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Dr. M.Ram Prakash

Ophthalmologist, Chennai

100 at clinic
Dr. M.Ram Prakash Ophthalmologist, Chennai
100 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. M.Ram Prakash
Dr. M.Ram Prakash is an experienced Ophthalmologist in Saidapet, Chennai. He is currently associated with Vasan Eye Care Hospital - Saidapet in Saidapet, Chennai. You can book an instant appointment online with Dr. M.Ram Prakash on Lybrate.com.

Lybrate.com has an excellent community of Ophthalmologists in India. You will find Ophthalmologists with more than 33 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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Vasan Eye Care Hospital - Saidapet

#383, Old Gems Foundation Building, Anna Salai, Saidapet. Landmark: Near J 1 Police Station & Opposite Bus Terminus, ChennaiChennai Get Directions
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I was unable to see movies with clarity. I think I have sight problem so can you make my eyes Clearwater after wash.

FPRS, DNB Ophtalmology
Ophthalmologist, Pune
I was unable to see movies with clarity. I think I have sight problem so can you make my eyes Clearwater after wash.
Unfortunately there are no natural medications to remove spectacles permanently. You can either try contact lenses or plan for refractive lasik laser surgery.
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I have some problem with my eyes I have colour blindness so kindly help me to solve the problem.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I have some problem with my eyes I have colour blindness so kindly help me to solve the problem.
There is no known treatment. However, there are special contact lenses and glasses that may help people with color blindness tell the difference between similar colors.---------------------------- color blindness is a lifelong condition. Most people are able to adjust to it without difficulty or disability.----------------- homoeopathic medicine----------------------- santonine 3x (dr reckeweg) chew 2 tab twice daily for 3 months.------------------- if the color blindness is partial ie. If one pigment is missing then the above homoeopathic medicine is very useful in that case as seen in my general practise. I will advise you, that what ever is your condition, you should start taking this medicine. Purely homoeopathic, noside effects.
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My mother is having "motiabind" what would be cost of operation ?. She is also having diabetes and low blood pressure.

MD - Ophthalmology
Ophthalmologist, Bangalore
Cost per eye can be anywhere from 14000 to Rs. 100000. Depends on her eye condition, and the package you are choosing. All of them give superb results.
1 person found this helpful
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What should I do to cure my eye sights? I have a spherical and cylindrical aixs too, with power -. 25 and -. 50. Thanks.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
What should I do to cure my eye sights? I have a spherical and cylindrical aixs too, with power -. 25 and -. 50. Thanks.
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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respected sir, mam. For face I am using skintight cream. But my face got little bit fair than before. But my eyes side become dark. Any cream for getting fair for whole face and neck.

MS - Ophthalmology
Ophthalmologist, Rewa
respected sir, mam. For face I am using skintight cream. But my face got little bit fair than before. But my eyes sid...
Dear lybrate-user:- you r suffering from wrinkles on face. Take regullar aerobic exercises, coloured fruits & vegetables, plenty of water. Avoid previous facecream. You may try patanjali anti wrinkle face cream.
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I have -2 vision. Can it be cured permanently? What will be the cost. Any natural solutions?

FVRS, DNB Ophthalmology, MS Ophthalmology, MBBS, FICO
Ophthalmologist, Chennai
A permanent cure is by laser procedure called LASIK. It usually costs about 20-30 thousand per eye depending on the technology and machine used.
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I have eye allergy so what medicine should I take my eyes are so much itching so please suggest me some medicine.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I have eye allergy so what medicine should I take my eyes are so much itching so please suggest me some medicine.
Homoeopathic medicine EUPHRASIA 30 ( Wilmar Schwabe India) 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,
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

I am 22 year man before some days my eye pain and irritating is increase and sometimes drop tthe water what I do?

FPRS, DNB Ophtalmology
Ophthalmologist, Pune
I am 22 year man before some days my eye pain and irritating is increase and sometimes drop tthe water what I do?
Irritation can be commonly due to allergy or infection or dryness, you need to visit nearby eye surgeon to check that. Also get your glass power checked.
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Hello Dr. I've seen homeopathic doctors prescribing medicine. For people. Lik Berberis aqua for dry skin. Even I have dry skin. Can I get those prescribed medication without prescription? And help me with some useful tips for dry skin on face and body! thanks for reading my query. And I'll be grateful if I'm benefited!

BHMS
Homeopath, Lucknow
Hello Dr. I've seen homeopathic doctors prescribing medicine. For people. Lik Berberis aqua for dry skin. Even I have...
Dear lybrate-user, berberis aquifilium not aqua, this remedy used for acne not for dry skin. It acts as blood cleanser. For dry skin you should take plenty of water, take salad, fresh vegetables. Massage your skin with coconut oil daily about 15 minutes. Thanks.
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I am 20 yr student, I am pursuing btech. I use specs for short-sightedness. Many time my eyes pains.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I am 20 yr student, I am pursuing btech. I use specs for short-sightedness. Many time my eyes pains.
Your eyes can pain due to few reasons 1.Much staining while studying 2.Improper sleep 3.Further eyesight weak 4.Hypertension 5.Stress and anxiety Consult a local eye specialist for physical examination
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I'm not getting when sleeping or when I close my eyes. I'm getting mild headache starting when I open my eyes and starting concentrating more on anything. It is not sharp pain but mild headache. Sometimes in eyes of right or left. Sometimes above eyes right or left. Sometimes above eyes to back of head one side. What is the reason. I'm already using glasses for long sight. But didn't changed my power since 3years. Is it due sight change.

FICO-1, DOMS
Ophthalmologist, Delhi
I'm not getting when sleeping or when I close my eyes. I'm getting mild headache starting when I open my eyes and sta...
Yes the first and foremost reason can be change of power so get your power checked and wear right glasses second reason can be weakness of muscle and mild dryness of eyes so for this you can use some lubricant eye drop and do eye exercise.
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I have -3.75 & + 2.5. In both eyes. My age is 57 years. Please Advise Which latest bifocal LASIK eye vision correction is best and safe of all in Mumbai city.

MD - Ophthalmology
Ophthalmologist, Amritsar
I have -3.75 & + 2.5. In both eyes. My age is 57 years. Please Advise Which latest bifocal LASIK eye vision correctio...
At your age, it will be much more logical for you to undertake refractive cataract surgery (in your case - clear lens extraction) with the implantation of a multi focal lens rather than lasik surgery. So look for a good cataract surgeon.
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I've yellowish eyes for years but my eyesight is good and I don't have any fever. What should I do?

BHMS
Homeopath, Raebareli
I've yellowish eyes for years but my eyesight is good and I don't have any fever. What should I do?
Please check your blood for bilirubin if you are having Gilbert's Syndrome. If not then it would be due to working too long on laptops/mobiles/exposure to fumes/gas/smoke/dust..... try to wear glasses (0-power) when working/studying.
1 person found this helpful
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I'm suffering from eye pain when I am traveling on a bike so to relieve from that what I have to do please give me a good answer for my question.

BHMS
Homeopath, Faridabad
I'm suffering from eye pain when I am traveling on a bike so to relieve from that what I have to do please give me a ...
Hello, Instill 2 drops of CMD2 eye drop , in each eye, twice daily. Use sun glasses when ever you step out in the sun. Revert after 7 days.
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I have an eye problem and my eyes flow a lot and everyday when I wake up my eyes become wet so what should I do?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I have an eye problem and my eyes flow a lot and everyday when I wake up my eyes become wet so what should I do?
Watering of eyes can be due to many reasons and the main reasons are------------ 1. Eye allergy due to dust, pollution, infection--------------- 2. Weak eyesight------------ 3. Continuous watching tv, mobile, computor in dim light---------- 4. Any eye injury------------- 5. Lack of sleep------- 6. Continuous headache------------ 7. Hypertension.--------------- so, my suggestion for you is either you provide me the symptoms you are facing due to watering of your eyes or visit a local doctor for an eye check up as a final examination can only be made after physical examination.-------------------
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When my nephew reading something he is feeling headache and feeling dark in front of my eyes mean to says fainting something age is 10 year.

BHMS
Homeopath, Ludhiana
When my nephew reading something he is feeling headache and feeling dark in front of my eyes mean to says fainting so...
Its because of weakness. Give natrum muraticum 200 one dose in morning. Consult a doctor in person for proper treatment. He needs medicine for few months.
7 people found this helpful
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Hi My mother is suffering with varicose veins from 3 years in the left leg feet. She is 63 years old. The blood is not passing upwards and her foot is terribly swollen. We tried all medicines like ayurveda, accu pressure, siddha but no use. She is afraid of taking allopathy treatment because in allopathy they have only one solution, that is surgery. At this age she fears of surgery and more than all her body condition is too weak to go for surgery options. Now her weight is just 45 kgs only. We are pure vegetarians. The condition worsened day by day. When her foot turned blackish and completely swollen and some openings on the surface of the skin occurred. Some serum oozing out from the open of the skin. Finally we went for homeopath doctor. He prescribed lachesis 1M 1 dose. The next day half mug blackish blood came out through the opening on her foot. Then the coming out of blood stopped automatically. Then the doctor prescribed echenisia, hamamelis, r 42 and r 63 mother tinctures and dilutions thrice a day. The swelling decreased a little. And then he referred lachesis 200 one dose once a week. And then after 15 days again he referred vipera 200 1 dose just for one day. She started the medicines 2 months before and the doctor advised to take echenesia, hamamelis, r 42 and 63 regularly 3 times a day each dilution 10 drops in a little water. But now the problem is her foot again swollen worse and the wound in the opening on the foot is not healed a bit from 2 months. The wound is still opened and the flesh inside is visible. Some serum is always oozing out. She is unable to walk. Whenever she land her foot on the land it severely pains for her. More over the leg is swollen more and at present her right leg also started swelling a little. More over some swelling started under her both eyes and it turned to bluish black now. Even her eye lids also swollen. She is not able to open her eyes widely. She is loosing her weight day by day and also becoming very feeble. She is suffering a lot. It seems very horrible for me also to see her suffering at this old age. My question is, Is the medicines given by that doctor is right? If he given right medicines, then why there is no improvement? Why the wound is not healed? And why the condition of the leg is worsen and swollen more? Why the swelling started in her right leg also? Why she is loosing weight? If any other medicines should she take? If the doctor is giving right medicines then why the curing process is delaying this much? How long this treatment should be taken? I want to save her from this disease and she must spend her rest of life healthy and peacefully. Can any experienced home doctor whoever read this can help me? Kindly answer my questions on humanity basis. I will share her present photos of her legs if needed. Please help me. Thank you.

BHMS
Homeopath, Thane
Hi My mother is suffering with varicose veins from 3 years in the left leg feet. She is 63 years old. The blood is no...
Hi, The medicines given are correct .Homoeopathic medicines course is for 3 months minimum,But depending on the severity ,chronicity of disease the treatment continues for long time Even for more than a year,if taken regularly.Continue with Hamemelis Q,R42.Get some instructions from yoga instructors for varicose veins.
2 people found this helpful
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I am suffering from irritations on my right eyes from few moths. What should I do now? I am 24 years old now.

Fellowship in Comprehensive Ophthalmology, DOMS
Ophthalmologist, Sangrur
I am suffering from irritations on my right eyes from few moths. What should I do now?
I am 24 years old now.
Hello 1. In morning wash your eyes with clean water. Do this again in evening also 2. Blink frequently for 2 minutes 3. Rotate your eyes in circular manner for 2 minutes 4. Eat nutritious food including fruits and vegetables.
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I haven't sleep from 2 days and now my eyes are heating and became red. What shall I do right now?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Hyderabad
I haven't sleep from 2 days and now my eyes are heating and became red.
What shall I do right now?
Homoeopathy has good treatment for stomach pain acidity and flatulence without adverse effects. Take nux vomica 200 in the morning and in the evening for 2 days and give feedback.
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