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Dr. Upma Awasthi

Ophthalmologist, Delhi

600 at clinic
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Dr. Upma Awasthi Ophthalmologist, Delhi
600 at clinic
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Upma Awasthi
Dr. Upma Awasthi is a trusted Ophthalmologist in Daryaganj, Delhi. You can meet Dr. Upma Awasthi personally at Chaudhary Eye Centre & Laser Vision in Daryaganj, Delhi. Book an appointment online with Dr. Upma Awasthi on Lybrate.com.

Lybrate.com has top trusted Ophthalmologists from across India. You will find Ophthalmologists with more than 34 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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Chaudhary Eye Centre & Laser Vision

Address 4802/24, Bharat Ram Road,,Darya Ganj. Landmark: Next To Dariya Ganj Police Station, DelhiDelhi Get Directions
600 at clinic
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I was reported to suffer from kerato corns. But now according to doctors, condition of my eyes is stable. But it has affected the vision of my eyes a lot. Please guide of how to recover the vision or eyesight of my eyes.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I was reported to suffer from kerato corns. But now according to doctors, condition of my eyes is stable. But it has ...
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.---------------- do not splash water on eyes.------------------- report after 60 days--------------------------
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I am suffering from eye problem last 8 year. My eyes visions are -3.50 d. I am wearing glass. Please suggest me that I want to do q LASIK surgery. Its wrong or right? For me.

Fellowship in Comprehensive Ophthalmology, DOMS
Ophthalmologist, Sangrur
I am suffering from eye problem last 8 year. My eyes visions are -3.50 d. I am wearing glass. Please suggest me that ...
Hello....Lasik is a very good and safe procedure to get rid of glasses.....Doctor will do some tests and if all are ok then without fear go for lasik
3 people found this helpful
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I have a pterygium eye problem. So what cause pterygium and is this disease make my eye slight hamper. Please help me some remedy.

BHMS
Homeopath, Faridabad
I have a pterygium eye problem. So what cause pterygium and is this disease make my eye slight hamper. Please help me...
Hello. Pterygium (Surfer's Eye) most often refers to a benign growth of the conjunctiva. A pterygium commonly grows from the nasal side of the conjunctiva. It is usually present in the palpebral fissure. It is associated with and thought to be caused by ultraviolet-light exposure (e.g., sunlight), low humidity, and dust. Prevention: As it is associated with excessive sun or wind exposure, wearing protective sunglasses with side shields and/or wide brimmed hats and using artificial tears throughout the day may help prevent their formation or stop further growth. Medication: Can take homoeopathic medicine - Calcarea Fluor. 12x/ thrice daily for 4 weeks, then revert back.
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I am finding difficulties in opening eyes. It burns and sensitive to light. I am looking like a chinese these days coz of not able to keep my eyes wide open. My vision is fine. Any suggestion ?

Ophthalmologist,
Try using systane ultra and shades while u go out. If not improved you have to get ur retina check up done.
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 have persistent eye irritation, redness of eye, swallowing of nictating membrane. Whenever there is any change of weather or change in environment, there starts itching and infection problems.

BHMS, MD - Homeopathy
Homeopath, Vellore
I have persistent eye irritation, redness of eye, swallowing of nictating membrane. Whenever there is any change of w...
Dear lybrate user ! You are suffering by allergy problem, especially by dust. Homeopathy medicine can cure the problem completely 1. Use any cooler while riding the bike 2. Wash you face immediately after riding the bike or car 3. Dont worry of the weather, it wont affect too much Ping us in private question section, we will help ur by medicines. Thank you Elaveni Homeo clinic,vellore
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My eyes are hurting very much. I do not wear spectacles. Do I need to wear spectacles?

FPRS, DNB Ophtalmology
Ophthalmologist, Pune
My eyes are hurting very much. I do not wear spectacles. Do I need to wear spectacles?
Most common cause is having a spectacles power. Just get it checked with nearest eye care specialist.
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My uncle of age 57 years, height is 5'8" and weight is 156 kg, having diabetes from last 7 years on regular medicine. But now he is feeling blurring in vision, did not feel any warm and cold in his foot. In night frequent urination also. How we can manage this problem, or we should go to the clinic regarding this.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My uncle of age 57 years, height is 5'8" and weight is 156 kg, having diabetes from last 7 years on regular medicine....
Mr. Lybrate-user, your uncle has very morbid obesity with 52.34 kg/m2 bmi. This one of the major reasons for diabetes being not in control. Secondly if he has developed any problem with vision, a retinal check up has to be done immediately, because severe hyperglycemia can lead to damage to retina. Loss of sensation in feet is also a problem due to diabetic neuropathy. If he can afford it is better if bariatric surgery is done, which will help in reducing weight, will also help in controlling diabetes. Things are serious do not waste time, get the eyes checked urgently.
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My eyes pains a lot when I study till late night please help me in overcoming from this problem.

DOMS, MBBS
Ophthalmologist, Delhi
My eyes pains a lot when I study till late night please help me in overcoming from this problem.
Hello, first of all get a vision test and if your eyesight is poor get prescription glasses since poor eyesight might be causing pain while studying. Also in your age weakness of eye muscles is very common, do convergence exercises every morning 20-25 times (hold a pen or pencil at arm's length, at your eye level and focus on the tip then slowly bring the pen towards your eyes persistently looking at the tip, stop when the tip becomes double or blurred, focus hard and repeat the process again). Take balanced diet with more green vegetables and fruits. Moreover resting your eyes is also very important, do not compromise on your sleep. Take care.
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I have red eyes for over 2 days. What I do. I am not understanding that what I do.

BHMS
Homeopath, Faridabad
I have red eyes for over 2 days. What I do. I am not understanding that what I do.
Hello Take Belladonna 30, 3 drops, thrice daily. Use Schwabe's cmd2, eye drop. instill 2 drops in each eye twice daily. Wash your eyes with cold water twice daily. Revert me after 1 week.
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I have red eyes for 7 days. What should I do. please tell me simple solution for healthy eyes. Thanks.

BHMS
Homeopath, Faridabad
I have red eyes for 7 days. What should I do. please tell me simple solution for healthy eyes. Thanks.
Hello, Bloodshot eyes appear red because the vessels at the surface of the white portion of the eye 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. Other causes of eye redness include Colds or allergies, Acute glaucoma, 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. Management: - Try to rest your eyes if redness is due to fatigue or eye strain. No other treatment is needed. - Wash your hands, hold clean water in your hand, keep your eyes closer to the water and dip the eyes by blinking the eyelids frequently in the held water in hand. Repeat it for 3-4 times again. - Avoid watching T. V. Working on computer or mobile, reading or frequently keep blinking your eyes to avoid dryness. Take frequent breaks in between. - In case there is itching, use a clean napkin or a tissue to wipe the tears and cleaning the eyelids gently. -Wear an UV-rays protected sunglasses while you are out in sun. Medication: Take homoeopathic medicines - Schwabe’s Belladonna 30 and Euphrasia 30 - both thrice daily for 4 days. Use Euphrasia Eye drops twice daily. Revert back thereafter.
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I have red eyes for three days and very pain in my eyes and also when I wash my eyes.

MBBS, MBA (Healthcare)
General Physician, Delhi
I have red eyes for three days and very pain in my eyes and also when I wash my eyes.
use oflox eye drop one drop 3 times daily, for 5 days. wash your eyes 2 times morning and evening. daily.
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I have one eye less visible. But the other eye functions as usual. What should I do to cure it?

BHMS
Homeopath, Faridabad
I have one eye less visible. But the other eye functions as usual. What should I do to cure it?
Hello, What's the power of your eyes? Get eyes tested by an eye specialist. 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 eyes: Warm your eyes. Rub your palms together to create heat, and then place them against your eyes for five seconds. Repeat this three times. Roll your eyes. Start by looking up and then slowly circle 10 times clockwise and 10 times counterclockwise. Focus. Hold a pen at arm's length, focus your eyes on it, and slowly bring the pen closer until it's about 6 inches away from your nose. Then slowly move it back, keeping your eyes focused on the pen, 10 times in all. Massage your temples. Using your thumb knuckles, massage your temples in small circles, 20 times in one direction and 20 in the other. Repeat the same actions above the mid-point of the eyebrows at the forehead, then below the eyes on both sides of the bridge of the nose. Take a mini-nap. Put your head back, close your eyes, and relax for 3 minutes. 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 rather reducing the power of your eyes. Take Physostigma 6/ thrice daily for 1 month. Thereafter, revert back for further guidance.
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DOMS, FRVS,FRCS
Ophthalmologist, Mumbai
Do not splash water in open eyes unless there is a foreign substance inside.You are washing away the good healthy tears ...that keep Your eye healthy
1 person found this helpful

I am having an eye power of Sph -0.25 and Cyl -0.5. I have been using specs since last one year. Since then my eye power has increased gradually. I work in front of system neatly 8 hrs. How can I regain my natural eye sight? Should I wear specs every time or only when it is required like focusing on distant objects during driving during presentations lectures? Kindly suggest suitable remedy to reduce my eye power. Thanks.

Fellowship in Comprehensive Ophthalmology, DOMS
Ophthalmologist, Sangrur
I am having an eye power of Sph -0.25 and Cyl -0.5. I have been using specs since last one year. Since then my eye po...
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 28 years so your number will not increase now whether you wear glasses or not as number becomes stable at age of 18-20 yrs. Having said that I advise you to eat balanced diet including green vegetables and seasonal fruits for keeping eyes and body healthy. If you are not comfortable with contact lens then go for lasik. Lasik is a very easy and painless procedure. If you want to get rid of glasses then go for lasik having said that your number is very small. You can avoid using it if there is no headache or visual problems.
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I have red eyes for many days and I am suffering from tears continuously when I am moving on vehicle so I want consultancy regarding this problem.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I have red eyes for many days and I am suffering from tears continuously when I am moving on vehicle so I want consul...
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 Homoeopathic medicine EUPHRASIA 30 ( Dr Reckeweg) Drink 2 drops direct on tongue every 2-3 hrly CINERARIA /EUPHRASIA EYEDROPS ( SBL ) pour into eyes 1-2 drops 3 times daily If no relief within 2 days,please cosult an Eye specialist for physical examination.
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Hello. I am facing issue with my eyes, have strain in reading, please suggest some good medicines for it.

BHMS
Homeopath, Mumbai
Hello.
I am facing issue with my eyes, have strain in reading, please suggest some good medicines for it.
Hello Rhrhr you can start with an herbal eyedrops( which is available with me) which are best eyetonic,it helps in relieving all eyes related issues and also it reduces the refractive error, It will help you a lot, Eyedrops are available with, Thanks
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Hello, I am a 45 years old male, it professional living in the u. S. I have been detected with cataract in both my eyes and I had a cataract operation last year in my left eye. My right eye is due for it now, but I would like to try ayurvedic or homeo or any other non-surgical method of curing. Appreciate any advice on this. Thanks.

MD - Ophthalmology
Ophthalmologist,
With due respect to all modalities of treatments available as of you nowhere in world there is any non surgical method to treat cataract so please undergo cataract surgery as soon as possible.
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