When to start working out after strabismus surgery

Discussion in 'Laser Eye Surgery' started by johnny_scorpio, Jun 8, 2005.

  1. I had strabismus repair surgery about a month ago. I used to work out
    at the gym before so when can I go back?

    On related topic, does doing heavy exercises affect eyes in any way?
     
    johnny_scorpio, Jun 8, 2005
    #1
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  2. johnny_scorpio

    Neil Brooks Guest

    When the surgeon who performed the surgery gives you the green light.

    That's not sarcastic.
     
    Neil Brooks, Jun 8, 2005
    #2
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  3. She told me three weeks, is that the usual time frame?
     
    johnny_scorpio, Jun 8, 2005
    #3
  4. johnny_scorpio

    Dr. Leukoma Guest

    Well, I was told NOT to exercise following surgery on my forehead.
    This is primarily because the forehead is extremely vascular, and a
    post-surgical hematoma could have disastrous cosmetic consequences.

    On the other hand, I also suffered a severe groin strain that resulted
    in quite a bit of bleeding, and probably was accompanied by some
    avulsed bone. The sports medicine doc told me that I couldn't resume
    running for six weeks, because that is the time it takes for
    cartilagenous structures like bones and tendons to heal.

    In your case, muscles and tendons were cut and sewn. I would think
    that three weeks would be the minimum time frame, and perhaps six weeks
    would be even better. In my case, I used the time off to develop an
    interest in road biking. Perhaps you might do the same.

    DrG
     
    Dr. Leukoma, Jun 8, 2005
    #4
  5. johnny_scorpio

    Dr. Leukoma Guest

    Once, after forehead surgery, I was told not to exercise for two weeks.
    This seemed like an eternity. The reason is that the forehead is
    highly vascular, and exercise could result in an unsightly hematoma,
    which would require that the surgery be repeated.

    On another occasion, I suffered a severe groin pull, which damaged some
    muscle, and also probably pulled away some bone. The sports medicine
    doc said no running for six weeks, because that is how long it takes
    muscles and tendons to heal. Your surgery likewise involved muscles
    and tendons.

    However, the silver lining was that during the time I couldn't run, I
    developed an interest in something I could do right after my accident
    -- road biking. I know alternate run days with biking days, and I feel
    much better for it.

    DrG
     
    Dr. Leukoma, Jun 8, 2005
    #5
  6. Since the eyes are not involved in the physical work of the workouts, they
    have little risk from exercise. Risk of bleeding is essentially gone by 1
    week.

    I tell my own patients about the same time.


    David Robins, MD
    Board certified Ophthalmologist
    Pediatric and strabismus subspecialty
    Member of AAPOS
    (American Academy of Pediatric Ophthalmology and Strabismus)
     
    David Robins, MD, Jun 10, 2005
    #6
  7. johnny_scorpio

    Dr. Leukoma Guest

    Hmmm. Now that comment came as a surprise, doctor.

    I recall once a high school athlete who presented in my office with
    bilateral subconjunctival hemorrhages, as well as a few scattered
    retinal hemorrhages. The cause? The patient lost his balance while
    doing competitive weight lifting. One of the principal causes of
    subconjunctival hemorrhaging is coughing, sneezing, or other valsalva
    maneuver.

    DrG
     
    Dr. Leukoma, Jun 10, 2005
    #7
  8. Sure, extreme Valsalva can cause subconj hemorrhage. However, at 3 weeks,
    the muscles are well attached, and a subconj hemorrhage won't bother
    anything. It is direct muscle trauma that can cause a problem, but exercise
    won't do that.

    By 3 weeks, the vessels are well enough healed that they should not spring a
    leak like the capillaries of the conjunctiva or retina did in this case.

    BTW, a large subconj hemorrhage even immediately after surgery generally
    seems to have little effect on the attachment of the muscles. A case of
    extreme vomiting postop, with just that happening to me, caused no adverse
    outcome. (n of 1 in that case).
     
    David Robins, MD, Jun 11, 2005
    #8
  9. johnny_scorpio

    Dr. Leukoma Guest

    OK. Thanks for that. So, three weeks, then. I was just trying to
    come up with a rational basis, assuming the worst case scenario.

    DrG
     
    Dr. Leukoma, Jun 11, 2005
    #9
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