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Dr. Kishor

MBBS

Ophthalmologist, Bangalore

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Dr. Kishor MBBS Ophthalmologist, Bangalore
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Kishor
Dr. Kishor is a renowned Ophthalmologist in Outer Ring Road, Bangalore. He has completed MBBS . He is currently associated with Vasan Eye Care Hospital - Marathahalli in Outer Ring Road, Bangalore. Save your time and book an appointment online with Dr. Kishor on Lybrate.com.

Lybrate.com has a number of highly qualified Ophthalmologists in India. You will find Ophthalmologists with more than 41 years of experience on Lybrate.com. You can find Ophthalmologists online in Bangalore and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Vasan Eye Care Hospital - Marathahalli

No- 25/5 D, Near Malgudi Dhabha, Doddanekundi, Outer Ring Road, Marathahalli. Landmark:-Opposite To Lotus Park HotelBangalore Get Directions
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Vasan Eye Care Hospital

No. 25/5 D, Doddanekundi, Outer Ring Road, Marathahalli. Landmark : Opposite To Lotus Park Hotel & Near Malgudi Dhabha.Bangalore Get Directions
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Dengue Vaxia

M.B.B.S,C.C.A,D.C.A,AASECT,FPA,AAD,M.I.M.S
General Physician, Gorakhpur
Dengue Vaxia

Dengvaxia - first vaccine against dengue

Dengvaxia is a vaccine used to help protect adult or children against dengue disease caused by dengue virus serotypes 1, 2, 3 and 4. Dengvaxia is given to adults, adolescents and children 9 through 45 years of age living in endemic areas.

Read more:

Dengue symptoms and what to do if you think you have denguedengue fever - remedies using papaya leaf juice

Full prescribing info - dengvaxia

Contents

Dengue tetravalent vaccine (live, attenuated).

Indications / uses

Dengvaxia is a vaccine used to help protect adult or children against dengue disease caused by dengue virus serotypes 1, 2, 3 and 4. Dengvaxia is given to adults, adolescents and children 9 through 45 years of age living in endemic areas.

Dosage / direction for use

The patient will receive 3 injections of 0.5 ml each at 6-month intervals.

The first injection will occur at the chosen or scheduled date; the second injection, 6 months after the first injection; and the third injection, 6 months after the second injection. Dengvaxia should be used according to the local vaccination schedule.

If the patient forgot an injection of dengvaxia: if the patient missed a scheduled injection, the physician will decide when to give the missed injection.

It is important that the patient follows the instructions of the physician, pharmacist or nurse regarding return visits for the follow-up injection. If the patient forgets or is not able to go back to the physician, pharmacist or nurse at the scheduled time, ask the physician, pharmacist or nurse for advice.

Administration: dengvaxia is given by the physician or nurse as an injection underneath the skin (subcutaneous route) in the upper arm.

Contraindications

Do not use dengvaxia if the patient is allergic (hypertensive) to the active substances or any of the other ingredients of dengvaxia listed in description (see description); has developed an allergic reaction after prior administration of dengvaxia. Signs of an allergic reaction may include an itchy rash, shortness of breath and swelling of the face and tongue; is suffering from a disease with mild to high fever or acute disease. In this case, the physician will postpone the administration of dengvaxia until the patient has recovered; has a weakened immune system, for example due to a genetic defect, hiv infection or therapies that affect the immune system (for example, high-dose corticosteroids or chemotherapy); is pregnant; is breastfeeding.

Use in pregnancy lactation: dengvaxia must not be given to pregnant or breastfeeding women.

If the patient is of child-bearing stage, the patient should take the necessary precautions to avoid pregnancy for 1 month following administration of dengvaxia; is pregnant or breastfeeding, the patient thinks may be pregnant or is planning to have a baby, ask the physician, pharmacist or nurse for advice before receiving dengvaxia.

Special precautions

Inform the physician, pharmacist or nurse before receiving dengvaxia if the patient is taking an immunosuppressive treatment (prednisone or equivalent to 20 mg or 2 mg/kg for 2 weeks or more). The physician will postpone administration of dengvaxia until 4 weeks after the treatment is discontinued; has experienced any health problems after prior administration of any vaccines. The physician will carefully consider the risks and benefits of vaccination.

As with all vaccines, dengvaxia may not protect 100% of persons who have been vaccinated. Vaccination with dengvaxia is not a substitute for protection against mosquito bites. The patient should take appropriate precautions to prevent mosquito bites, including the use of repellents, adequate clothing, and mosquito nets.

Fainting, sometimes accompanied by falling, can occur (mostly in adolescents) following, or even before, any injection with a needle. Therefore inform the physician, pharmacist or nurse if the patient fainted with a prior injection.

Adults above 45 years of age: adults above 45 years of age should not receive the vaccine.

Driving and using machines: no data are available on the effects of dengvaxia on the ability to drive or use machines.

Use in children: children less than 9 years of age should not receive the vaccine.

Side effects

Like all medicines, dengvaxia can cause side effects, although not all patients get them.

Serious allergic reactions: if any of these symptoms occur after leaving the place where the patient received an injection, consult a physician immediately: difficulty in breathing, blueness of the tongue or lips, a rash, swelling of the face or throat, low blood pressure causing dizziness or collapse.

When these signs and symptoms occur they usually develop quickly after the injection is given and while the patient is still in clinic or physician's surgery.

Serious allergic reactions are very rare (may affect up to 1 in 10, 000 people), after receiving any vaccine.

Other side effects: the following side effects were reported during clinical studies in children, adolescents and adults (from 9 to and including 60 years of age). Most of the reported side effects occurred within 3 days after the injection of the vaccine: very common (may affect more than 1 user in 10): headache, muscle pain (myalgia), generally feeling unwell (malaise), feeling of weakness (asthenia), injection site pain, fever.

Common (may affect up to 1 user in 10): injection site reactions: redness (erythema), bruising (hematoma), swelling, and itching (pruritus).

Uncommon (may affect up to 1 user in 100): infections of the upper respiratory tract, dizziness, sore throat (oropharyngeal pain), cough, runny nose (rhinorrhea), nausea, skin eruption (rash), neck pain, hardening of skin at the injection site (injection site induration).

Additional side effects in adults (from 18 to and including 60 years of age): uncommon (may affect up to 1 user in 100): swollen glands (lymphadenopathy), migraine, joint pain (arthralgia), flu-like symptoms (influenza-like illness).

Additional side effects in children and adolescents (from 9 to and including 17 years of age: uncommon (may affect up to 1 user in 100): itchy rash (urticaria).

Reporting of side effects or any suspected adverse event: if the patient experiences any side effects after vaccination, advised to seek immediate medical attention.

By reporting side effects, it can help provide more information on the safety of the vaccine.

Click to view adr monitoring form

Interactions

Using other medicines and dengvaxia: dengvaxia may not have an optimal effect if it used at the same time as medicines that suppress the immune system such as corticosteroids or chemotherapy.

Inform the physician, pharmacist or nurse if the patient is taking or has recently taken any other vaccines or any other medicines, including medicines obtained without a prescription.

Caution for usage

Before administering any biological, the person responsible for administration must take all precautions to prevent allergic or other reactions. As with all injectable vaccines, appropriate medical treatment and supervision must always be readily available in the event of an anaphylactic reaction following the administration of dengvaxia.

Epinephrine (1: 1000) and other appropriate agents used to control immediate allergic reactions must be available to treat unexpected events such as anaphylaxis.

Dengvaxia must not be mixed with other medicinal products in the same syringe.

Dengvaxia must not be administered by intravascular injection under any circumstances.

Syncope (fainting) can occur following, or even before, any vaccination as a psychogenic response to injection with a needle. Procedures should be in place to prevent injury from falling and to manage syncopal reactions.

Separate syringes and needles, separate injection sites and preferably separate limbs must be used if any other vaccine (s) or medicinal product (s) is/are concomitantly administered.

Dengvaxia is reconstituted by transferring all the solvent (0.4% sodium chloride solution) provided in the blue-labeled pre-filled syringe into the vial of freeze dried powder with a yellowish green flip off cap. The pre-filled syringe is fitted with a sterile needle for this transfer. The vial is then gently swirled. After complete dissolution, a 0.5 ml dose of reconstituted suspension is withdrawn into the same syringe. For injection, the syringe should be fitted with the new sterile needle.

The suspension should be visually inspected prior to administration. After reconstitution, dengvaxia is clear, colorless liquid with the possible presence of white to translucent particles (of endogenous nature).

After reconstitution with the solvent provided, dengvaxia must be used immediately.

Any unused dengvaxia or waste material should be disposed of, preferably by heat inactivation or incineration, in accordance with local regulations.

Do not throw away any medicines via wastewater or household waste. Ask a pharmacist on how to throw away medicines that no longer use. These measures will help to protect the environment.

Storage

Store in a refrigerator. Do not freeze. Keep the vaccine in the outer carton in order to protect it from light.

Description

After reconstitution, one dose (0.5 ml) contains 4.5-6.0 log10 ccid50* of each serotype of the cyd dengue virus** (1, 2, 3 and 4).

* ccid50: 50% cell culture infectious dose.

** produced in serum-free vero cells by recombinant dna technology.

The powder is a white, homogenous, freeze-dried powder with possible retraction at the base, and may form a ring-shaped cake.

The solvent (0.4% sodium chloride solution) is a clear, colorless liquid.

After reconstitution with the solvent provided, dengvaxia is a clear, colorless liquid with the possible presence of white to translucent particles.

Excipients/inactive ingredients: essential amino acids including l-phenylalanine, non-essential amino acids, l-arginine hydrochloride, sucrose, d-trehalose dihydrate, d-sorbitol, trometamol, urea, sodium chloride, water for injections.

Mechanism of action

Dengvaxia contains dengue virus serotypes 1, 2, 3 and 4 that have been weakened. Dengvaxia works by stimulating the body's natural defenses (immune system), which produces its own protection (antibodies) against the viruses that cause dengue disease.

Dengue is a viral infection transmitted to humans through the bite of an infected aedes mosquito. Dengue is not transmitted directly from person-to-person. Nevertheless the virus which replicates in an infected individual can be transmitted to other humans through mosquito bites for 4-5 days (maximum 12 days) after the first symptoms appear.

Dengue disease results in a wide range of symptoms including fever, headache, pain behind the eyes, muscle and joint pain, nausea, vomiting, swollen glands or skin rash. Symptoms usually last for 2-7 days. Dengue disease can also be asymptomatic.

However, occasionally dengue can be severe and potentially lead to hospitalization and in rare cases to death. Severe dengue is characterized by high fever and any of the following symptoms: severe abdominal pain, persistent vomiting, rapid breathing, severe bleeding, bleeding in stomach, bleeding gums, fatigue, restlessness, coma, seizure and organ failure.

Source:- http://www.mims.com/philippines/drug/info/dengvaxia

More information about dengvaxia - first vaccine against dengue

Sanofi awaits govt approval to launch dengue vaccine in india

Sanofi pasteur - dengue vaccine frequently asked questions

14 people found this helpful

Eat for Good Vision

MD - PHYSCIAN
General Physician, Delhi
Eat for Good Vision

Protecting your eyes starts with the food on your plate. Nutrients such as omega-3 fatty acids, lutein, zinc, and vitamins C and E might help ward off age-related vision problems such as macular degeneration and cataracts, studies show. Regularly eating these foods can help lead to good eye health:

Green, leafy vegetables such as spinach, kale, and collards

Salmon, tuna, and other oily fish

Eggs, nuts, beans, and other non-meat protein sources

Oranges and other citrus fruits or juices

1 person found this helpful

I am a 63 year old male glaucoma patient have both eyes surgeory.Now using xalacom and soft eye drops. Right eye field is gone. Any medicine or can I replace my eye ?

FVRS, DNB Ophthalmology, MS Ophthalmology, MBBS, FICO
Ophthalmologist, Chennai
Unfortunately, changes caused by glaucoma are irreversible. Eye transplantation only helps those with corneal disorders. It does not apply in your case. Keep using the drops as increased pressure can cause pain at a later stage.
1 person found this helpful
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My wife have suffering from Arthritis since 3 years please resolve my problems. She is 25 year an old lady.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Homoeopathic medicine ACTAE SPICATA 30 ( Dr Reckeweg) Drink 5 drops direct on tongue twice daily ADEL 4 ( ADEL) Drink 20 drops in 20 ml fresh water 3 times daily.
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I am suffering from serious fever and my eyes are becoming red what should I do now?

MBBS, cc USG
General Physician, Gurgaon
2. Take tablet paracetamol 500 mg after food (If No Drug Allergy) as and when required for fever more than 99 f (maximum 3 tablets with gap of 8 hr can be taken in a day) for 3 days
1 person found this helpful
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I have red eyes for three days. What should I do and what are the reasons for it. How to prevent it.

DHMS (Hons.)
Homeopath, Patna
Hello, red eyes r due to under noted cause: * iritis * conjunctivitis take, @ belladonna 30-6 pills, thrice a day. Take, care.
2 people found this helpful
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Sir meri ankh me allergy ho rhi he aur bahut jyada presaan Kar rhi he give me any suggestion.

MS - Ophthalmology, MBBS
Ophthalmologist, Delhi
If you an allergic tendency which gets aggravated with the change of season, then you should consult your doctor before its onset. Allergy could be seasonal or perennial. It could be due to a particular component or very commonly dust. In either case, you should try to avoid the allergan and visit your eye specialist. If the allergy is mild itching, it can be handled with simple washing of eyes with clean cold water and using mild anti allergic drops like olopatadine along with a lubricant drop. But if the allergy is severe leading to severe itching with redness and watering, its better to consult an eye specialist who will not only prescribe you stronger anti allergic drops but also oral anti allergic tablets. You can even do cold fomentation for severe itching. Never rub your eyes. Its a vicious cycle, the more you rub, more you feel like doing it.
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My father is suffering from serious gastric problem, he even have a sever chest pain while coughing in gas, he know even started loosing his eye site because of gas. please sir/ mam help me out and prescribe some useful medicine and exercise.

Ophthalmologist
Ophthalmologist, Thane
Diminished eye sight is not related to gastric symptoms. For his gastric symptoms patient will have to be consulted by a gastroenterologist. And for the age of 71 and with complaint of diminished vision please get him screened for cataract development in his eyes. Thanks.
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My eye problem because vitamin is low in my body. So what can I do my eye is good position.

DOMS, MBBS
Ophthalmologist, Delhi
Get your refraction done and wear spectacles Eat green veggies. Carrots. Strain less your eyes. Relax your eyes in between work. Blink regularily if working for long time on computer. Lower the brightness of your screen. Work under adequately illuminated conditions. If needed wear corrective spectacles. These are few things you can take care of. Otherwise as such no options available which can increase your eyesight. You can also go for contact lens or refractive surgeries.
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Mu daughter has gray spots in her eyes from her birth. Is it ok or I should consult a doctor. The shots are in white part of the eye.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Although These Grey spots are usually and due to child have thin sclera and pigment collects around where small blood vessels or nerves enter into the choroid under the sclera, the choroid is pigmented. Often these go away as the child's sclera gets thicker with age.But your daughter being 18 years of age and still these spots are in the eyes.So although it seems like it could not cause any problem but my suggestion is to get the eyes physically examined by a local eye specialist to rule out any deep seated problem.
1 person found this helpful
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Sir/maam my eye sight is too weak. Its 0.75 both side. I want to improve my eye sight. Please sir/maam any redemy or exercise for this? Please.

Fellowship in Comprehensive Ophthalmology, DOMS
Ophthalmologist, Sangrur
Dear lybrate-user. 0.75 d is a very small number so do not get upset. You can use contact lenses or undergo lasik surgery to get rid of glasses.
1 person found this helpful
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My eye site is too weak please tell me what I do for my eyes I am very worried about my eyes.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Being a homoeopath,i will advise you to undergo homoeopathic treatment as homoeopathic medicine along with exercises aand a diet plan are very effective combination for improving eyesight.consult me
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I have eyes allergy in summers from sun and dust but my eye sight is perfect I use computer for tow three hours daily please help me this problem is very irritating me.

BHMS
Homeopath, Faridabad
Hi, Take homoeoapthic medicines - Euphrasia 30/ 3 times a day orally and Euphrasia eye drops twice a day daily.
1 person found this helpful
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I am 22 years old male and I have squint in my left eye. Is any treatment possible without surgery. Is surgery is safe? is it possible to cure squint by 100%. I hear that. After surgery squint may relapse. Is it true?

MBBS, DOMS
Ophthalmologist, Hyderabad
At your age, there is no treatment other than surgery. Surgery is safe, results are very predictable. It may relapse partly after some time in very few individuals, depends on your type of squint to begin with, how many muscles are involved, etc. It is worth going for surgery, because, even though it is for" cosmetic" purpose, it enhances your image and self confidence, and depending on your profession, can make a huge difference in your life.
2 people found this helpful
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My brother is 25, he has cataract in both eye, according to doctor PSC in both eye and ATROPHY in right eye, right eye vision is 6/24 and left eye vision is 6/9, now we have no idea what should we do, what type of lens we should select because multi type of lens are available in market and he is so young, please suggest me.

Fellowship in Comprehensive Ophthalmology, DOMS
Ophthalmologist, Sangrur
Hello cataract surgery is the only option type of lens depends on your financial status... alcon lenses are good if you can afford
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I am a 48 year old female on thyrox 50 since 1995. I have huge under eye bags. Pl suggest remedy.

Fellowship in Comprehensive Ophthalmology, DOMS
Ophthalmologist, Sangrur
Hello you can consult local oculoplasty surgeon. Eye bags can be treated for cosmetic reasons best of luck.
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I am addicted to mobile phone and my eyes are feeling sick please suggest me how to control usage of mobile.

FICO, DNB Ophtalmology
Ophthalmologist, Gandhinagar
Hi. I have a few suggestions for you regarding the usage of mobile phones and computers. Follow the rule of" 20" this means that every 20 minutes, take a gap of 20 seconds, blink your eyes actively 20 times and focus at an object which is minimum 20 feet away. This will help in relieving your eyes from the continuous strain that is caused due to staring. Staring at the mobile/ computer continuously causes us to subconsciously blink less than normal. This causes the tear film on the surface of the eye to dry up. The result of this is pain, discomfort, etc. Another suggestions regarding the usage of mobiles/ computers is to maintain a proper posture. The mobile/ computer must be positioned at the same height as your eye level. The neck should not be inadvertently flexed or extended. Roughly, an angle of 90 degrees should be maintained between your upper body and thighs. Likewise, a similar angle (90 degrees) should be maintained between your lower legs and thighs. Also the angle between your hands and arms should be roughly 90 degrees. This is the healthy ergonomic way of sitting while using a computer. Maintenance of proper posture would help in further relieving the symptoms of eye discomfort and pain. All these suggestions may take a while to sink in and imbibe in your routine. Once followed, they are sure to work wonders for you. Hope my suggestions help you. Take care.
1 person found this helpful
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My eyesight is week but I didn't want to wear chasma so tell me any eye drop ,supplements or home remedies for improve my eyesight.

Fellowship in Comprehensive Ophthalmology, DOMS
Ophthalmologist, Sangrur
There is no medication or food for improving eyesight or to get rid of glasses. If not interested in glasses then you can try a. Contact lens b. Lasik laser as your age is now 17 years so your number will not increase much now whether you wear glasses or not as number becomes stable at age of 18-20 yrs. Having said that I advise you to eat balanced diet including green vegetables and seasonal fruits for keeping eyes and body healthy. As you are not comfortable with contact lens then go for lasik. Lasik is a very easy and painless procedure. If you want to get rid of glasses then go for lasik.
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Usually when I fet up from the bed, I start having my nerves pain for a while. And I always have swollen eyes forever. please help my out with some suggestions!

BHMS, MD - Homeopathy
Homeopath, Gurgaon
You need to consult a doctor properly. But till the time you do not do that: you might be having some allergy in the eyes or are working too much on the computers or straining your eyes. As for nerve pain, you can try multivitamin once daily for 15 days.
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I am 40 years old my eye sight is +1.25. Jab mai night me smartphone use karta hu tab meri eyes me pain hone lagta hai. Raat me need bi nahi aati hai. Din me weakness lagti hai. Mai kya karu. Pls iska upchaar batain. Pls koi home remedies ho to jaroor batain. Thanks.

DNB Ophtalmology, MS - Ophthalmology, MBBS
Ophthalmologist, Delhi
Ur normal circadian rhythm has been altered...sleep cycle. Avoid tea, coffee after 7pm. have adequate fluid intake and a healthy diet Physical exercise for at least 30 min along with some meditation learn some relaxation techniques. Avoid smart phone use 1-2 hours before sleeping. No games especially- stimulates Ur mind.
1 person found this helpful
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