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Dr. Inder M Rustagi

Ophthalmologist, Delhi

200 at clinic
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Dr. Inder M Rustagi Ophthalmologist, Delhi
200 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. Inder M Rustagi
Dr. Inder M Rustagi is a trusted Ophthalmologist in Subhash Nagar, Delhi. You can visit him at Triveni Hospital in Subhash Nagar, Delhi. Save your time and book an appointment online with Dr. Inder M Rustagi on Lybrate.com.

Lybrate.com has an excellent community of Ophthalmologists in India. You will find Ophthalmologists with more than 26 years of experience on Lybrate.com. You can find Ophthalmologists online in Delhi 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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Triveni Hospital

207/13, Dhobi Ghat, Subhash Nagar Railway Road, DelhiDelhi Get Directions
200 at clinic
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Am 21 Years old and I have eye sight of 5 plus for both the eyes so what should I do in order to get complete free frm spots other then laser treatments any other way of curing it?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Am 21 Years old and I have eye sight of 5 plus for both the eyes so what should I do in order to get complete free fr...
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 am collage student. Last 5 year my eye are very poor. How I develop my eye power?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), T.T.C.M Yoga
Ayurveda, Navi Mumbai
I am collage student. Last 5 year my eye are very poor. How I develop my eye power?
Dear Lybrate User, It is also important to eat the right vitamins to support eye health. Vitamins and minerals, such as Vitamin A, C, and E, are all important to eye health.all day, your eyes are probably under a lot of strain. Do yourself (and your eyes) a favour by taking a break for about 10 minutes for every 50 minutes. Simply close your eyes for a minute or get up and walk. apply heat to your eyes by rubbing your palms together and then placing them over your eyes. Rotate your eyes clockwise and anti clock wise to relief strain of eye mucsles .exercise this daily wash your eye with triphala water.Ayurveda Suggest netra trapan procedure to improve eye sight for further clinical Assistant kindly revert Back to Me Thanking You
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Respected sir  I am md danish raza from ara bihar. My nephew 7 year old. Before 1 week we observed that my nephew do not seen clearly from left eye. His eyes never been red or tearing. Then we contact to near eye specialist doctor. During checkup doctor using many glass lenses but no any glass improving his visibility.  Many types of lenses use but doctor says no lenses fitting according to his eye. Doctor do not say which type of disease. So please sir tell me which type of disease .and what is treatment for it.

MS - Ophthalmology
Ophthalmologist, Patna
Respected sir
 I am md danish raza from ara bihar. My nephew 7 year old. Before 1 week we observed that my nephew do ...
Dear , according to your history your nephew is most probably suffering from amblopia or may be due to some retinal pathology. By occlusion therapy and/or with few exercise on synaptophore vision usually improves. So do not discourage. Go to appropriate centre. Good luck.
1 person found this helpful
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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

I am 49 years suffering from bleeding while going for latrine/toilet. Some inner part also comes out which I have to press by my fingers every time. Feeling very tired giddiness eyesight problem and very weakness. Kindly help me.

PG Hom, London, BHMS
Homeopath, Mumbai
Hello , what you are suffering from is known as rectal prolapse. The bleeding might be because of it. Surgery would be the best option for your condition.
1 person found this helpful
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Hi, have swelling with tissue bulge around black eyeball in the eye. It persists more than an hour and could not see properly .what to do?

DNB Ophtalmology, MS - Ophthalmology, MBBS, Fellowship in Medical Retina, Fellowship in IOL & Cataract Microsurgery
Ophthalmologist, Delhi
Hi,  have swelling with tissue bulge around black eyeball in the eye. It persists more than an hour and could not see...
This sounds likely chemosis- inflammation and fluid accumulation in conjunctival tissue...transparent layer over the white part of eye. Usually due to acute allergies or acute viral conjunctivitis. cold compresses or ice packs will help along with topical and oral anti-allergics. But please consult to confirm the diagnosis The blurred vision is due to tear film accumulation.
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5 Foods That Improve Your Eyesight!

MBBS, MD - Ophthalmology, Vitreoretina and Uvea
Ophthalmologist, Gurgaon
5 Foods That Improve Your Eyesight!

It is true that the foods you eat cannot get back your eyesight. It is also true that the foods that you eat can never increase your vision powers. Then you might ask why go through all the trouble of writing articles which state the foods that are beneficial for vision.

A well-made point! But the real truth is while the foods cannot affect the performance of your vision; there are many foods that are needed to maintain a healthy vision. These foods are beneficial and are necessary to preserve the line of sight and are also valuable in sustaining them further damage. Let us give them a thought in detail

Vitamins A, C, and E form the main components when it comes to vision. Always choose a food that has ample doses of these substances and makes it a regular habit. Some of the foods that are high in them are:

  1. Bell Peppers: Not many people know that the brightly coloured bell peppers are a nutritional powerhouse that could help reduce the risk of poor vision. They have ample quantities of Vitamin A and C and in addition to that bell peppers are fat-free, low-calorie, and contain fiber. Give them a shot and see the benefits in the long run.
  2. Carrots: There cannot be an article written about eye sight without the mention of carrots. They have rich traces of Vitamin A and they help to reduce the impact of both cataracts and age-related macular degeneration (AMD). Try having them in its raw format rather than a cooked format to get hold of all the vitamins.
  3. Greens (Spinach, Kale, Leafy Vegetables): There is an age-old saying that the colour green is good for the eyes. This holds true even in the case of green vegetables. Green vegetables like spinach and kale are rich sources of vitamin C and are loaded with antioxidants. They also protect your eyes from UV rays and the direct damage to your eyes from the sun’s rays. Use it as per your imagination and you can have them in salads, soups or as a dip.
  4. Blueberries: Blueberries are also packed with antioxidants and they are beneficial for the overall health and wellness of your eyes health and wellness. They are also high in the soluble fiber, which can help lower cholesterol. You can simply wash them and pop those in your mouth or you can add it as a delicacy to your cereal and porridge.
  5. Sweet Potatoes: Just like carrots, sweet potatoes too have high carotene levels and they are effective in reducing the stress of your eyes. They also soothe your eyes to a great extent and can be beneficial in maintaining the robustness of your eyes. If you wish to discuss about any specific problem, you can consult an Ophthalmologist.
3849 people found this helpful

Sir may I know how can we reduce eye sight, though I am using specs in future I want to reduce using specs.

Fellowship in Comprehensive Ophthalmology, DOMS
Ophthalmologist, Sangrur
Sir may I know how can we reduce eye sight, though I am using specs in future I want to reduce using specs.
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.
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I am suffering from eye floaters. I had consulted eye doctors. They say there is no problem with eye. They even given tablet. But of no use. How can it be cured. Wt is the reason. Any prescription.

BHMS
Homeopath,
I am suffering from eye floaters. I had consulted eye doctors. They say there is no problem with eye. They even given...
Eye floaters is common it can be due to tiredness of your eyes after long watching of tv or reading, it can also be due to any infection, posterior vitrious detachment, retinal detachment, vitrious haemorrhage, etc,if you don't have any underlying cause then you can do following things, first of all relax your mind and your eyes for atlst half an hour daily, move your eye ball round and clockwise and then anti clockwise and repeat the same 20-30 times, hold any object like a pen in front of your eye as far as you can and try to focus on it and slowly bring it towards your head atlst 6 inches away and again repeat the same 15-20 times atlst, massage your temple region and put a cloth soaked in warm water over your eyes, take plenty of water, take food having high antioxidants like blueberries, oranges, pomegranate, pears etc, take sea fish, take a sound sleep, relax your mind, take high protein.
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