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Dr. Harshal C. Baldha

MS - Ophthalmology

Ophthalmologist, Rajkot

18 Years Experience  ·  at clinic
Dr. Harshal C. Baldha MS - Ophthalmology Ophthalmologist, Rajkot
18 Years Experience  ·  at clinic  ·  ₹ online
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Personal Statement

To provide my patients with the highest quality dental care, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality dental care, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Harshal C. Baldha
Dr. Harshal C. Baldha is a renowned Ophthalmologist in Gondal Road, Rajkot. He has had many happy patients in his 18 years of journey as a Ophthalmologist. He has done MS - Ophthalmology. You can consult Dr. Harshal C. Baldha at Satguru Shashtri Sri Das Ji Eye Clinic in Gondal Road, Rajkot. Save your time and book an appointment online with Dr. Harshal C. Baldha on Lybrate.com.

Lybrate.com has a nexus of the most experienced Ophthalmologists in India. You will find Ophthalmologists with more than 37 years of experience on Lybrate.com. You can find Ophthalmologists online in Rajkot 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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MS - Ophthalmology - Govt. Medical College Ahmedabad - 1998
Languages spoken
English
Hindi

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Irritation in my eyes n some strands like things of white colour. They cause irritation n redness of eyes.

Fellowship in Comprehensive Ophthalmology, DOMS
Ophthalmologist
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Irritation in my eyes n some strands like things of white colour. They cause irritation n redness of eyes.
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 This is a provisional diagnosis. Consult your ophthalmologist for detailed examination.
1 person found this helpful

I have diplopiya vision and my MRI result shows ischemic changes of small vessels of brain. I have history of high blood sugar from last 4years. What I do?

Diploma in Cardiology
General Physician
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I have diplopiya vision and my MRI result shows ischemic changes of small vessels of brain.

I have history of high b...
Control your sugar with human rapid acting insulin. Make a c b g chart and consult a neurologist nearby.

I have pain in my eye during studying. And its very much that I can't read. What I can do?

FPRS, DNB Ophtalmology
Ophthalmologist
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I have pain in my eye during studying. And its very much that I can't read. What I can do?
Take frequent breaks while studying and dip a handkerchief in cold water and keep it over closed eyes for 2 minutes during breaks, you will feel better. Also get your eyes checked for any spectacle number.

My 12 years son having -8.5 Nos specs. By birth which is increasing every six months Please advise..

Fellowship in Vitreoretinal Surgery, MS - Ophthalmology
Ophthalmologist
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My 12 years son having -8.5 Nos specs. By birth which is increasing every six months Please advise..
He is having myopia and his number will keep on increasing till he is 20 coz the number generally stabilises at that age when body growth stops. Make him eat green veggies and carrots more as there is nothing much which you can do.
1 person found this helpful

I have red eye for over 2days? What should I do? And I have stomach pain over last 3days what should I do?

MBBS
General Physician
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I have red eye for over 2days? What should I do?
And I have stomach pain over last 3days what should I do?
For red eyes we need to put antiallergic and anti inflammatory eye drops and For stomach pain take tablet Meftalspas-Ds

Eye problem:my spectle power is +1.25 and i hav little pain in eye and i want to know dat eye speclst only provide glasses to wear or also give some tips to becam a normal ..vision

MBBS, MS - Ophthalmology
Ophthalmologist
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The eye specialist gives you the power, and advises you relevant measures to avoid increase in power of glasses.

I am suffering from fever for 7 days and my eyes are red since then what can I do?

cc USG, MBBS
General Physician
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I am suffering from fever for 7 days and my eyes are red since then what can I do?
follow health advises given below: measure your temperature and tell me reading 1. Avoid exertion 2. Take tablet paracetamol 500 mg after food (If No Drug Allergy) as and when required for fever more than 99 f (maximum 3 tablets with gap of 8 hr can be taken in a day) for 3 days 3. Lot of fluids to be taken 4. Take proper diet homemade food like moong dal dalia, chapati etc. 4. Avoid wearing synthetic and tight cloths. Kindly go for CBC test and consult physician for further management and let me know what medicines you were taking and also tell me if you are having other symptoms like cough/ throat pain/ burning urine/ stomach pain so that we can confirm cause of fever.
2 people found this helpful

I have a lazy eye due to weak eye sight that's why am using patanjali drishty eye drops can I use I lite capsules too along with drishti or it may cause any harm plzz reply thnx.

Fellowship in Comprehensive Ophthalmology, DOMS
Ophthalmologist
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I have a lazy eye due to weak eye sight that's why am using patanjali drishty eye drops can I use I lite capsules too...
Hello you may use these capsules but these will not help you there is no proven treatment for lazy eye at this age

My eyes gets red after shower. it stills remains red for few hours. Please advise.

MS - Ophthalmology, MBBS
Ophthalmologist
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My eyes gets red after shower. it stills remains red for few hours. Please advise.
There may be some minerals/chemicals in water to which you are allergic. Use itone eye drops immediately after the bath.

There is a little bit redness in my eyes. Is it normal or should I go to an eye specialist for checkup.

MBBS, Diploma in Ophthalmology
Ophthalmologist
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There is a little bit redness in my eyes. Is it normal or should I go to an eye specialist for checkup.
If redness persist more than 12 hrs. N pain, watering n foreign body sensation develop. See an ophthalmologist. Try clean n cold water wash till then.
1 person found this helpful

Dengue Vaxia

M.B.B.S,C.C.A,D.C.A,AASECT,FPA,AAD,M.I.M.S
General Physician
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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
Dengue Vaxia
9 people found this helpful

Sir I have squint with very law eye vision. I was check out by chitrakoot netralaya. They said it has no permanent solution it has temporary solution. I m 19 year old plzzz tell can treat. It if yes then how plzzz tell me.

MS - Ophthalmology
Ophthalmologist
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Sir I have squint with very law eye vision. I was check out by chitrakoot netralaya. They said it has no permanent so...
Dear lybrate-user:- as per your complaints, you r suffering from be squints. You should send photograph of your eyes. So that confirmed diagnosis & treatment of squint could be established. In strabismus orthoptic exercises, medication & corrective surgery can improve the eye problems cosmetically as well as visually also.

My eyes have a alergitic condition, so they are always red. How I can determine the allergy.

BHMS
Homeopath
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My eyes have a alergitic condition, so they are always red. How I can determine the allergy.
Hi. 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.
2 people found this helpful

When I close my eyes and try to sleep something happens in my head I don't know how to explain. I am feeling too scared many thoughts are running through my head .please give me any solutions. I have been having headache quiet frequently .At nights I feel dam scared .I am unable to sleep.

MBBS
General Physician
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When I close my eyes and try to sleep something happens in my head I don't know how to explain. I am feeling too scar...
1. Sleep well and regular. Irregular sleep can have some serious consequences. It affects both our physical health and also contributes to anxiety and stress. Anxiety as such also leads to disruptions in sleep. When feeling anxious, always try to get a full 7 to 9 hours of uninterrupted sleep and it can work wonders to improve your condition. 2. Always keep smiling. Take a quick break in between your hectic work to get some laughs with your friends. Laughter can reduce depression and anxiety and has proven benefits. 3. Tidy up your living space or workspace. Keep your things clean and clutter-free. That helps us think clear and thus reducing levels of anxiety. 4. Say thank you often. Expressing your thanks for something helps reduce anxiety. 5. Eat smart. Eating more of foods which are rich in vitamin b and omega-3 fatty acids and also healthy whole grain carbs. Vitamin b contributes to good mental health. While omega 3 fatty acids help with both depression and anxiety. Whole grain foods boost serotonin and helps us remain poised. Eating high-sugar content food and processed foods can increase levels of anxiety. 6. Learn to breathe well and relax. Short, shallow breaths arise when you are tensed. So consciously breathing deeply, plus increasing the duration and depth of breathing helps relax the body and mind to a great extent. 7. Meditate. Meditation has so many positive effects on stress, mood, and anxiety. Club meditation with positive thinking to improve your general well-being and overall health. Yoga is also very effective to take off stress from the body and mind by deep relaxation and breathing techniques. 8. Chill and be silent. Reduce the noise and clutter talk that contributes to anxiety. Find time for yourself and be alone to muse upon your own matters without anyone disturbing you. 9. Worry. Yes, we can cause ourselves to freak out, but only for a certain amount of time. When something weighs heavily on your mind, or you believe something terrible is most definitely going to occur, commit to only creating that worry for 20 minutes. Think of all the possible outcomes of the scenario, figure out some game plans, and then quit thinking about it after 20 minutes go by. Have a friend call after the allotted time has passed to avoid the temptation of going over the time limit. Or schedule some of that playtime right afterward. 10. Plan for the future but do not worry about it. Make time tables and to-do lists so that you will not be worried about finishing stuff and so that you can increase your productivity. 11. Be positive. When you feel anxious, train your mind to think and feel positive and give reinforcement to yourself that you can handle any situation. This will significantly reduce your stress and anxiety symptoms. 12. Smell relaxing stuff. Go out to your garden. Smell a fresh rose. Take a deep breathe and allow the relaxation to course through your whole body. You can also use relaxing aroma therapy and use it indoors. 13. Go out and spend time with your friends and family. Spend time with your pets social support reduces anxiety and stress to such a great extent that it is almost always bearable. So next time you get on your nerves, go out with your friends, chat with them, watch a movie, spend some time watching the waves in the beach with your partner, talk to your siblings. If you have tried all these and still have problems, please consult me for prescription medication.
1 person found this helpful

Hi My son 3 years old. We consult doctor for his eye swelling issue from last 3 days. After urine test we found pus cell 5-6 hpf and Epithelial cell 2-3 hpf. I want to know is it any major issue with kidney or it is not critical. Now Medicine Ascoril Ls given by doctor.

MBBS, Diploma in Child Health (DCH)
Pediatrician
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Hi My son 3 years old. We consult doctor for his eye swelling issue from last 3 days. After urine test we found pus c...
Your son's urine test shows evidence of infection and with swelling of the eyes he needs further investigation of kidney function and USG KUB. Treatment can then be given.

What is the cost for replacement eye for diabetic patient in genral

MS - Ophthalmology
Ophthalmologist
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I think you meant replacement of the cataractous lens by an artificial lens ( called Intra Ocular Lens ). The whole eyeball can not be replaced. The cost of the IOL to be used in all persons ( diabetic or not ) varies widely from few hundred to few thousand depending on the material / unifocal or multifocal / type of surgery etc.

Hi I drank water 1 year after seeing naturopathy program in TV. But now I am do not want to drink water. Now I stopped drinking water. But I am often suffering with itchy eyes and itching in vagina and redness ,small blisters in the throat .please give me a suggestion. I need help .

MDP, MD - Alternate Medicine, BHMS
Homeopath
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Hi I drank water 1 year after seeing naturopathy program in TV. But now I am do not want to drink water. Now I stoppe...
Try to eat once a week green leaf of neem juice 5oml on empty stomch morning along with your contineuty of drinking water.

My daughter is having eye sight problem. She is unable to see far objects clearly what home remedies should I adopt?

Fellowship in Comprehensive Ophthalmology, DOMS
Ophthalmologist
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My daughter is having eye sight problem. She is unable to see far objects clearly what home remedies should I adopt?
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 as your age is now 10 years so your number will 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 after age of 18 yrs.

I want to remove my spectacles what measures or which operation I have to do for it?

DOMS, MBBS
Ophthalmologist
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I want to remove my spectacles what measures or which operation I have to do for it?
U are not eligible for refractive surgeries at this age. You wil hav to wait foe an year or 2. Once your refractory error is documented to b stable and your refraction and corneal conditions satisfy then you can go for refracrtive surgeries.

Earlier tsh was at 1.1 and was taking throxin 125. Due to some symptoms my physician reduced dose to 100. Now after 6 weeks I have checked my tsh and that was 4.35. Now a days I am having burning sensation in feet and tingling sensation in face and eyes and slight pain in left temple of head. Feeling tremors when wake from sleep.

MBBS, DNB (General Medicine)
Endocrinologist
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Earlier tsh was at 1.1 and was taking throxin 125. Due to some symptoms my physician reduced dose to 100. Now after 6...
Tsh 1.1 was within range for this test and reduction of dose was advised for reasons but known to your doctor. After 6 weeks it is still within range. Your symptoms are not thyroid related. Seems you are stressed due to some reason and need to relax.
1 person found this helpful
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