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Dr. Ramesh Khatri

Ophthalmologist, Delhi

Dr. Ramesh Khatri Ophthalmologist, Delhi
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Ramesh Khatri
Dr. Ramesh Khatri is a trusted Ophthalmologist in Sadar bazar, Delhi. You can visit him at Sunder Lal Jain Charitable Eye Hospital in Sadar bazar, Delhi. Book an appointment online with Dr. Ramesh Khatri and consult privately on Lybrate.com.

Lybrate.com has an excellent community of Ophthalmologists in India. You will find Ophthalmologists with more than 27 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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Sadar Thana Road, Motia Khan, Delhi Sadar Bazar, DelhiDelhi Get Directions
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B-49, Sector 49, NoidaDelhi Get Directions
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I have glaucoma in my eye's past 9 yeas and lost my side vision. I am 40 year old any treatment for this?

MD - Ophthalmology, MBBS
Ophthalmologist,
For glaucoma once field loss is thrrr , this cannot be recovered. Treatment depends on various factors like intra ocular pressure, disc status snd visual fields. In early stages it would be medical therapy (eye drops) , in late stages it eould be surgery. Most important thing to note is aim of treatment is to preserve the present vision and visual fields and one should regularly consult your ophthslmologist to look into abovee factors.
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Im suffering from eye pain continuously. At night while sleeping a lot of water comes out of my eyes.

BHMS
Homeopath,
Im suffering from eye pain continuously.
At night while sleeping a lot of water comes out of my eyes.
hello, I think you might be having an allergic condition of your eye. wash with pure water. if the symptom persists get your eyes checked . god bless.
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My nephew is 4 months old and water is coming out from his eyes 3 to 4 times a day without any reason. In this case what should we do?

MBBS,DCH(Pediatrics),MIAP, Former Specialist @Narayana Hrudayalaya Hospital
Pediatrician, Pali
My nephew is 4 months old and water is coming out from his eyes 3 to 4 times a day without any reason.
In this case w...
This type of problem is common in this age. The reason may be due to partial obstruction in naso lacrimal duct. Massage is very effective that is from medial side of eyes to lower part of nose. It will help drainage of tears. Massage is to done 2, 3 times w day. You should also consultant an eye specialist. Thanks.
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Washing of eyes 3-4 times a day with cold water is good for eyes or not? How to analyze our eyes from day to day experience? What is the meaning of refractive error of eye sight?

MD - Alternate Medicine, BHMS
Homeopath, Surat
Washing of eyes 3-4 times a day with cold water is good for eyes or not?
How to analyze our eyes from day to day expe...
Yes, it is good. Refractive error indicates the + / - numbers that you get in your eyes. It is difficult to analyse daily, but when it happens, you will slowly start developing pain in head (back side especially).
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My left eye is having pain and some time water come out from it what should I do?

Fellowship in Comprehensive Ophthalmology, DOMS
Ophthalmologist, Sangrur
My left eye is having pain and some time water come out from it what should I do?
Hello dear that pain must be due to dryness 2. Blink a lot 3, cold compresses 4. Use lubricating eyedrop like flogel frequently consult your ophthalmologist for proper check up and treatment.
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Respected doctor, I am a patient of hypothyroidism since last 5 years and taking medicine eltroxin 50 everyday in empty stomach. But during last 2 months my eyes are getting dry (eye fluids are getting dry) .everyday after 8-9 PM the trouble insisted and till sleep it gives trouble. I use to put water or teardrop medicine to resolve the problem. I had done the thyroid test in every year and the test results are within limit.(t3, t4, tsh) Now my 1st question, is thyroid is curable or I had to take medicine for life long. 2nd question, is there is any side effects of the thyroid medicine like cholesterol or obesity/thin ness/ memory loss etc. Please advice how to sort out this dry eye problem and the rests. Kindly advice.

MS - General Surgery
Ophthalmologist, Thane
Respected doctor, I am a patient of hypothyroidism since last 5 years and taking medicine eltroxin 50 everyday in emp...
Thyroid should stay in control with regular treatment. Do not self medicate or suddenly stop hypothyroid treatment. Not treating thyroid can give rise to many effects eg. Obesity, lethargy. For the dry eyes which can be again observed in hypothyroidism please get screened for any other underlying auto immune disorder and start eye drops for dry eyes based on type of dry eyes .You will need an opthalmologist and an endocrinologist to help you out in this regard. Thanks.
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My eyes feel burning or heated when I remain too long in the sunlight and I feel same at the night. What is the cause and how to reduce effect? What is the best eye lubricant?

MBBS, MS - Ophthalmology
Ophthalmologist, Delhi
My eyes feel burning or heated when I remain too long in the sunlight and I feel same at the night. What is the cause...
It's mainly because of dryness of eyes. Get it examined and get treatment according to the severity.
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My both eyes keep watering like tears rolling down most of the time. Did Sac syringe but did not help. I am a diabetic, under control with HbA1c of 6.5%. At 63 years age. Please advice.

DOMS, MBBS
Ophthalmologist, Delhi
My both eyes keep watering like tears rolling down most of the time. Did Sac syringe but did not help. I am a diabeti...
Put eyedrop systane ultra four times a day. See an ophthalmolgst for. Repeat syringing and meticulous examination to findout the cause for watering eye. Your hba1c status shows normal control of blood sugar. Keep it up. Because alterd metabolic status also has ill effects on retina and thus vision.
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I have red eyes for ten days so what should I do with less expense? Please give the solution fast?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I have red eyes for ten days so what should I do with less expense? Please give the solution fast?
Homoeopathic medicine EUPHRASIA 30 ( SBL) Drink 2 drops direct on tongue every 2-3 hrly EUPHRASIA EYEDROPS ( SBL ) pour into eyes 1-2 drops 3 times daily
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I am 24 years old male and I am working online from past few months which started me causing pain in my eyes, what should I do?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I am 24 years old male and I am working online from past few months which started me causing pain in my eyes, what sh...
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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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

In some my eyes light sometimes less w and then after, while I play game at phone at night the tears will come from my eyes. What reason behind it.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
In some my eyes light sometimes less w and then after, while I play game at phone at night the tears will come from m...
This indications are of weak eyesight-----------------first of all visit an eyespecialist to confirm weak eyesight so that you can put required glasses, thereafter consult me. Myself being a homoeopath, will advise you to undergo homoeopathic treatment as homoeopathic medicine along with exercises and a diet plan are very effective combination for improving eyesight and slowly removing your glasses permanently. Consult me.
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I have red eyes from 10 days what prescription. Or tablet should. I take to solve this problem any solutions for it.

FPRS, DNB Ophtalmology
Ophthalmologist, Pune
I have red eyes from 10 days what prescription. Or tablet should. I take to solve this problem any solutions for it.
Dear lybrate user, red eyes could be because of many reasons but commonly it is due to allergy or infection. You need to visit eye specialist to differentiate between the two as the treatment is different. Also get your eyes checked for any glass power
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What to do and what not to do when we are wearing contact lens and how many hours can we wear it?

FPRS, DNB Ophtalmology
Ophthalmologist, Pune
What to do and what not to do when we are wearing contact lens and how many hours can we wear it?
Here are some useful tips on contact lens wear and care to help you get the best out of your contact lenses. Do Have regular check-ups as advised by your practitioner Always wash and dry your hands prior to handling your lenses Always rub, rinse and store your lenses in the recommended solution before and after each use (except single-use lenses, which should be discarded after each wear) Always clean the lens case with solution, wipe with a clean tissue then air-dry after each use by placing the case and lids face down on a tissue Always apply the same lens first to avoid mixing them up Check the lens is not inside out before applying Check the lens is not damaged before applying Handle carefully to avoid damaging the lens Apply your lenses before putting on make-up Remove lenses then remove make-up Keep your eyes closed when using hairspray or other aerosols Replace your lens case at least monthly Discard lenses and solutions that are past their expiry date Wear only the lenses specified by your contact lens practitioner Stick strictly to the recommended wearing schedule and replacement frequency Make sure you have an adequate supply of replacement lenses or a spare pair Have an up-to-date pair of spectacles for when you need to remove your lense Don’t Use tap water, or any other water, on your lenses or lens case Wet your lenses with saliva Put a lens on the eye if it falls on the floor or other surface, without cleaning and storing again Apply a lens if it is dirty, dusty or damaged Continue to wear your lenses if your eyes don’t feel good, look good, or see well Re-use or top up solution – discard and replace with fresh solution each time lenses are stored Decant solution into smaller containers Wear lenses left in the case for more than seven days without cleaning and storing them in fresh solution Sleep in your lenses unless specifically advised to by your practitioner Wear any lens overnight if you are unwell Use your lenses for swimming, hot tubs or water sports, unless wearing goggles Wear your lenses when showering unless you keep your eyes firmly closed Switch the solution you use except on the advice of your practitioner Use any eye drops without advice from your contact lens practitioner Share contact lenses or wear any lenses not specified by your practitioner Remember that if you have any questions about your contact lenses you should consult your eyecare practitioner for advice.
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Sir, I am suffering from amblyopia (lazy eye disease) in right eye. There is some cure for this diseases. I had this problem since 6 years. Please help I am very upset. When doctor tell there is no cure of this.

MS - Ophthalmology, MBBS
Ophthalmologist, Jaipur
Lazy eye can be stimulated to some extent after through examination of your eyesd. Spects/ contact lenses may be the answer.
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I am 25 year old. Name shailesh makwana. I have problem with my eyes. Evry time red colors why.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I am 25 year old. Name shailesh makwana. I have problem with my eyes. Evry time red colors why.
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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I want to improve my eye sight naturally. How can i? Both of my eyes have -2.5 number. Please suggest me some home remedies, so that I can improve my eye vision.

Fellowship in Comprehensive Ophthalmology, DOMS
Ophthalmologist, Sangrur
I want to improve my eye sight naturally. How can i? Both of my eyes have -2.5 number. Please suggest me some home re...
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 26 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. Lasik is a very easy and painless procedure. If you want to get rid of glasses then go for lasik.
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Hi Doctor! I'm 20 year old girl. I'm suffering from squinted eyes since the age of 12. It has happened to me because of usage of spectacles. But for the past 1.5 years I'm using lens instead of specs and the intensity of squinted eyes have reduced but it is still there. What am I suppose to do for complete curing of this? Please explain and kindly help me.

Ophthalmologist
Ophthalmologist, Thane
Hi Doctor! I'm 20 year old girl. I'm suffering from squinted eyes since the age of 12. It has happened to me because ...
Please note that Surgical correction is the definitive correction of squint. Your refractive error has to be evaluated in detail as the squint is partially getting corrected with contact lens. If the residual squint is small. It can be corrected by changing your contact lens prescription. Thanks.
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