Giovanni Trapattoni has been dealt a big blow with the news that winger Aiden McGeady and defenders Sean St Ledger and Joey O'Brien have withdrawn from the Ireland squad through injury.
Ireland face a crucial double header against Sweden and Austria next month as the battle for second place in Group C enters its final stages.
Midfielder Jeff Hendrick had already withdrawn from the 29-man provisional squad announced by Trapattoni last Sunday.
The loss of St Ledger, in particular, and O'Brien poses a serious dilemma for the manager with Richard Dunne having played just two games for QPR as he attempts to reach full match fitness.
St Ledger began the season positively for Leicester, scoring the winning goal in a League Cup tie against Wycombe, but has not played for three weeks.
O'Brien played for West Ham at Newcastle last weekend, while McGeady has not been involved for Spartak since 4 August.
Ciaran Clark and Darren O'Dea are also in contention to partner John O'Shea in central defence.
Either Robbie Brady or James McClean would be likely to come in for McGeady.
A statement from the FAI read: "Aiden McGeady pulled out of training with Spartak Moscow this week with an ongoing knee injury, while Sean St Ledger is still working his way back to full fitness after injuring his knee in early August.
"West Ham's Joey O'Brien is also suffering from a knee injury and is undergoing treatment at his club."
There are no plans at present to add any replacements, according to the statement.
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