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Dr. Rahul Pelamg

MBBS

Ophthalmologist, Pune

300 at clinic
Dr. Rahul Pelamg MBBS Ophthalmologist, Pune
300 at clinic
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Rahul Pelamg
Dr. Rahul Pelamg is a popular Ophthalmologist in central Panchgani, Pune. He has done MBBS . You can meet Dr. Rahul Pelamg personally at Lilawati Hospital in central Panchgani, Pune. Don’t wait in a queue, book an instant appointment online with Dr. Rahul Pelamg on Lybrate.com.

Lybrate.com has top trusted Ophthalmologists from across India. You will find Ophthalmologists with more than 36 years of experience on Lybrate.com. You can find Ophthalmologists online in Pune 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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MBBS - - -

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Vada Road, Raj Guru Nagar,Landmark:-Opp Panchayat Samithi Mahatama Phule Chowkh, PunePune Get Directions
300 at clinic
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Vada Road, Raj Guru Nagar,Landmark:-Opp Panchayat Samithi Mahatama Phule Chowkh.Pune Get Directions
300 at clinic
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Sir, I have a power of -2.50 (spherical glass) but now i want to know my contact lens power moreover which i would prefer like toric,hdplus which one

MD - Ophthalmology
Ophthalmologist, Bangalore
Please visit an eye surgeon for contact lens advise. Dont play with your eyes. There are so many people repending after self diagnosis and self treatment, esp with eyecare!
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Watch My smartphone screen late at night could make me lighthead and dizzy. And pressure in My head. I feel like am having a little eyes problem as well. Maybe My phone giving me them symptoms.

MS - Ophthalmology
Ophthalmologist, Rewa
Watch My smartphone screen late at night could make me lighthead and dizzy. And pressure in My head. I feel like am h...
Dear l you :- you r suffering from refractive error, you need urgently complete refractive correction. Long time watching on laptop/smartphone will cause computer vision syndrome, this will result into dizziness & watering BE Tab xeromig 2 times a day × 10 days
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I wear spectacles of power 1.25 D (Left eye) & 1.75 D (right eye) & I feel as if it's increasing continuously. Can I have my normal vision back by any means. Yoga, laser or any method?

MBBS
General Physician, Delhi
I wear spectacles of power 1.25 D (Left eye) & 1.75 D (right eye) & I feel as if it's increasing continuously. Can I ...
Dear reader if you feel that problem with your eye sight is increasing continuously you should get it checked with an ophthalmologist for the same at periodic intervals. Lasik surgery is a method which can help you reduce the problem and weight of your glasses.
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Actually I see eye floaters infact my one eye number is high so whats suggestion?

FPRS, DNB Ophtalmology
Ophthalmologist, Pune
Actually I see eye floaters infact my one eye number is high so whats suggestion?
floaters are common but if they have come recently and if you have minus number,, then perhaps you need to visit retina specialist to rule out any problem in retina
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Two years back I did yag pi laser treatment what the time period of that effect remain as it is? Is this a last longer?

Fellowship in Comprehensive Ophthalmology, DOMS
Ophthalmologist, Sangrur
Two years back I did yag pi laser treatment
what the time period of that effect remain as it is?
Is this a last longer?
Hello Yag PI is for glaucoma It is one time procedure and PI usually does not close except in few patients
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I used cylindrical lenses of power -0.75 and now I want to improve my eye sight and get rid of specs. Is it possible?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I used cylindrical lenses of power -0.75 and now I want to improve my eye sight and get rid of specs. Is it possible?
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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My father is 55 years old. He has foread pain and eye pain and his e.s.r in blood test is 11. .what should he do.

Fellowship in Comprehensive Ophthalmology, DOMS
Ophthalmologist, Sangrur
My father is 55 years old. He has foread pain and eye pain and his e.s.r in blood test is 11. .what should he do.
Hello there are many causes for headache. This could be due to dryness, sinusistis etc. You can 1. Blink a lot 2. Wash eyes with fresh water 3. Cold compresses 4. Use lubricating eye drop like flogel if headache persists, consult local ophthalmologist.
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मेरी आँखों का नंबर राईट साइड में 1.50 एवम् लेफ्ट में 1.25 है कंप्यूटर में काम करने के करसन आँखों में भारीपन लगता है और चश्मा निकलने पर आँखों से आंसू आते है कृपया बताये क्या ये प्रॉब्लम गंभीर है क्या यह ठीक हो सकती है

Fellowship in Comprehensive Ophthalmology, DOMS
Ophthalmologist, Sangrur
मेरी आँखों का नंबर राईट साइड में 1.50 एवम् लेफ्ट में 1.25 है कंप्यूटर में काम करने के करसन आँखों में भारीपन लगता है औ...
Prolonged working on laptop/tv/mobile can cause computer vision syndrome. Computer vision syndrome is a condition resulting from focusing the eyes on a computer or other display device for, uninterrupted periods of time. Some symptoms of cvs include a. Headaches b blurred vision c. Neck pain d redness in the eyes e. Eye strain f dry eyes sometimes watery eyes these symptoms can be further aggravated by improper lighting conditions. Measures to reduce this include 1. Work under proper light. 2. Blink a lot. 3. Cold compresses 4. Use good lubricating eyedrop.
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I have black skin in eyes side and face only. Why? But I have yellow skin in the body. What will I will I do for my face get my body skin.

MS - Ophthalmology
Ophthalmologist, Rewa
I have black skin in eyes side and face only. Why?
But I have yellow skin in the body.
What will I will I do for my f...
Dear l u:- you r suffering from dark circle arround eye. Take regullar aerobic exercises, eat coloured fruits & vegetables, plenty of water antiwrinke patanjali face cream 2 times a day.
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I have dilated pulp of left eye and a little night vision problem from last one month. What I should do?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I have dilated pulp of left eye and a little night vision problem from last one month. What I should do?
Homoeopathic medicine CYCLAMEN 30 ( Dr Reckeweg) Drink 2 drop in 1 poon fresh water 3 time daily for 15 days Consult an Eye spcialist ffor proper glasse if eyesight is weak
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Hi. My right eye has become red and tears are flowing I doubt it is conjunctivitis. Can you prescribe some medicine for me.

Fellowship in Comprehensive Ophthalmology, DOMS
Ophthalmologist, Sangrur
Hi. My right eye has become red and tears are flowing I doubt it is conjunctivitis. Can you prescribe some medicine f...
hello it is conjunctivitis Prevention a. maintain eye hygiene b. use two handkerchief (one for each eye) c. keep hands clean Treatment a. antibiotic eyedrop b. lubricating eyedrop c. antibiotic ointment at night kindly consult local opthalmologist and get yourself examined
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Is there any danger side effect on the eye after LASIK surgery. And what should we do to increase our height.

FPRS, DNB Ophtalmology
Ophthalmologist, Pune
Is there any danger side effect on the eye after LASIK surgery. And what should we do to increase our height.
Lasik is a simple laser procedure which changes the shape of the cornea so that the light rays fall on the retina properly. It is a painless procedure. It is a day care procedure does not require any injections, does not require admission, you can simply resume your duties in 2 days. Cost varies from centre to centre. Side effects are usually limited to dryness of eyes for few months. We can do lasik anytime after age of 18 years. You need to undergo proper prelasik checkup to decide whether lasik is safe for you or not
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I have been suffering from the problem odlf myopia. What are the reasons behind it and remedies for it.

FPRS, DNB Ophtalmology
Ophthalmologist, Pune
I have been suffering from the problem odlf myopia. What are the reasons behind it and remedies for it.
no reason it is usually hereditary . unfortunately there are no natural medications to remove spectacles permanently. you can either try contact lenses or plan for refractive lasik laser surgery
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I m told that I m heading for cataract and first stage of glaucoma what shld I do.

C.S.C, D.C.H, M.B.B.S
General Physician,
I m told that I m heading for cataract and first stage of glaucoma what shld I do.
Both will progress and when it is ready cataract need to be operated and for glaucoma, you take medicines and regularly check up.
2 people found this helpful
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My father is 61 years old and have a problem of eye floatters from 1 year. Please help me to solve this problem without any surgerry.

MBBS, MS - Ophthalmology
Ophthalmologist, Delhi
Floaters can be due to vitreous degeneration or retinal pathology. It first to be examined and then managed accordingly.
3 people found this helpful
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Hello, my height is short, pimples on my face and my eyesight is weak I am thin what I should do?

DNB Ophtalmology, MS - Ophthalmology, MBBS
Ophthalmologist, Delhi
Hello, my height is short, pimples on my face and my eyesight is weak I am thin what I should do?
For us weak eyesight, you need to use corrective aids like glasses or contacts. Or you can undergo appropriate refractive surgery after a thorough clinical and diagnostic evaluation.
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I have facing vising problem when I run fast for smaller duration. I don't drink and smoke at all. May I know the reason behind that.

FPRS, DNB Ophtalmology
Ophthalmologist, Pune
I have facing vising problem when I run fast for smaller duration. I don't drink and smoke at all. May I know the rea...
Most common cause is having a spectacles power. Just get it checked with nearest eye care specialist.
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Dengue Vaxia

M.B.B.S,C.C.A,D.C.A,AASECT,FPA,AAD,M.I.M.S
General Physician,
Dengue Vaxia

Dengvaxia - first vaccine against dengue

Dengvaxia is a vaccine used to help protect adult or children against dengue disease caused by dengue virus serotypes 1, 2, 3 and 4. Dengvaxia is given to adults, adolescents and children 9 through 45 years of age living in endemic areas.

Read more:

Dengue symptoms and what to do if you think you have denguedengue fever - remedies using papaya leaf juice

Full prescribing info - dengvaxia

Contents

Dengue tetravalent vaccine (live, attenuated).

Indications / uses

Dengvaxia is a vaccine used to help protect adult or children against dengue disease caused by dengue virus serotypes 1, 2, 3 and 4. Dengvaxia is given to adults, adolescents and children 9 through 45 years of age living in endemic areas.

Dosage / direction for use

The patient will receive 3 injections of 0.5 ml each at 6-month intervals.

The first injection will occur at the chosen or scheduled date; the second injection, 6 months after the first injection; and the third injection, 6 months after the second injection. Dengvaxia should be used according to the local vaccination schedule.

If the patient forgot an injection of dengvaxia: if the patient missed a scheduled injection, the physician will decide when to give the missed injection.

It is important that the patient follows the instructions of the physician, pharmacist or nurse regarding return visits for the follow-up injection. If the patient forgets or is not able to go back to the physician, pharmacist or nurse at the scheduled time, ask the physician, pharmacist or nurse for advice.

Administration: dengvaxia is given by the physician or nurse as an injection underneath the skin (subcutaneous route) in the upper arm.

Contraindications

Do not use dengvaxia if the patient is allergic (hypertensive) to the active substances or any of the other ingredients of dengvaxia listed in description (see description); has developed an allergic reaction after prior administration of dengvaxia. Signs of an allergic reaction may include an itchy rash, shortness of breath and swelling of the face and tongue; is suffering from a disease with mild to high fever or acute disease. In this case, the physician will postpone the administration of dengvaxia until the patient has recovered; has a weakened immune system, for example due to a genetic defect, hiv infection or therapies that affect the immune system (for example, high-dose corticosteroids or chemotherapy); is pregnant; is breastfeeding.

Use in pregnancy lactation: dengvaxia must not be given to pregnant or breastfeeding women.

If the patient is of child-bearing stage, the patient should take the necessary precautions to avoid pregnancy for 1 month following administration of dengvaxia; is pregnant or breastfeeding, the patient thinks may be pregnant or is planning to have a baby, ask the physician, pharmacist or nurse for advice before receiving dengvaxia.

Special precautions

Inform the physician, pharmacist or nurse before receiving dengvaxia if the patient is taking an immunosuppressive treatment (prednisone or equivalent to 20 mg or 2 mg/kg for 2 weeks or more). The physician will postpone administration of dengvaxia until 4 weeks after the treatment is discontinued; has experienced any health problems after prior administration of any vaccines. The physician will carefully consider the risks and benefits of vaccination.

As with all vaccines, dengvaxia may not protect 100% of persons who have been vaccinated. Vaccination with dengvaxia is not a substitute for protection against mosquito bites. The patient should take appropriate precautions to prevent mosquito bites, including the use of repellents, adequate clothing, and mosquito nets.

Fainting, sometimes accompanied by falling, can occur (mostly in adolescents) following, or even before, any injection with a needle. Therefore inform the physician, pharmacist or nurse if the patient fainted with a prior injection.

Adults above 45 years of age: adults above 45 years of age should not receive the vaccine.

Driving and using machines: no data are available on the effects of dengvaxia on the ability to drive or use machines.

Use in children: children less than 9 years of age should not receive the vaccine.

Side effects

Like all medicines, dengvaxia can cause side effects, although not all patients get them.

Serious allergic reactions: if any of these symptoms occur after leaving the place where the patient received an injection, consult a physician immediately: difficulty in breathing, blueness of the tongue or lips, a rash, swelling of the face or throat, low blood pressure causing dizziness or collapse.

When these signs and symptoms occur they usually develop quickly after the injection is given and while the patient is still in clinic or physician's surgery.

Serious allergic reactions are very rare (may affect up to 1 in 10, 000 people), after receiving any vaccine.

Other side effects: the following side effects were reported during clinical studies in children, adolescents and adults (from 9 to and including 60 years of age). Most of the reported side effects occurred within 3 days after the injection of the vaccine: very common (may affect more than 1 user in 10): headache, muscle pain (myalgia), generally feeling unwell (malaise), feeling of weakness (asthenia), injection site pain, fever.

Common (may affect up to 1 user in 10): injection site reactions: redness (erythema), bruising (hematoma), swelling, and itching (pruritus).

Uncommon (may affect up to 1 user in 100): infections of the upper respiratory tract, dizziness, sore throat (oropharyngeal pain), cough, runny nose (rhinorrhea), nausea, skin eruption (rash), neck pain, hardening of skin at the injection site (injection site induration).

Additional side effects in adults (from 18 to and including 60 years of age): uncommon (may affect up to 1 user in 100): swollen glands (lymphadenopathy), migraine, joint pain (arthralgia), flu-like symptoms (influenza-like illness).

Additional side effects in children and adolescents (from 9 to and including 17 years of age: uncommon (may affect up to 1 user in 100): itchy rash (urticaria).

Reporting of side effects or any suspected adverse event: if the patient experiences any side effects after vaccination, advised to seek immediate medical attention.

By reporting side effects, it can help provide more information on the safety of the vaccine.

Click to view adr monitoring form

Interactions

Using other medicines and dengvaxia: dengvaxia may not have an optimal effect if it used at the same time as medicines that suppress the immune system such as corticosteroids or chemotherapy.

Inform the physician, pharmacist or nurse if the patient is taking or has recently taken any other vaccines or any other medicines, including medicines obtained without a prescription.

Caution for usage

Before administering any biological, the person responsible for administration must take all precautions to prevent allergic or other reactions. As with all injectable vaccines, appropriate medical treatment and supervision must always be readily available in the event of an anaphylactic reaction following the administration of dengvaxia.

Epinephrine (1: 1000) and other appropriate agents used to control immediate allergic reactions must be available to treat unexpected events such as anaphylaxis.

Dengvaxia must not be mixed with other medicinal products in the same syringe.

Dengvaxia must not be administered by intravascular injection under any circumstances.

Syncope (fainting) can occur following, or even before, any vaccination as a psychogenic response to injection with a needle. Procedures should be in place to prevent injury from falling and to manage syncopal reactions.

Separate syringes and needles, separate injection sites and preferably separate limbs must be used if any other vaccine (s) or medicinal product (s) is/are concomitantly administered.

Dengvaxia is reconstituted by transferring all the solvent (0.4% sodium chloride solution) provided in the blue-labeled pre-filled syringe into the vial of freeze dried powder with a yellowish green flip off cap. The pre-filled syringe is fitted with a sterile needle for this transfer. The vial is then gently swirled. After complete dissolution, a 0.5 ml dose of reconstituted suspension is withdrawn into the same syringe. For injection, the syringe should be fitted with the new sterile needle.

The suspension should be visually inspected prior to administration. After reconstitution, dengvaxia is clear, colorless liquid with the possible presence of white to translucent particles (of endogenous nature).

After reconstitution with the solvent provided, dengvaxia must be used immediately.

Any unused dengvaxia or waste material should be disposed of, preferably by heat inactivation or incineration, in accordance with local regulations.

Do not throw away any medicines via wastewater or household waste. Ask a pharmacist on how to throw away medicines that no longer use. These measures will help to protect the environment.

Storage

Store in a refrigerator. Do not freeze. Keep the vaccine in the outer carton in order to protect it from light.

Description

After reconstitution, one dose (0.5 ml) contains 4.5-6.0 log10 ccid50* of each serotype of the cyd dengue virus** (1, 2, 3 and 4).

* ccid50: 50% cell culture infectious dose.

** produced in serum-free vero cells by recombinant dna technology.

The powder is a white, homogenous, freeze-dried powder with possible retraction at the base, and may form a ring-shaped cake.

The solvent (0.4% sodium chloride solution) is a clear, colorless liquid.

After reconstitution with the solvent provided, dengvaxia is a clear, colorless liquid with the possible presence of white to translucent particles.

Excipients/inactive ingredients: essential amino acids including l-phenylalanine, non-essential amino acids, l-arginine hydrochloride, sucrose, d-trehalose dihydrate, d-sorbitol, trometamol, urea, sodium chloride, water for injections.

Mechanism of action

Dengvaxia contains dengue virus serotypes 1, 2, 3 and 4 that have been weakened. Dengvaxia works by stimulating the body's natural defenses (immune system), which produces its own protection (antibodies) against the viruses that cause dengue disease.

Dengue is a viral infection transmitted to humans through the bite of an infected aedes mosquito. Dengue is not transmitted directly from person-to-person. Nevertheless the virus which replicates in an infected individual can be transmitted to other humans through mosquito bites for 4-5 days (maximum 12 days) after the first symptoms appear.

Dengue disease results in a wide range of symptoms including fever, headache, pain behind the eyes, muscle and joint pain, nausea, vomiting, swollen glands or skin rash. Symptoms usually last for 2-7 days. Dengue disease can also be asymptomatic.

However, occasionally dengue can be severe and potentially lead to hospitalization and in rare cases to death. Severe dengue is characterized by high fever and any of the following symptoms: severe abdominal pain, persistent vomiting, rapid breathing, severe bleeding, bleeding in stomach, bleeding gums, fatigue, restlessness, coma, seizure and organ failure.

Source:- http://www.mims.com/philippines/drug/info/dengvaxia

More information about dengvaxia - first vaccine against dengue

Sanofi awaits govt approval to launch dengue vaccine in india

Sanofi pasteur - dengue vaccine frequently asked questions

13 people found this helpful

I have red eyes. What shall I do to avoid this red eyes and to prevent this red eye disease.

Fellowship in Comprehensive Ophthalmology, DOMS
Ophthalmologist, Sangrur
I have red eyes. What shall I do to avoid this red eyes and to prevent this red eye disease.
Eye redness is most often due to swollen or dilated blood vessels. This makes the surface of the eye look red. There are many causes of a red eye or eyes like infection, allergy. Foreign body in eyes. Some are medical emergencies and some are a cause for concern, but not an emergency. Others are nothing to worry about. Consult your local eye specilist to see what is the cause
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Sir my eyesight is weak what should I do to keep them ok?

Fellowship in Vitreoretinal Surgery, MS - Ophthalmology
Ophthalmologist,
Sir my eyesight is weak what should I do to keep them ok?
Just wear proper number glasses and get your eyesight checked avary 6 months once. Eat green veges and carrots more.
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