RT Journal Article
SR Electronic
T1 Major orbital complications of endoscopic sinus surgery
JF British Journal of Ophthalmology
JO Br J Ophthalmol
FD BMJ Publishing Group Ltd.
SP 598
OP 603
DO 10.1136/bjo.85.5.598
VO 85
IS 5
A1 C Rene
A1 G E Rose
A1 R Lenthall
A1 I Moseley
YR 2001
UL http://bjo.bmj.com/content/85/5/598.abstract
AB BACKGROUND The paranasal sinuses are intimately related to the orbit and consequently sinus disease or surgery may cause severe orbital complications. Complications are rare but can result in serious morbidity, the most devastating of which is severe visual loss. METHODS A retrospective review was undertaken of four cases of severe orbital trauma during endoscopic sinus surgery. RESULTS All the cases suffered medial rectus damage, one had additional injury to the inferior rectus and oblique, and two patients were blinded as a result of direct damage to the optic nerve or its blood supply. CONCLUSION Some ophthalmic complications of endoscopic sinus surgery are highlighted, the mechanisms responsible are discussed, and recommendations for prevention, early recognition, and management are proposed.