Author(s): Sapna Dinesh Bhandary*, Amarnath H K, Chaithra S. Hebbar
Among the eight surgical procedures described by Acharya Sushruta, chedana (~excision), bhedana (~incision), lekhana (~scraping/curette) and vyadhana (~venaepuncture/aspiration) are indicated in the diseases of eye. Lekhana was employed as an important surgical procedure of Shalakya tantra especially in most of the diseases of eye during Sushruta’s period. Based on the different disease conditions, the method was commonly practiced either individually or along with other surgical procedures. A detailed description of pre-operative, operative and post-operative procedures of lekhana is explained by Acharya Susruta. But advancements in the field of surgery have led to immense changes in the clinical practice.This paper focuses on all such diseases, procedures of lekhana karma and the various responsible factors leading to its decline from the current Ayurvedic ophthalmological practice.