If the incidental haemorrhage (from a puncture in a wrong place) fill in the cavity of the eye, in that case the eye should be beneficially sprinkled over with clarified butter duly cooked with Yashti-madhu and breast-milk. An incision (puncture) close to the exterior corner (Apanga) of the eye would usher in swelling, pain, lachrymation and redness of the eye, which should be remedied by poulticing (Upanaha) the part between the arches of the eye-brows, and sprinkling (Sechana) the eye over with tepid clarified butter. In the event of the organ being punctured near the Krishna-mandala (region of the iris) and the Krishna-mandala being affected thereby, the affected part should be sprinkled over with clarified butter, purgative should be administered and blood-letting (by means of leeches) should be resorted to. A distressing pain ensues from the puncture being made on the upper part of the eye (Krishna-mandala) and this should be cured by sprinkling drops of lukewarm clarified butter on the seal of affection. Excessive lachrymation sets in with pain and redness of the eye in the event of the puncture being made on the lower part of the eye (Krishna-mandala) and such cases should be treated in the preceding manner. Emulsive (Sneha) application and fomentation (Sveda) of the parts as well as applications of Anuvasana enema should be considered as remedies in cases of redness, lachrymation, pain, numbness and bristling (of the eye-lashes) in the eye, as the result of an excessive and improper handling of the instrument during the operation. 37 - 38
If removed in its acute stage (in a case of Linga-nas'a) the Dosha is liable to have an upward course and produce relapse in the red-coloured specks or films (opacity) in the Sukra (white part of the eye), and it tends to give rise to an excruciating pain in the locality and completely obstruct the vision. The remedy in such a case consists in sprinkling the eye with clarified butter duly cooked with the drugs of the Madhura-gana, and in the application of the same in the manner of Siro-vasti (errhine). Meat diet should be prescribed for the patient in such cases. As a full-bodied cloud coming in contact with the wind meets its destruction, so the fully aggravated Dosha meets its doom, if operated upon with the surgeon's Salaka (rod). 39-40.
A relapse of the deranged Dosha is caused by a blow on the head, physical exercise, sexual excesses, vomiting, epileptic fits, or by an act of piercing the Linga-nas'a (cataract) during its partially developed (D. R. immature) stage. 41.
Care should be taken not to remove the cataract with a roughly shaped Salaka' (rod) as it might usher in an acute and aching pain in the affected organ. A rod with an unsmooth body might lead to an aggravation of the deranged Doshas. A thick-topped rod would necessarily create an extensive ulcer, whereas a sharp one begets the apprehension of hurting the eve in many ways. An excessive lachrymation sets in from using a rod with an unequal or irregular top or mouth, whereas its unsteadiness (in the course of the operation) makes the operation an abortive one. Hence a Salaka (rod) should be constructed and used for the purpose in such a manner as to preclude the possibility of the foregoing defects and injuries. 42.