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Dr. Gurumurthy

Ophthalmologist, Chennai

500 at clinic
Dr. Gurumurthy Ophthalmologist, Chennai
500 at clinic
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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. Gurumurthy
Dr. Gurumurthy is a popular Ophthalmologist in Nandanam, Chennai. Doctor is currently practising at Vijai Nursing Home in Nandanam, Chennai. You can book an instant appointment online with Dr. Gurumurthy on Lybrate.com.

Lybrate.com has an excellent community of Ophthalmologists in India. You will find Ophthalmologists with more than 38 years of experience on Lybrate.com. You can find Ophthalmologists online in Chennai 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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No. 39, West Road, West CIT Nagar,Nandanam. Landmark:Back Side of Alpha School, ChennaiChennai Get Directions
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Causes and Treatment of Amblyopia

DOMS, MBBS
Ophthalmologist, Delhi
Causes and Treatment of Amblyopia

What is amblyopia or lazy eye? Amblyopia is decreased vision in one or both eyes due to abnormal development of vision in infancy or childhood. In amblyopia, there may not be an obvious problem of the eye. Vision loss occurs because nerve pathways between the brain and the eye aren't properly stimulated. The brain, learns to see only blurry images with the amblyopic eye even when glasses are used. As a result, the brain favors one eye, usually due to poor vision in the other eye. Another word for amblyopia is 'lazy eye'. It is the leading cause of vision loss amongst children.

The major causes of Amblyopia are as follows:

  1. Eye Misalignment: The most basic reason for amblyopia is misalignment of the eyes. In case, both your eyes are not aimed in the same proportion or direction, the image from the affected eye is turned off by the brain. Only the better eye functions. Double vision is restricted.  The persistence of this defect for a prolonged time, makes the eye lose connection with the brain's visual cortex. Amblyopia develops.
  2. Imbalanced error of refraction: If the refractive blunder of both the eyes is not the same, both eyes can't be in the center at the same time. Amblyopia happens when one eye stays out of the center since it is more myopic, farsighted, or astigmatic than the other. One eye becomes dominant. This results in the neglect of the unfocused eye, which neglects to associate with the mind. Treatment with glasses or contact lenses to adjust the refractive blunder of the eye is required.
  3. Cloudiness in the visual system: Any kind of obstruction or cloudiness in the normal functioning of the eye tissues can be another reason, which leads to amblyopia. Disorder of any kind which blocks a clear image from being focused is capable of blocking the formation of a clear image on your retina. This may lead to amblyopia. This is perhaps the most severe type of this disease.

How to cure amblyopia?
For treating amblyopia, a child must be compelled to utilize his affected, weaker eye. This can be done by correction of any disorder of the affected eye such as refractive error, problems in the retina, etc. The goal is to correct the amblyopic eye. The normal eye is usually covered up by a patch, so that only the affected eye can be used for vision. The patching up may continue for weeks, months or years until the best vision gets restored. The improving eye should be maintained well. Spectacles are also prescribed for correction of errors regarding refraction. Eye drops such as atropine are also used for blurring the vision of the good eye. Amblyopia makes you visually impaired. The earliest symptoms must be perceived and acted upon.

4560 people found this helpful

My eye side is weak please tell me what I do for my clear vision. My number is 3.75 which is so high. Tell me what type food I take and etc.

Fellowship in Comprehensive Ophthalmology, DOMS
Ophthalmologist, Sangrur
My eye side is weak please tell me what I do for my clear vision. My number is 3.75 which is so high. Tell me what ty...
Dear lybrate-user. There is no food to get rid of glasses. You may either use contact lens or undergo lasik laser surgery which is simple and painless procedure.
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Hi doctor I have eye sight, due to that frequently I get headaches. So please suggest me something. My right sight eye-6.00 and left sight eye-6.25.suggest me something that I can reduce my eye sight. Thank you.

Fellowship in Comprehensive Ophthalmology, DOMS
Ophthalmologist, Sangrur
Hi doctor I have eye sight, due to that frequently I get headaches. So please suggest me something. My right sight ey...
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. If 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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I am studying 10th class 15 days more for exams I have studied more hours up to 11 o'clock. My eyes have turned to red, 104 degrees fever l got 2 days more for exams. What I should I do?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), Masters in psychology counselling
Psychologist, Hyderabad
I am studying 10th class 15 days more for exams
I have studied more hours up to 11 o'clock.
My eyes have turned to re...
Dear lybrate-user, try this method many people are success first and most sleep early wake up early at 4.0 am and study with fresh mind, of course subjects which you are not interested you must spend more time and repeat it many times" practice makes perfect" not only. Switch off mobile phone when you go to bed and switch it on at 6 am.
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I had got infection in my eyes due to some type of swelling. Please help me doctor.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I had got infection in my eyes due to some type of swelling. Please help me doctor.
Homoeopathic medicine EUPHRASIA 30 ( Dr Reckeweg) drink 2 drops direct on tongue every 2-3 hrly till symptoms lats EUPHRASIA EYE DROPS ( SBL ) pour 2 drops in both eyes 3 times daily
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I have red eyes for over 5 days. I am tensed. Kindly help. Please. Eyes have swollen.

BHMS
Homeopath, Faridabad
I have red eyes for over 5 days. I am tensed. Kindly help. Please. Eyes have swollen.
Take Belladonna 30, 3 drops, thrice daily. Use Schwabe's cmd2, eye drop. instill 2 drops in each eye twice daily. Wash your eyes with cold water twice daily. Revert me after 1 week.
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I use specs for last ten years. Glass is a combination of cylindrical and spherical. Is it safe to do laser treatment?

Phaco Development Program, Fellowship in Pediatric Ophthalmology, DNB Ophtalmology, MBBS
Ophthalmologist, Mysore
There are a few points to be considered before advising laser 1. How much power you have? 2. Is the power stable for atleast a year now? 3. Do you have any other systemic problems? before undergoing lasik a test called corneal topography is done. If the results of that are fine then you can safely undergo laser without any problems.
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What is eye conjunctivitis? I am facing that and a local doctor told me I have it.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), modern diagnostics
Ayurveda,
What is eye conjunctivitis? I am facing that and a local doctor told me I have it.
Infection of conjunctiva.. Coriander boiled water filtered and cooled along lil honey daily once or twice would subside infection in about two to three days
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I suddenly catch Cold. It starts with itching of eyes and then some other things. Whqt should I do About it? And is it permanent allergy?

AUTLS, CCEDM, MD - Internal Medicine, MBBS
General Physician, Faridabad
I suddenly catch Cold. It starts with itching of eyes and then some other things. Whqt should I do About it? And is i...
Use nasorst p for relieving cold... Drink plenty of water Do steam inhalation daily Do warm saline gargles twice 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,
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

13 people found this helpful

. Is there any blood test or any other test to detect the presence of cancer. A blood test-AFP (Alpha fetoprotein Tumor Maker Serum) CMIA was conducted. Reading is <2.0 ng/ml. What this reading mean. The LIMIT mentioned is <10. What does it mean. Good or Bad. Is there something wrong to tae care or worry about. Please advise.

M.Ch - Surgical Oncology, MS - General Surgery, MBBS
Oncologist, Delhi
. Is there any blood test or any other test to detect the presence of cancer. A blood test-AFP (Alpha fetoprotein Tum...
No, there is no one blood test that can rule out cancer in a healthy person with certainity. The present blood test means it is a normal study, but it does not rule out all varieties of cancer.
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Hello My problems is continue work in computer Eye problem Dard karna, bhari pan lagna, jalan karna.

FICO-1, DOMS
Ophthalmologist, Delhi
Hello  
My problems is continue work in computer
Eye problem
Dard karna, bhari pan lagna, jalan karna.
If you know that you have computer vision syndrome then please read online about it how to place your computer, lighting in room, sitting posture etc take frequent breaks do eye exercise use lubricanting eye drops.
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7 days before me c3r eye operation done lens from my eye removed today. Can I wash my face with water?

BHMS
Homeopath, Faridabad
7 days before me c3r eye operation done lens from my eye removed today. Can I wash my face with water?
Hello, no you should not wash your eyes now after 7 days of operation. Follow your doctor's instructions properly. Take care.
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How to reduce spectacles number naturally? And can anyone tell me what may b the cost of lasik surgery in india approximately?

Fellowship in Comprehensive Ophthalmology, DOMS
Ophthalmologist, Sangrur
How to reduce spectacles number naturally? And can anyone tell me what may b the cost of lasik surgery in india appro...
Hello. There is no medication or food for improving eye sight or to get rid of glasses. Get your vision tested and wear glasses. If not interested in glasses then you can try a. Contact lens b. Lasik laser lasik cost ranges from 25000 to 1.10 lacs depending on type of lasik and hospital and city.
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My eyes is darkling red and my head is blasting when I go for drive with drinks what I do ?

Fellowship in Comprehensive Ophthalmology, DOMS
Ophthalmologist, Sangrur
My eyes is darkling red and my head is blasting when I go for drive with drinks what I do ?
Hello there are many causes for redness of eyes mainly allergy, infection, inflammation and dry eyes etc. 1. Redness + itching: allergy 2. Redness + pain + watering + decreased vision: infection 3. Redness + pain: inflammation 4. Redness foreign body sensation: dryness if there is only redness then it is normal as slight exposure to dust, temperature or air or eyes may be red in morning. Stress may also cause redness. I usually do not treat when there is only redness, you can 1. Blink a lot 2. Wash eyes with fresh water 3. Cold compresses 4. Use lubricating eye drop like flogel these measures will help to keep your eyes healthy but it will not have any effect on redness (treating general redness alone is not necessary also) having said that you should consult local ophthalmologist for proper examination and treatment.
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Sir I'm 18+. My eyes so weak. I also wearing glasses shoes no is 2. I can't see far object clearly without wearing glasses. Some doctor told me that leaser operation is for me but some doctor told that it is dangerous. So please tell me what is right and what is wrong.

FPRS, DNB Ophtalmology
Ophthalmologist, Pune
Sir I'm 18+. My eyes so weak. I also wearing glasses shoes no is 2. I can't see far object clearly without wearing gl...
Its safe if prelasik checkup is normal. If your corneal thickness and topography test is normal, you can safely plan lasik surgery.
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Sir. I am Praveen and I can do laser on my eyes so you tell me about laser operation cost money.

Fellowship in Comprehensive Ophthalmology, DOMS
Ophthalmologist, Sangrur
Sir. I am Praveen and I can do laser on my eyes so you tell me about laser operation cost money.
Hello lasik is good surgery to get rid of glasses cost depends on type of lasik which ranges from 25k to 1.10 lac.
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Their is continuous pain in my eye when I work on laptop? What should I do to overcome this problem?

FPRS, DNB Ophtalmology
Ophthalmologist, Pune
Their is continuous pain in my eye when I work on laptop? What should I do to overcome this problem?
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. Also get your eyes checked for any spectacle power.
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How to get rid of under eye bags, I have them since two months and it's not going away I don't drink and I don't smoke I sleep 8 hours and even in daytime But the problem is still have I need help from your best doctor's So give the best advice as you can.

Master of Surgery, Ophthalmology, MBBS
Ophthalmologist, Bikaner
How to get rid of under eye bags, I have them since two months and it's not going away I don't drink and I don't smok...
Cold water splashes over closed lids many a times in a day eye palming and neurotonics should help you out.
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I'm 22 years old! I have -1.25 power long sight! Can I do laser treatment? Any side effects?

BHMS
Homeopath, Faridabad
I'm 22 years old! I have -1.25 power long sight! Can I do laser treatment? Any side effects?
Hi, of course, you can get laser lasik surgery done as there are no side effects! include the following for getting better vision: vitamins a, c, e, and minerals like copper and zinc are essential to eyesight. Get the antioxidants from dark leafy greens, egg yolks, yellow peppers, pumpkin, sweet potatoes, and carrots. Include garlic and onions. Blueberries, grapes as they have antioxidant and anti-inflammatory properties that can help improve your vision. Dha is a fatty acid found in coldwater fish like salmon, sardines and mackerel. Exercises for strengthening eye muscles: -begin by partially closing your eyes; the lids should only be halfway shut. After holding for 10-15 seconds, close your eyes very slowly. Take a few deep breaths to increase oxygen in the blood. -warm your eyes. Rub your palms together to create heat, and then place them against your eyes for five seconds. Repeat this three times. -hold a pen at arm's length. Focus your gaze on the tip of the pen. Bring the pen closer to your nose at a slow and steady pace. Repeat this exercise 5-10 times. -concentrate your vision on the tip of your nose. Then shift your gaze to an object further away, either at arm's length or 20 feet away. Then shift your eyes back to the tip of your nose. Repeat this exercise 10 times. -sit in a relaxed but upright position. Begin by look to the left-most position (without moving your head) and hold to stretch your eye muscles. Hold for 5 counts. Blink and return your gaze back to look straight in front of you. Then look to the right-most position with your gaze and hold for 5 counts. Repeat 3 times, blinking between each hold. Then, repeat this exercise looking up and then down. Do not forget about blinking. -sit in a relaxed but upright position. Look up and to your right for 5 seconds. Return your gaze to center. Look up to and to your left for 5 seconds. Return your gaze to center. Look down and to your right for 5 seconds. Return your gaze to center. Look down and to your left for 5 seconds. -one helpful way to do this is to imagine that you are looking at the number 12 on a clock. Then, follow the numbers around the clock with your eyes. Repeat going the other way around the clock. Insufficient sleep may weaken your vision, so shoot for 8 hours of sound sleep a night. Rest your eyes 10 minutes for every 50 minutes spent reading or in front of the computer. If your eyes feel overly tired, lie down and place cooling cucumber slices over your eyelids. Medication: take homoeopathic medicine which will help you in preventing first and then reducing the power of your eyes (if the eye power is less). Take physostigma 6/ thrice daily for 1 month and instill euphrasia eye drops twice a day. Thereafter, revert back for further guidance.
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