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Dr. Vyanketsh Pharande

Ophthalmologist, Pune

Dr. Vyanketsh Pharande Ophthalmologist, Pune
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Vyanketsh Pharande
Dr. Vyanketsh Pharande is one of the best Ophthalmologists in Sinhagad Road, Pune. You can visit him at Pharande Eye Hospital & Dental Clinic, Sinhagad Road in Sinhagad Road, Pune. Book an appointment online with Dr. Vyanketsh Pharande and consult privately on Lybrate.com.

Lybrate.com has top trusted Ophthalmologists from across India. You will find Ophthalmologists with more than 32 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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English
Hindi

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Flat Number 1, 1st Floor, Anant Apartment, Anand Nagar, Sinhagad Road,Landmark:Near Santosh Hall, PunePune Get Directions
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Am 18 years old male, got eyesight in 14 years age so, I want to go Lasik surgery, can it be right.

FPRS, DNB Ophtalmology
Ophthalmologist, Pune
Am 18 years old male, got eyesight in 14 years age so, I want to go Lasik surgery, can it be right.
Yes you can plan lasik surgery. You need to undergo pre lasik workup which will include corneal topography. If your corneal thickness is fine and topography is normal, then you can safely go for lasik. Lasik has much predictable results with the current advanced technology. Side effects include dryness and glare for few months which eventually subsides.
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My eye sight is weak and my eye number is also increased at every check up in 6 months. How can improve my eye sight?

BHMS
Homeopath, Faridabad
My eye sight is weak and my eye number is also increased at every check up in 6 months. How can improve my eye sight?
Hello, 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 wild 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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I used laptop more than 12 hours. Then I got weak eyes. I can not see far things. What should I do.

BHMS
Homeopath, Faridabad
I used laptop more than 12 hours. Then I got weak eyes. I can not see far things. What should I do.
hello , Use CMD2 eye drop , 2 drop in each eye twice daily. Take Ruta 30 , 3 drops twice daily. Also get your eyes tested by an eye specialist. Do these 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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My eyes are so weak what can i do?

MS - Ophthalmology, MBBS
Ophthalmologist,
My eyes are so weak what can i do?
Better are glasses. They are away from your eyes. Most of your age spend long hours on screen. So use anti glare coating on your glasses. If you're cosmetically concerned then laser or icl will be a better option than contact lenses.
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I want to know how to make my eye power to normal. I am suffer from myopia power 1.5 please tell me about some nutrition which helps me to gain my normal eyes.

FPRS, DNB Ophtalmology
Ophthalmologist, Pune
I want to know how to make my eye power to normal. I am suffer from myopia power 1.5 please tell me about some nutrit...
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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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 feel pain at the knee. and I have also red eye from 5 day please suggest me suitable solution for my these problem. And it's also pain on my nick. So please suggest me proper solution.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
I have feel pain at the knee. and I have also red eye from 5 day please suggest me suitable solution for my these pro...
Kindly show me photograph of the affected part. Knee rule out diabetes & vit. D deficiency or any other metabolic disorder. Sleep on a hard bed with soft bedding on it. Kindly take biod3 max 1 tab dailyx10 paracetamol 250mg od & sos x5days doknee exercises make sure you are not allergic to any of the medicines you are going to take do not ignore it. It could be beginning of a serious problem. If no relief in 4_5 days, then contact me again.
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I am suffering from headache since last two days and my eyes are paining so much please help me from this problem.

MBBS
General Physician, Cuttack
I am suffering from headache since last two days and my eyes are paining so much please help me from this problem.
1.Take paracetamol 500mg,1 tablet as and when required after food up to a maximum of 3 tablets daily, 2.Drink plenty of water 3.Take adequate rest 4.Avoid stress and anxiety
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I am having eye problem I have got dust in my I I can feel it but we tried Manny things It can not be seen.

Fellowship in Comprehensive Ophthalmology, DOMS
Ophthalmologist, Sangrur
I am having eye problem I have got dust in my I I can feel it but we tried Manny things It can not be seen.
Hello 1. You can clean eyes with fresh clean water 2. Use lubricating eyedrop frequently 3. If it persists, consult local eye specilist.
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I have eye problem from last 5 days. It gets red after 2 hours gap. I also suffer a itching problem in my eyes. It is intolerable.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I have eye problem from last 5 days. It gets red after 2 hours gap. I also suffer a itching problem in my eyes. It is...
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 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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My eyes squint basically left eye Whenever I try to look upwards it is blur with specs I just had my eye check up my glasses prescription increased I can see clearly But whenever I look upwards it is blur and that time my eye squints. What do I do? Is there any exercise?

Ophthalmologist
Ophthalmologist, Thane
My eyes squint basically left eye Whenever I try to look upwards it is blur with specs I just had my eye check up my ...
Please note that You need to be evaluated by a squint specialist to determine the modality of treatment as it could more than one etiology to the symptoms described. Thanks.
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My age is 26 I feel my eyes burning like anything I ve site 0.3 I ve got specs 4 months can know.

Fellowship in Comprehensive Ophthalmology, DOMS
Ophthalmologist, Sangrur
My age is 26 I feel my eyes burning like anything I ve site 0.3 I ve got specs 4 months can know.
Hello this may be due to dryness you can 1. Blink a lot 2. Wash eyes with fresh water 3. Cold compresses 4. Use lubricating eye drop like flogel these measures will help to keep your eyes healthy.
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When I am having tension I can't see anything clearly. Sir please tell me how to solve this problem.

MBBS
General Physician, Chennai
When I am having tension I can't see anything clearly. Sir please tell me how to solve this problem.
You try exercise daily try to meditate every time you feel tensed close your eyes breath deeply and count from 1 to 100 the exercise will help you sleep better aqnd increase the blood ciculation and the chemicals in the brain.
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I am 20 year female , suggested for icl laser eye surgery, does this surgery cause blindness in the future?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), modern diagnostics
Ayurveda,
I am 20 year female , suggested for icl laser eye surgery, does this surgery cause blindness in the future?
Icl I surgery is performed in high myopia normally does not give any complications and considered to be more safe than a conventional lens removal surgery. What is your eye number and vision. Pl give details.
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Why more percent of children need spectacles in each successive generations??

MS - Ophthalmology, MBBS
Ophthalmologist, Delhi
Why more percent of children need spectacles in each successive generations??

We as human children are born with +4.00d power. This eye power helps us in better vision for distance and is essential for survival for both hunting and hunted animals to survive on earth. We have binocular vision meaning both eyes used together for focusing that give us depth sense. Thus, we are born hunters in order to survive on this earth.

But by evolution came agriculture to sustain us. Now we send our young toddlers to school at 3 years of age. Excelling at studies remain the aim. So nature improves our near vision. In the process our distance vision get blurry and we require minus power to look at the distance. Hence, in each successive generations population of myopia (minus power) is increasing.

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I am 22 years old male and am working in accounts field my eyes continuously tears is coming what should I do give me a suggestion.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I am 22 years old male and am working in accounts field my eyes continuously tears is coming what should I do give me...
watering of eyes can be due to many reasons and the main reasons are 1.Eye Allergy due to dust,Pollution,infection 2.Weak Eyesight 3.Continuous watching TV,Mobile,computor in dim light 4.Any eye injury 5.Lack of sleep 6.Continuous headache 7.Hypertension. So,my suggestion for you is either you give details of your eye watering reasons or visit a local doctor for an eye check up as a final examination can only be made after physical examination.
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How can I make our eyes lens clear.

FICO, Specialist in Cataract,Cornea and refractive surgeries , MD - Ophthalmology
Ophthalmologist,
Natural lens inside the eye is affected by age ,nutrition and UV rays. Aging causes catractous changes which is irreversible and may be aggravated by exposure to UV rays. Use of UV protected glasses and eating fresh fruits and vegetables may help to delay the catractous changes.
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Hi sir/Mam, My eye sight keep on increasing since 6 years. Now my eyesight is -4.5. I want to improve my vision. I want to see the world clearly without wearing spectacles. Could someone please suggest any remedy to improve my eyesight. I seldom watch TV. But when I watch at that am unable to see the picture my eyes feel like watering whenever I see tv. Please give me tips to cure it.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Hi sir/Mam, My eye sight keep on increasing since 6 years. Now my eyesight is -4.5. I want to improve my vision. I wa...
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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Exercises to Improve Eye Health

Super-Speciality Trained Ophthalmologists
Ophthalmologist, Delhi
Exercises to Improve Eye Health

There are many common measures people take to improve their eyesight or to improve their vision, including wearing glasses, lenses, and many more. Here are some effective exercises, which can prove to be highly beneficial to improve your eye health:

1. Stretching
This is the most common and also one of the easiest to do. It requires you to just look up, hold for two seconds, look down, hold for two seconds and then repeat this procedure for each corner of your eye, which means top-left, top-right, bottom-left and bottom-right corners.

2. Flexing
This is simply rotating your eyes in circles. Roll your eyes in the clockwise direction for one minute and then roll your eyes in the anticlockwise direction for one minute.

3. Focus switching
This particular eye exercise is probably the most useful one to improve eye health. In this eye exercise, you have to hold something at a reading distance and cover the other eye. You then have to find something that is at least twenty feet away and trace its shape with one eye closed. With one eye closed, trace more shapes, which are twenty feet away.

4. Palming
This exercise is also very simple to perform. All you have to do is cover your eyes with your palms. Once you have done this, just wait and see that there are no bright flashes of light. If you see that there is a bright flash of light, just wait till they go. This is used primarily to distress the eyes.

5. Deep blinking
This is also an incredibly useful exercise for distance vision. What you have to do is to place some large letters are at a fair distance and then sit on a chair. You have to then close your eyes and tighten all your muscles for 5 seconds. After 5 seconds are over, you have to open your eyes and then you have to see the letters for a second or two. The more number of times you do this, the more clearly you will be able to see the letters after reopening your eyes.

However, these eye exercises are not universally accepted by all doctors.

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