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Dr. Mithun M Pai

Ophthalmologist, Bangalore

Dr. Mithun M Pai Ophthalmologist, Bangalore
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Mithun M Pai
Dr. Mithun M Pai is an experienced Ophthalmologist in Rajaji Nagar, Bangalore. He is currently associated with nethradha a eye hospital in Rajaji Nagar, Bangalore. Save your time and book an appointment online with Dr. Mithun M Pai on Lybrate.com.

Lybrate.com has a number of highly qualified Ophthalmologists in India. You will find Ophthalmologists with more than 40 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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607/77. 1st main dr raj kumar road 2nd block rajajinagarBangalore Get Directions
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I usually work on computer for 5 days a week at least more than 10 hrs. My basic problem is my eye pain severely usually only one eye one day and other eye next day. Can you suggest me what may be the real issue behind this?

FPRS, DNB Ophtalmology
Ophthalmologist, Pune
I usually work on computer for 5 days a week at least more than 10 hrs. My basic problem is my eye pain severely usua...
You have something called as computer vision syndrome. So take frequent breaks while you are working every 20-25 mins take break to look away from screen blink more frequently' level of screen should be below the level of eyes ac should not blow directly on your face.
6 people found this helpful
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I have problem I'm my eyes so kindly eyes in red n just irritate it with some illigation.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I have problem I'm my eyes so kindly eyes in red n just irritate it with some illigation.
Eyes appear red because the vessels at the surface of the white portion of the eye (sclera) become swollen. Vessels may swell due to: • Eye dryness • Too much sun exposure • Dust or other particles in the eye • Allergies • Infection • Injury Eye infections or inflammation can cause redness as well as possible itching, discharge, pain, or vision problems. These may be due to: • Blepharitis: Swelling along the edge of the eyelid. • Conjunctivitis: Swelling or infection of the clear tissue that lines the eyelids and covers the surface of the eye (the conjunctiva). This is often referred to as "pink eye." • Corneal ulcers: Sores on the cornea most often caused by a serious bacterial or viral infection. • Uveitis: Inflammation of the uvea, which includes the iris, ciliary body, and choroid. The cause is most often not known. It may be related to an autoimmune disorder, infection, or exposure to toxins. The type of uveitis that causes the worst red eye is called iritis, in which only the iris is inflamed. Homoeopathic medicine EUPHRASIA 30 ( Dr Reckeweg) Drink 2 drops direct on tongue every 2-3 hrly CINERARIA /EUPHRASIA EYEDROPS ( SBL ) pour into eyes 1-2 drops 3 times daily
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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

My son is having a severe pain in his head. He did check up on his eyes and the grade of left is 400 plus the right is 125. Is it possible from that grade that's why his puking ad having so much pain in his head? Thanks & pls reply.

BHMS
Homeopath, Pune
My son is having a severe pain in his head. He did check up on his eyes and the grade of left is 400 plus the right i...
Dear if his eyes are the problem glasses can take care if used in proper power. But the pressure that is on the eyes, could be helped by drinking more water, having good sleep, eating non acidic foods. If problem continues I suggest go for a ct scan head. The best. Puking if present please specify the quantity, frequency and modality when it happens. Bowel habits also need to be considered.
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I am in confusion. I don't know what to do. I have two kids. My doesn't love me and his kids also. He won't spend time with family. He always want to spend with others expect with us. If he is in home he will be with mobile and laptop. He will not leave mobile for sec. He carries mobile Even he go to toilet. He always hold mobile and will be doing in mobile. He won't even speak for 5 mins with love to me. And he is so lazy. I have to do everything for him. Only bath he will do by his own other than that I have to do everything. He treats me like servant. I don't mind doing that if he show love on me. But he won't. I really want to die but I can't because I have kids they are two young and I can't imagine them with out me because definitely my husband will not take care of them if I die. And I can't go away from him with my kids. Because I don't have any assets to look after them. But if I stay like this I will go mad. Please suggest me what to do. Is there anything wrong with my mentality. Or with his mentality. How to change my life.

M.Sc - Applied Psychology, P.G.Dip.in Guidance &Counselling, B.A., Psychology, Dip.in Pharmacy
Psychologist, Madurai
I am in confusion. I don't know what to do. I have two kids. My doesn't love me and his kids also. He won't spend tim...
" it not what you have lost but what you have left that counts" relax lybrate user. I could understand your stressful state of mind. A husband's indifference over his wife for a long period of time will certainly cause immense pain. But, you can change this state to the better if you have the strong will. Yes, drop your expectation of love from your husband. You will feel free at once. Accept the stressor that can not be changed. Your 2 children can distract you from all your worries. Focus your concentration on them. You can also distract yourself by doing some job at home that gives any income. Sitting and crying will not help in any way. Rebuild your relationship with your friends and relatives, expand your social network. Fortune favours only the bold. Whatever you have been doing to him, do it without any emotional content, expectation or dislike. He may turn good in course of time.
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Whenever I laugh more loudly, I get moist eyes, if the laugh continues then I loose control and my get urine out. please suggest me what to do. What are its causes and treatment, if any.

MBBS
General Physician, Mumbai
Whenever I laugh more loudly, I get moist eyes, if the laugh continues then I loose control and my get urine out. ple...
Its a normal reflexes but you need to do kegels exercise for stopping the urine outflow in such a situation.
1 person found this helpful
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Hello sir/madam Myself Abhishek, 23 years old From last 3 days I am experiencing a itch in my eye, so I used to rub Everytime, and also tears generating only the infected right eye. Today I discovered that a small puss building up on one side of my right eye corner. Why is it caused .any immediate care should be taken? Please advise with a medicine immediately. Many Thanks.

Fellowship in Comprehensive Ophthalmology, DOMS
Ophthalmologist, Sangrur
Hello sir/madam Myself Abhishek, 23 years old From last 3 days I am experiencing a itch in my eye, so I used to rub E...
Hello this could be due to external hordeolum treatment: a. warm compresses b. apply antibiotic ointment locally over lid margins c. take systemic antibiotic
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Sir I want to go the defence side but I has small site will I do laser treatment then they can't identify that I has site and also tell me about laser treatment and in laser treatment what they will do.

MS - General Surgery
Ophthalmologist, Thane
Sir  I want to go the defence side but I has small site will I do laser treatment then they can't identify that I has...
The Laser treatment to correct refractive error is known as LASIK .. It is a safe method to remove or reduce your spectacle number. Kindly to undergo a detailed counselling to your nearest refractive vision correction centre to understand more about it
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I am 17 years old. My eyesight is getting weak continously. I am very worried about it please help me to tell something.

DOMS, MBBS
Ophthalmologist, Delhi
I am 17 years old. My eyesight is getting weak continously. I am very worried about it please help me to tell something.
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 r few things you can take care of. Otherwise as such no options available which wd increases your eyesight.
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How to remove a stuck part of broken contact lens in the eye? The contact lens is broken in the eye and a part of it is left in the eye .How to get rid of it immediately?

Fellowship in Comprehensive Ophthalmology, DOMS
Ophthalmologist, Sangrur
How to remove a stuck part of broken contact lens in the eye? The contact lens is broken in the eye and a part of it ...
Hello Usually these pieces gets embedded in fornix. If you can see under torch light then remove it else Consult local opthalmologist and he will remove it for you.
1 person found this helpful
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I am suffering from myopia. What should I do to cure this disease and what are the symptoms of this disease?

FPRS, DNB Ophtalmology
Ophthalmologist, Pune
I am suffering from myopia. What should I do to cure this disease and what are the symptoms of this disease?
symptoms are blurred vision for distance and shortsightedness and eye strain. just wear your spectacles regularly and annual eye checkup
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I have alot of unwanted facial hair under my eyes. How can I reduce hair growth there? Laser is very expensive for me. Kindly tell me some home remedies for thinning or reduction of unwanted facial hair. Secondly I have a very dull face. I want a glowing skin without any dark circles and flawless complexion. Kindly tell how can I achieve the same? Thanks alot.

DDV, MBBS
Dermatologist, Mumbai
I have alot of unwanted facial hair under my eyes. How can I reduce hair growth there? Laser is very expensive for me...
There is no other permanent method hair reduction other than lasers. For glowing skin please have a well balanced diet and eat food rich in amino acids vitamins and minerals. Take supplements containing. Glutathione and vit c. Use a gd sunscreen. Sleep well. Exercise regularly. Special and safe skin lightening trts are available at a dermatologists clinic.
1 person found this helpful
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In past I Have tried lots of Ayurveda products, Oils,medicine since two years. After using all that I have loosed and 25% to and now it comes my 65% loss of hair on my head. My age is 25 year old. I have loss my full personality its brake my mentality and dter all that I hate my seld to see in mirror so I want to take transplant so suggest me safe and low range of transplant treatment.

MBBS, MD - MD- Skin & VD
Dermatologist, Ahmedabad
In past I Have tried lots of Ayurveda products, Oils,medicine since two years. After using all that I have loosed and...
Hello. It is okay, males have the problem of balding, almost all. Early balding can make you frustrated but stress will lead to faster hair loss. Relax. You can always go for hair transplant, you can wear a wig if nothing works at all. Do not stress yourself, just relax. You can look for Dr. Kuldeep singh skin clinic and american hair transplant in ahmedabad if you want a hair transplant.
3 people found this helpful
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I am 29 years old. I m suffering from Uveitis in my left eye from 8 years. Before it used to active once or twice a year that also mostly in winter season. After starting treatment it used to be control very fast. But now its happening more. This time my treatment is going on from two months. Still taking medicine prednisolone. Is there any permanent treatment?

Fellowship in Comprehensive Ophthalmology, DOMS
Ophthalmologist, Sangrur
I am 29 years old. I m suffering from Uveitis in my left eye from 8 years. Before it used to active once or twice a y...
Hello dear recurrent uveitis warrant some tests like cbc, esr, crp, chest x ray, mantoux test, s. Ace and ana and canca. If all these are normal then take steroid treatment depending on whether it is anterior, intermediate or posterior uveitis. We usually give steroid sparing drugs in case uveitis persistd for long and warrants treatment for long.
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For a recent times, I had a longsighted blurred vision in my right eye. Why this is happening to me? Does over masturbation leads to this problem?

Fellowship in Comprehensive Ophthalmology, DOMS
Ophthalmologist, Sangrur
For a recent times, I had a longsighted blurred vision in my right eye. Why this is happening to me?
Does over mastur...
Hello most common cause for blurred vision is uncorrected refractive error consult local ophthalmologist and get eyesight checked 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 19 years so your number will not increase 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. This is not related to masturbation.
2 people found this helpful
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I'm 48 years old male, suffering from glaucoma in both eyes. I use travacom eye drop once at 9 pm & dorzox in right eye thrice daily. Still I feel haziness in right eye. Which medicine should I use ? When I used travoprost & and timolol separately my IOP was normal, but I changed doctor & he suggested travacom. please suggest what should I do?

DNB Ophtalmology, MS - Ophthalmology, MBBS
Ophthalmologist, Delhi
I'm 48 years old male, suffering from glaucoma in both eyes. I use travacom eye drop once at 9 pm & dorzox in right e...
After changing medical treatment for glaucoma, it is recommended to u an eye pressure checked after 3-4 weeks to ensure IOP is less than target eye pressure. Blurred vision could be due to advanced glaucoma, uncorrected refractive error, development of cataract or simply dry eye or unhealthy ocular surface or allergies. Add a tear substitute...If it does not help revisit ur treating eye doctor.
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I have short sightedness of -3 power without my spectacles and my age is 19 I can't see properly. How can I correct this what are the precautions and what treatment to so thati can see without my spectacles ?

MBBS, MS - Ophthalmology
Ophthalmologist, Delhi
2 methods:- LASIK & ICL. Lasik is most frequently done procedure with least complications. Done within 15 min. Criteria for going for Lasik should be full filled (as mentioned on our website www.Ravieyefoundation.In/services/refractive-surgeries ).
1 person found this helpful
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I have eye sight problem and frequently I will get head ache also. And sometimes it goes to high level and I can not bear it. Even if am using spectacles also it os not decreasing what should I do sir or madam.

MBBS
General Physician, Alappuzha
I have eye sight problem and frequently I will get head ache also. And sometimes it goes to high level and I can not ...
Hai Mr. Lybrate-user, eye sight have tendency to increase upto certain age. It will become stagnant aft 20years of age usually. But in some cases, it continues to increase irrespective of age. And it may be leading to headache. And may b associated with some other problem, which is increasing your headache. Take regular check up of eye sight - once in 6months, and change your glasses according to the power.
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I have red eyes for 5 days. Kindly Please give me suggestions for a eye medicine. I am from delhi sir.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I have red eyes for 5 days. Kindly Please give me suggestions for a eye medicine. I am from delhi sir.
Homoeopathic medicine EUPHRASIA 30 ( Dr Reckeweg) Drink 2 drops direct on tongue every 2-3 hrly CINERARIA /EUPHRASIA EYEDROPS ( SBL ) pour into eyes 1-2 drops 3 times daily
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I have allergies and my eyes are affected the most. They're puffy, red and itchy. What can I do?

Fellowship in Comprehensive Ophthalmology, DOMS
Ophthalmologist, Sangrur
I have allergies and my eyes are affected the most. They're puffy, red and itchy. What can I do?
Hello. I think you have allergic conjunctivitis. 1. Eye allergies, called allergic conjunctivitis, are a common condition that occurs when the eyes react to something that irritates them (called an allergen). 2. The eyes produce a substance called histamine to fight off the allergen. As a result, the eyelids and conjunctiva (the thin, filmy membrane that covers the inside of your eyelids) become red, swollen and itchy, with tearing and burning. The key to treating eye allergies is a. Avoid or limit contact with the substance causing the problem. B. Avoid rubbing eyes instead do cold compresses. Use antiallergic eyedrop along with lubricating eyedrop. This will help you I am very sorry dear to say that there is no medicine that can cure allergy. Only way is to stay away from all those things that you are allergic to.
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