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Dear Dr Misra, Thanks Much For Your Advice In The

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Posted on Sat, 10 Aug 2019
Question: Dear Dr Misra,

Thanks much for your advice in the thread
https://www.healthcaremagic.com/AskDoctorInboxServlet?page=viewQuery&queryId=391657

While my RE visual acuity has been improving since operation in late May, I note some problems during this recovery period

1.     I note that my presbyopia has become more serious after surgery. Is it related to the ERM surgery or to the disease itself? Does the surgery change my myopia and presbyopia?

2.     My eyes get tired very easily, both the operated RE and the LE, and need very long time to recover, especially after using the computer/mobile phone even for only a short period. My distant vision immediately get worse after using computer for just 20 or 30 minutes. Distant or intermediate vision images are blurred with shadows. After about two hours, this starts to improve gradually but it take as long as 6 or 7 hours to recover. Also, I feel my eyes get dry easily, and the situation is also worse after using computer even for just 20 to 30 minutes.


I have been taking rest and not returned to work since my operation, ie. for more than 7 weeks. I have limited my use of computer /mobile device to less than an hour each day in the hope of getting better improvement. However, these problems have not shown notable improvement in the past two weeks.

(a)     Why I have such problems? Due to the surgery? Are these conditions temporary or permanent? What further improvement can I expect?

(b)     I am worried, because my work involves intensive use of computer and reading documents. With my current conditions, I am sure I cannot handle my duties, and I am concerned that my work will worsen my conditions and overload my eyes, causing further and other problems. My sick leave will end by end July, but I really feel incapable to return to work given my current conditions. Any advice? What can be done to help improve my current conditions of my eye tiredness and dryness

Are the above problems common after ERM surgery? How long it usually take for the eye conditions to improve to a level sufficient for handling office work involving heavy computer use and reading document s?



Can you offer your expert advice and share your clinical experience? after ERM surgery? on after ERM surgery? after ERM surgery?

Thanks much in advance for your kindness and expert advice.

doctor
Answered by Dr. N K Mishra (1 hour later)
Brief Answer:
ERM surgery.

Detailed Answer:
My dear,
Thanks for sending your query to us.
The problems you have enumerated are all a part general body weakness including worsening of presbyopia.Since your medical leave expires by the end of July,we want you to be working full steam by that time to face the burden of office work.
Dryness will be helped by lubricant drops,which should be put in frequently,more so when your computer work increases,need of lubricant drops increase and if you feelit is not suffeciant then we can shift to lubricant gel.
Eye strain which you get will be helped by keeping your body healthy.Eat well,have proper vitamin supplements,exercise lightly.In such recoveries,multivitamins also play an important role.This improvement in general body health will reduce the recovery time alo.
Improvement in general health ,proper diet exercise and simple yoga will bring you up to the mark by the end of month.
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Kampana
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Answered by
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Dr. N K Mishra

Ophthalmologist

Practicing since :1977

Answered : 1297 Questions

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Dear Dr Misra, Thanks Much For Your Advice In The

Brief Answer: ERM surgery. Detailed Answer: My dear, Thanks for sending your query to us. The problems you have enumerated are all a part general body weakness including worsening of presbyopia.Since your medical leave expires by the end of July,we want you to be working full steam by that time to face the burden of office work. Dryness will be helped by lubricant drops,which should be put in frequently,more so when your computer work increases,need of lubricant drops increase and if you feelit is not suffeciant then we can shift to lubricant gel. Eye strain which you get will be helped by keeping your body healthy.Eat well,have proper vitamin supplements,exercise lightly.In such recoveries,multivitamins also play an important role.This improvement in general body health will reduce the recovery time alo. Improvement in general health ,proper diet exercise and simple yoga will bring you up to the mark by the end of month.