A 28-year-old female reported with diminution of vision for distant objects in both the eyes since 12 years associated with occasional symptoms of eye strain and headache while working on the computers since five years. The subject was a diagnosed case of Compound Myopic Astigmatism and the treatment was planned on the understanding of the same as Prathama Patalagatha Timira. External ocular therapies mentioned in the classics like Virechana Nasya Tarpana Pindi and eye exercises for refractive errors were administered for the subject. Oral medication Mahatriphaladi Ghrita was started after the course of Pindi. Autorefraction was done at various stages of the treatment and during follow up. A change in spherical and cylindrical power was noted and hence an effort was made to understand the relation between the ocular therapies and power of the eye.nbsp