Post-Surgery Exercise Guidelines for Macular Hole Repair Recovery - Ophthalmology

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Postoperative exercises after macular hole surgery?


It has been six months since my macular hole surgery, and I am still using eye drops.
What types of exercise can I do now? I have noticed some muscle weakness due to lack of exercise, but I am concerned that exercising might affect my postoperative recovery.
I would like to consult with a physician.
Thank you.

Jing Jie, 60~69 year old female. Ask Date: 2022/04/06

Dr. He Jianxian reply Ophthalmology


In general, there should not be significant contraindications to regular exercise, unless the activity is excessively intense or strenuous.
This is for your reference.
Dr.
Ho Chien-Hsien, Ophthalmology Department, Nantou Hospital.

Reply Date: 2022/04/06

More Info


After undergoing surgery for a macular hole repair, it is essential to approach post-operative recovery with caution, particularly when it comes to exercise. Given that you are six months post-surgery and still using eye drops, it's understandable that you are eager to resume physical activity while also being concerned about your recovery.


General Guidelines for Post-Surgery Exercise
1. Consult Your Surgeon: The first and foremost recommendation is to consult with your ophthalmologist or the surgeon who performed the procedure. They can provide personalized advice based on your specific condition and recovery progress.

2. Gradual Resumption of Activities: Generally, after six months, many patients can gradually resume normal activities, including light to moderate exercise. However, it is crucial to listen to your body and not push yourself too hard, especially if you experience discomfort or visual disturbances.

3. Types of Exercise:
- Low-Impact Activities: Start with low-impact exercises such as walking, cycling on a stationary bike, or swimming (if your doctor approves). These activities can help improve muscle strength without putting too much strain on your eyes.

- Strength Training: Light strength training can be beneficial, but avoid heavy lifting or exercises that require straining, such as squats or deadlifts, until you have clearance from your doctor.

- Flexibility and Balance Exercises: Incorporating yoga or tai chi can help improve flexibility and balance, which may be beneficial as you regain strength.

4. Avoid High-Impact Activities: Activities that involve jarring movements, such as running, jumping, or contact sports, should be avoided until you receive explicit approval from your healthcare provider. These activities can increase intraocular pressure and may jeopardize your recovery.

5. Monitor Your Body: Pay attention to how your body responds to exercise. If you experience any unusual symptoms, such as increased eye pain, visual changes, or excessive fatigue, stop the activity and consult your doctor.

6. Eye Protection: If you engage in any activities that could pose a risk to your eyes, such as cycling or swimming, consider wearing protective eyewear to prevent any accidental injury.


Importance of Regular Follow-Ups
Regular follow-up appointments with your ophthalmologist are crucial during your recovery. They can monitor the healing process of your macular hole and assess your overall eye health. If you have concerns about muscle weakness due to inactivity, your doctor may also recommend a physical therapist who can design a safe and effective exercise program tailored to your needs.


Nutritional Considerations
In addition to exercise, maintaining a balanced diet rich in vitamins and minerals can support your recovery. Nutrients such as omega-3 fatty acids, lutein, and antioxidants found in leafy greens and fish may promote eye health. However, always discuss any dietary supplements with your healthcare provider to ensure they are appropriate for your situation.


Conclusion
In summary, after six months of recovery from macular hole surgery, you may gradually resume light to moderate exercise, focusing on low-impact activities while avoiding high-impact or strenuous exercises until cleared by your doctor. Always prioritize communication with your healthcare provider to ensure a safe and effective recovery process. Remember, the goal is to regain strength and fitness without compromising your eye health.

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