Vision 2020, by World Health Organization, has pointed out that cataract elimination is their primary goal because it is the major cause for preventable blindness. And surgical management is the treatment of choice in every diagnosed case of cataract. Authoritative textbooks of Ayurveda throw light on the importance of vision and various methods to keep it intact and measures for curing it. Considering the signs, symptoms and histological changes in the lens, different stages of senile cataract can be compared to Kaphaja Timira, Kacha and Linganasha, in which the main complaint is visual disturbances. Hence exact analysis of the pathophysiology of senile cataract is very essential to plan an accurate Ayurveda management. If succeeded theoretically and then clinically, this methodology may be recommended and introduced in National and International Levels of Vision 2020, whereby people worldwide can get sight through natural means. The problem of senile cataract blindness is very acute in India, contributing to 80% of total blindness. Hence the study was conducted to evaluate and compare the effect of Manashiladi lekhana anjana and internal medicine Abhaya churna in Kaphaja Kacha. The patients of Kaphaja Kacha were selected from OPD and IPD of Shalakya Tantra Department and allotted randomly in two groups. In GroupA patients were administered Manashiladi lekhana anjana for 30 days. In GroupB patients were administered with both Manashiladi lekhana anjana and Abhaya churna internally for 30 days. The clinical study has shown that combined therapy gives better results than topical treatment.

Keywords: Lekhana Anjana; Abhaya Churna; Kaphaja Kacha; Senile Immature Cataract.