of pre and post-test study on 60 eyes with signs and symptoms of Senile Immature Cataract who fulfil diagnostic and inclusion criteria belonging to either sex will be selected will be selected from the OPD & IPD of Salakyatantra department of Amrita School of Ayurveda. Before treatment the subjective & objective parameters will be assessed & recorded in a case record form.

Before starting Snehapana, Pachana-deepana with Vaiswanara choornam
(6gm) along with hot water twice daily after food is given to enhance agni for the first 2 days, then Snehapana with Triphala gritha (30-150 ml depending on agni) is given in the early morning for the next 5 days. Hot water is to be taken sip by sip after taking the ghee. After Snehapana, (for 5 days) Asanavilwadi Taila is given for anointing the body prior to hot water bath (2days). Next day, Virechanam is done with Trivrut lehya (15-50gm-based on koshta) which is mentioned in kaphaja timira chikitsa. From the next day onwards, Nasya with Anutaila will be done for the next 5 days & Vimala Varthi Anjana will be done for the last 30 days. Also Triphala choornam with ½ tsp Gogrita (Ghee) and 1 tsp Madhu (Honey) at night after food will be administered internally during the treatment course (30days) and at the end of the treatment, again subjective and objective parameters will be assessed and recorded.

After the completion of treatments (for 45 days), patients asked to come on 75th day (30^th day of finishing the treatment) for the first assessment and the 105^th day (60^th of finishing the treatment) & 135^th day (90^th of finishing the treatment) to assess the sustained effect of the treatment.