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Dr. Rajinder Khanna

Ophthalmologist, Delhi

500 at clinic
Dr. Rajinder Khanna Ophthalmologist, Delhi
500 at clinic
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. Rajinder Khanna
Dr. Rajinder Khanna is an experienced Ophthalmologist in Nirman Vihar, Delhi. You can meet Dr. Rajinder Khanna personally at KHANNA EYE CENTRE in Nirman Vihar, Delhi. Book an appointment online with Dr. Rajinder Khanna on Lybrate.com.

Lybrate.com has a number of highly qualified Ophthalmologists in India. You will find Ophthalmologists with more than 30 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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E-368, Nirman Vihar, Pillar no. 66, Vikas marg, DelhiDelhi Get Directions
500 at clinic
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I have eye blinking problem again and again but not regular please suggested good way to come out of this I hv also pain over eye.

FPRS, DNB Ophtalmology
Ophthalmologist, Pune
I have eye blinking problem again and again but not regular please suggested good way to come out of this I hv also p...
Most common cause is having a spectacles power. Just get it checked with nearest eye care specialist.
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Will my eyesight worsen if I don't wear glasses? (I can't see things that are distant)

BHMS
Homeopath, Faridabad
Will my eyesight worsen if I don't wear glasses? (I can't see things that are distant)
Hello, you are suffering from near-sighted ness.This is compulsory for you to wear glasses otherwise your eyesight will become worsen.
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How to improve vision using home remedies?

DOMS, MBBS
Ophthalmologist,
How to improve vision using home remedies?
Get your refraction done and wear spectacles Eat green veggies. Carrots. Strain less your eyes. Relax your eyes in between work. Blink regularily if working for long time on computer. Lower the brightness of your screen. Work under adequately illuminated conditions. If needed wear corrective spectacles. These r few things you can take care of. Otherwise as such no options available which wd increases your eyesight.
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I have a red eyes from previous 3-4 days. What should I do?

FICO, Specialist in Cataract,Cornea and refractive surgeries , MD - Ophthalmology
Ophthalmologist,
I have a red eyes from previous 3-4 days. What should I do?
There are various causes of red eye however most common will be conjunctivitis which may be allergic or infectious. Will start treatment empirically on the line of infection start eye drops vigamox 6 times a day eye drops genteal four times a day however other causes of red eyes has to be rule out like allergic, glaucoma, foreign body, uveitis dry eyes, blepharitis. Kindly consult a ophthalmologist.
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I have red eyes over 3 days What should I do? I have major problem it. I suffer from such type disease one time within 2 years.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I have red eyes over 3 days
What should I do? I have major problem it. I suffer from such type disease one time withi...
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. Other potential causes of eye redness include: • Colds or allergies . • Acute glaucoma: A sudden increase in eye pressure that is extremely painful and causes serious visual problems. This is a medical emergency. The more common form of glaucoma is chronic and gradual. • Corneal scratches: Injuries caused by sand, dust, or overuse of contact lenses. Sometimes, a bright red spot, called a subconjunctival hemorrhage, will appear on the white of the eye. This often happens after straining or coughing, which causes a broken blood vessel on the surface of the eye. Most often, there is no pain and your vision is normal. It is almost never a serious problem. Because the blood leaks into the conjunctiva, which is clear, you cannot wipe or rinse the blood away. Like a bruise, the red spot will go away within a week or two. So,visit a local eyespecialist.The diagnosis of your problem in eyes can only be made by local examination of eyes
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Its so embarrassing to say that I m very addicted to sex. If I see any girl. The dirty thoughts came into my mind like pressing boobs, fucking, licking. Its so embarrassing. How to get rid of these.

B.H.M.S
Homeopath, Lucknow
Its so embarrassing to say that I m very addicted to sex. If I see any girl. The dirty thoughts came into my mind lik...
Focus on your carrier. Go for yoga n meditation. Physical exercise also helps you to avoid these feeling. Mix up avoid being alone. Use origanum q 10/drops bd.
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I have problems in my eye. Iam not see clearly, when I study come out my tears. What is the solution of it?

BHMS
Homeopath, Faridabad
I have problems in my eye. Iam not see clearly, when I study come out my tears. What is the solution of it?
Hello, get your eyes tested from an opthalmologist. 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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My mother hv cataract in both eye. I want to know about operation expenses of single and both eye.

Fellowship in Comprehensive Ophthalmology, DOMS
Ophthalmologist, Sangrur
My mother hv cataract in both eye. I want to know about operation expenses of single and both eye.
Hello cost of surgery depends on type of lens you are interested in. Cost ranges from 5000 to 80000 depending on iol.
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I am 66 yrs old. On my left eye I see small shadows moving as I blink my eyes. What is this & the cause for the same

Phaco Development Program, Fellowship in Pediatric Ophthalmology, DNB Ophtalmology, MBBS
Ophthalmologist, Mysore
It is called floaters. It could be due to age related degenerative changes or it could be a symptom of some retinal disorder. It is advisable to consult an eye specialist and get your retina evaluated in detail.
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I am 18 years old and my eye gets watery while studying or while watching tv. What should I so to cure this problem?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I am 18 years old and my eye gets watery while studying or while watching tv. What should I so to cure this problem?
Please visit an eye specialist to rule out possibility of weak eyesight Homoeopathic medicine R-78 Drops ( Dr reckeweg) Drink 10 drops 3 times daily in 20 ml fresh water CINERIA MARITINA EYE DROPS( Dr Reckeweg) without alcohol.Pour 2-3 drops in both eyes 3 times daily. Dont splash water on eyes.
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In this modern technology time where all the work is done with mobile phones and computers and used it alot in a day. So how much hours nowadays is essential to sleep and give rest to eyes?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
In this modern technology time where all the work is done with mobile phones and computers and used it alot in a day....
What new technology we use in our routine life but the basic factors will remain the same and one of this factor is a minimum 8 hour sleep in 24 hour day--------
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My eye vision has become weak.Please do help

MS - Ophthalmology
Ophthalmologist,
Eat yellow leafy vegetables, tomato, apple, oranges. Avoid continuous watching of screens (tv or computer). Wash your eyes frequently.
2 people found this helpful
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I' ve weak eye tear film. That' s why I' ve very dry eyes.Please suggest me in this regard

Phaco Development Program, Fellowship in Pediatric Ophthalmology, DNB Ophtalmology, MBBS
Ophthalmologist, Mysore
For dry eye you will need to use tear supplementation regularly and to avoid dust. Also you have to be careful and avoid air for ac's and fans to hit your eyes directly. Take adequate amount of omega 3 supplementation (fish liver oil / flax seeds). Dry eye at this age could be an indicator to some other disease. It is better you get yourself evaluated in detail by a good ophthalmologist.
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I have a desk job on computer? Minimum 18 hours a day, last couple of month I notice my eight sight are not working like before? Should I go to doctor?

FELLOW PAEDIATRIC OPTOMETRY&ORTHOPTICS , MS(OPTOMETRY)
Ophthalmologist, Kolkata
I have a desk job on computer? Minimum 18 hours a day, last couple of month I notice my eight sight are not working l...
Working b4 computer eyes blinking get deduced frm 15 to 8 times/mnt, so please blink half an hr interval use refresh tears eye drop 3 daily, 1 drop each eye.
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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

Please suggest me eye or vision exercises need to be done everyday in order to make clear vision without any hamper to eyes or I want to avoid specs to see. I'm 29 years old.

BHMS
Homeopath, Thane
Please suggest me eye or vision exercises need to be done everyday in order to make clear vision without any hamper t...
Hi these exercises are yoga exercises and should be practiced under the guidance of a yoga instructor and it really helps. Those who donot know about yoga exercises for improving eyesight doesn't know its importance. They suggest for laser treatments. Eye exercises include yoga exercises which you have to do regularly. Start up with pranayam (breathing exercises) *tratak is the exercise for eyesight, this can be learned from yoga instructor or you can do as follows madhya tratak-in this you have to concentrate over any long distance stable object for 5-10 mins jyoti tratak-in this you have to keep a candle in level of your eyesight at 5 feet distance and cocentrate over the ignited flame for 5 to 10 mins.
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Hello sir, I am a 19 year old boy and reading in 1st year. Sir sometimes I feel pain in my chest while sleeping when I wake up I feel somewhat relaxed and when I go back to sleep the pain comes back. Sir its really hurting too much. Sir can you please tell me what is the reason behind this and its precautions. Thanks.

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Hello sir, I am a 19 year old boy and reading in 1st year. Sir sometimes I feel pain in my chest while sleeping when ...
Core strengthening exercises- straight leg raised with toes turned outward, repeat 10 times, twice a day. Back stretching- lie flat, pull one of the knee forward to chest, hold for 3 seconds, then bring the other knee forward to the chest and again hold for 3 seconds. Then pull both knees towards the chest and hold for 3 seconds. Repeat 10 times each exercise twice a day.
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I am 25 year old I am suffering sleep deprivation I am sleep only 3 or 4 hr on 24 hr some time I am not sleep over 24 hr please take advice for this reason I feel weakness and my study are very affected and within 7 days under eye dark circles increase please help me.

Fellowship in Comprehensive Ophthalmology, DOMS
Ophthalmologist, Sangrur
I am 25 year old I am suffering sleep deprivation I am sleep only 3 or 4 hr on 24 hr some time I am not sleep over 24...
hello...sleep deprivation is a matter of brain and not eyes...when we keep thinking without pause or take stress then we dont get sleep...if u have stress in life...try to get rid of that...take balanced diet....meditate if possible...regarding dark circles..i think ur diet is lacking in essential nutrients...eat proper balanced diet and take proper sleep as lack of sleep causes these dark circles
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I am 77 years recently diagnosed for a m d of both eyes. Wet type. What are the treatment available & how far it is successful?

Phaco Development Program, Fellowship in Pediatric Ophthalmology, DNB Ophtalmology, MBBS
Ophthalmologist, Mysore
Treatment options include one or more of the following 1. Intravitreal injections (bevacizumab, ranibizumab) 2. Photodynamic therapy 3. Laser photocoagulation of the new vessels success will be based on location, size and duration of disease. The closer to the fovea (most sensitive part of the retina) is is poorer will be the response to therapy. Bigger size and longer duration are also poor prognostic factors.
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I am trying to improve my weak eyesight by doing eye exercises, pressing acupressure points and taking diet of green vegetables. What else should I do?

Fellowship in Comprehensive Ophthalmology, DOMS
Ophthalmologist, Sangrur
I am trying to improve my weak eyesight by doing eye exercises, pressing acupressure points and taking diet of green ...
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 21 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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